2022-00634CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4191 87TH ST NE
PIN 155252001010
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 001 BLOCK 001
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE BASEMENT FINISH
VALUATION S 864.00
NOTE: FINISH LOWER LEVEL BATHROOM, 9' X 6'
APPLICANT
KNICK, SAWYAR
4191 87TH STREET NE
MONTICELLO, MN 55362-
OWNER
KNICK, SAWYAR
4191 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
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DATE ISSUED: 08/24/2022
Permit #: 2022-00634
BUILDING PERMIT FEE 37.11
PLAN REVIEW 24.12
STATE SURCHARGE, BLDG VAL 0.43
TOTAL 61.66
Payment(s)
CREDIT CARD 61.66
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY O F Permit No.(, — n( )
2&-
1 Monticello
BUILDING SAFETY Date
RESIDENTIAL BUILDING PERMIT
ADDITION / ALTERATION / REMODEL
SITE ADDRESS
1 a 1 P"' S /)[ It4//t?t,Wlal
LEGAL DESCRIPTION
LOT 00, r BLOCK 00 PI.D. NUMBER 1 , 6 2!52 001®r
PLAT
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OWNER (Name)
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CONTRACTOR (Name)
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Address)
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE)
Address)
Tel. No.)
Tel. No.)
PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER CONTRACTOR
IF APPLICABLE, SPECIFY CONTRACTOR Licc## 4
CHECK ALL THAT APPLY: ./ TOILET SINK BAR SINK v BATHTUB/SHOWER
LAUNDRY TUB SOFTENER OTHER
TOTAL # OF FIXTURES
v
REMINDER: IF YOU DO NOT OWN THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE PULLED
BYA 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 #
DESCRIPTION OF WORK:
6,t, l r I`eve [ktoo tv, ESTIMATED
VALUE OF CONSTRUCTION Approved
by Building Official: r-- n 0
O Date Approved: " 2-1V' Z02-9 Applicant
Signa re ( Date 6/z Z' ' 505
Walnut Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax: 763-295-4404 t &C 1,&, 10
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Meeiienioal Fan VeRiiietien Regvired:
Bath Fan Shall Be Vented and
Insulated to Building Exterior
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APPROVED FILE COPY
REVIEWED FOR CODE COMFLIAf4a
SUBJECT TO FIELD INSPECT10;4
Date: --Z?_7
Carbon Monoxide alarms
are required 1W from bedrooms
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ALL JOB DEBRIS MUST BE C
UPI-SnE AND IN A DUMPSTEq OftCOVERED, FENCED AREA