2022-00171CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX (763) 295-4404
ADDRESS 4156 87TH ST NE
PIN 155252002020
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 002 BLOCK 002
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE BASEMENT FINISH
VALUATION $ 10,800.00
NOTE: BASEMENT FINISH: I BEDROOM, 1 BATHROOM, 1 FAMILY ROOM.
APPLICANT
SNYDER, MACKENZIE
4156 87TH STREET NE
MONTICELLO, MN 55362-
OWNER
SNYDER, MACKENZIE
4156 87TH STREET NE
MONTICELLO, MN 55362-
AGREEMENT AND SWORN STATEMENT
I agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the
Minnesota State Building Code. I understand that the work
will be in accordance with the plan that has been approved by
the Building Official. I agree that any damage caused to
public property including but not limited to curb, sidewalk,
public utilities and signs will be repaired at my expense.
Applicant
Date
Bldg Official Date
2022-00171*
DATE ISSUED: 03/29/2022
Permit #: 2022-00171
BUILDING PERMIT FEE 206.97
PLAN REVIEW 134.53
STATE SURCHARGE, BLDG VAL 5.40
TOTAL 346.90
Payment(s)
CHECK XXXX 346.90
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
r
CITY O F
C E 0 V
Permit No.
Monticello 1
BUILDING SAFETY D Date
RESID [AL BUILDING T
ADDITIO / ALTERATION / RE ODEL
SITE ADDRESS
4156 87th ST NE Monticello MMN, 55362
LEGAL DESCRIPTION
LOT 2- BLOCK Z PI.D. NUMBER / 55 2 52- 00 2.,0 20
PLAT r"t T i T®n 't-' AA
OWNER Name)
Mackenzie Snyder
CONTRACTOR (Name)
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE)
Address)
4156 87th ST NE
Monticello MN, 55462
Address)
PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER X
IF APPLICABLE, SPECIFY CONTRACTOR
CHECK ALL THAT APPLY: X TOILET X SINK
LAUNDRY TUB SOFTENER mop sink
TOTAL # OF FIXTURES 4
CONTRACTOR
Lic #
Tel. No.)
320 292 3179
Tel. No.)
BAR SINK X BATHTUB/SHOWER
OTHER
REMINDER: IF YO U DO NOT OWNN THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE PULLED
B Y A MASTER PLUMBER.)
MECHANICAL BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER X CONTRACTOR
IF APPLICABLE, SPECIFY CONTRACTOR
CHECK ALL THAT APPLY: FURNACE A/C FIREPLACE X BATHFAN
TOTAL # OF FIXTURES 1 Bond #
DESCRIPTION OF WORK:
Finishing the basement, which will include framing the bathroon and bedroom. All mechanical,
plumbing, and electrical then drywall and flooring.
ESTIMATED VALUE OF CONSTRUCTION
Approved by Building Official:
A® 0 (iG , Q Date Approved: 3 - 2.8 - 2-02. L
2-ZZ
Applicant Signature Date
CITY OF
Monticello PHONE:763-295-2711 FAx:763-295-4404
505 Walnut Street Suite 1 Monticello, MN 55362
BUILDING PERMIT APPLICANT: PROPERTY OWNER
I understand that the State of Minnesota requires that all residential building contractors,
remodelers and roofers obtain a state license unless they qualify for specific exemption from
the licensing requirements. By signing this document, I attest to the fact that I am building or
improving the house myself. I hereby claim to be exempt from the state licensing requirements
because I am not building or improving property for the purpose of speculation or resale and
that the house which I am applying for this permit located at: 4KI, 9' & A)i x6itek ,
is the first residential structure that I have built or improved in the last 24 months. I also
acknowledge that because I do not have a state contractor's license, I forfeit any mechanic's
lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. In the even
that I do construct or improve another residential structure in the next 24 months, I will not do
so until I obtain the required state license understanding that failure to do so is a misdemeanor
under state law.
Furthermore, I acknowledge that I may be hiring independent contractors to perform certain
aspects of the construction or improvement of this house and 1 understand that some of these
contractors may be required to be licensed by the State of Minnesota. I understand that
unlicensed residential contracting, remodeling, and / or roofing activity is a misdemeanor under
Minn Stat. 326.92, subd. 1. 1 also acknowledge that all licensed contractor's pay into the
Contractor's Recovery Fund, which can pay homeowners up to $50,000 in the event that their
licensed contractor fails to complete work or preforms defective work, but that 1 forfeit my
rights to reimbursement from the Contractor's Recovery Fund in the event that any
contractors I hire are unlicensed.
I also acknowledge that as the contractor on this project, I am solely and personally responsible
for and violations of the State Building Code and / or City Code in connection with the work
performed on this property, and that I can be prosecuted criminally for any code violations
that are not corrected as ordered by the City.
Signature of Property Owner
31zS/e-z
Date
To determine whether a particular contractor is required to be licensed, please call the
Department of Labor and Industry @ 651-284-5012
j v 30'a
Carbon Monoxide alarms
are required 10' from bedrooms
per MS 299F.50
Smoke Detectors: Hard Wire with battery
backup; Locate In each sleeping room,
corridor / sleeping room access, on each
story, in basement, And where ceiling height
erases 24" +,
STATE BOARD OF ELECTRICITY,
Separate Permit & Inspections
Required For Electrical Work
M
o ,
u_
Insulate walls & Ceilings with s"_e
erapor retarder per Energy Cade. cV
z
0 I
patit/Epr"s for 5tecping A Q
Wlnilew Cim Opening 5.7 k Ft Nk W t
W b W lllgh, SIR not more Nm 4C WW I
Flniahed Floor. 0
Z O
0
a
Z
C athaviolal Fan Ventiialies Re"int:
Bath Fan Shall Be Vented and
IInsulatedtoBuildingExteriorI
deal All Penetra9ucju Around1
Duct, Pipe and Win Throw
AN Top and Bottom Phftt
FIREBLOCKING REQUIRED:
Cut Off Concealed Draft Opertinp
Between Stories & Attic, CI"
Horizontal to Vertical Penetradorm.
Mont cello
APPROVED FIDE COPY
o REVIEWED FOR CODE COMPLIANCE j
I
SU83ECT TO FIELDcgIN9 EC T ION
Dace: 3 — 7—
Signaeutz. ./
x ((
5 CR5. 8-
20"X8NCCf ?,
I
c!
Enclosed Space UncWt SWra:
Cover with 112 inch Gypsum Board
z I •
I
1-.-4- 1-4 +,1--
7K
L,4/-
r
CR5. G" CONC. BLK. ---- ,
4 CKS. 8" CONIC. BLK. j{ CANT. FI R.
t
X bi 4
i
All Bottom I -Vail Plate in Cori%ct
with ConcMe or Me_3onry S
I
Be r-xcay Rey'E
i In
I
ALL ,JOB DEBR4S MUST B' COPF AK ED
DM -SITE AN ) IN P, DUB PSTER OV
Ll COVER., D, FENCE[, -,I AM--i?
1
c!
Enclosed Space UncWt SWra:
Cover with 112 inch Gypsum Board
z I •
I
1-.-4- 1-4 +,1--
7K
L,4/-
r
CR5. G" CONC. BLK. ---- ,
4 CKS. 8" CONIC. BLK. j{ CANT. FI R.
t
X bi 4
i
All Bottom I -Vail Plate in Cori%ct
with ConcMe or Me_3onry S
I
Be r-xcay Rey'E
i In
I
ALL ,JOB DEBR4S MUST B' COPF AK ED
DM -SITE AN ) IN P, DUB PSTER OV
Ll COVER., D, FENCE[, -,I AM--i?
1
cm
0
cV
z
O
Q
Z o
I A