2023-00413CITY 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 DECK
VALUATION 2,880.00
NOTE: BUILD NEW DECK ON THE BACK OF THE HOUSE
APPLICANT
SNYDER, MACKENZIE
4156 87TH STREET NE
MONTICELLO, MN 55362-
OWNER
SNYDER, MACKENZIE
4156 87TH STREET NE
MONTICELLO, MN 55362-
AGREEMENT AND SWORN STATEMENT
1 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 z /y
Date 7
Bldg Official Date
2 0 2 3— 0 0 4 1 3
DATE ISSUED: 06/05/2023
Permit #: 2023-00413
BUILDING PERMIT FEE 88.25
PLAN REVIEW 57.36
STATE SURCHARGE, BLDG VAL 1.44
TOTAL 147.05
Payment(s)
CHECK 1111 147.05
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
ECEOVE ')-
nCITYOFDPermitNo.
Monticellc' MAY ; '023 Date J'
BUILDING SAFETY
RESIDFNIIA BTJILDING PIRMIT
ADDITION / ALTERATION / REMODEL
SITE ADDRESS
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LEGAL DESCRIPTION
LOT L BLOCK PI.D. NUMBER
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OWNER'S NAME (Address) (Tel. No.)
CONTRACTOR (Address) (Contact) (Tel. No.)
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE) (Email)
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PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER CONTRACTOR
IF APPLICABLE, SPECIFY CONTRACTOR Lic #
CHECK ALL THAT APPLY: TOILET SINK BAR SINK BATHTUB/SHOWER
LAUNDRY TUB SOFTENER OTHER
TOTAL # OF FIXTURES
REMINDER: IF YOU DO NOT OWN THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE PULLED
BY A MASTER PLUMBER.)
MECHANICAL BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER CONTRACTOR
IF APPLICABLE, SPECIFY CONTRACTOR
CHECK ALL THAT APPLY: FURNACE A/C FIREPLACE BATHFAN
TOTAL # OF FIXTURES Bond #
DESCRIPTIO qF _1
WORK: TAUS" jZk 1Z ctteA-- lip lrt r C'
ESTIMATED VALUE OF CONSTRUCTION
Approved by Building Official:
Total Due
O$v Date Approved: '4 3 $ e /
Ir
5130 2 3APPLICANTSIGNATUREDate
505 Walnut Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax: 763-295-4404
I_ APPROVLD FILE COPY
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Date: 6'Z 3 Sigwd.
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