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2014-00402CITY OF MONTICELLO 505 WALNUT STREET MONTICELLO, MN 55362- 763) 295-3060 FAX: (763) 295-4404 ADDRESS 4300 87TH ST NE PIN 155180004090 LEGAL DESC FEATHERSTONE 2ND ADDN LOT 009 BLOCK 004 PERMIT TYPE BUILDING PROPERTY TYPE SINGLE FAMILY -DETACHED CONSTRUCTION TYPE DECK VALUATION $ 5,000.00 NOTE: 10' X 16' DECK ON THE BACK OF THE HOUSE APPLICANT POWELL HOMES AND REMODELING 13875 214TH AVE NW ELK RIVER, MN 55330- 763) 238-1344 Minnesota State License #: GENC-BC 287524 OWNER GOLD NUGGET DEVELOPMENT INC 8857 ZEALAND AVE N BROOKLYN PARK, MN 55445- 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. 1 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 2 0 1 4- 0 0 4 0 2 DATE ISSUED: 07/21/2014 BUILDING PERMIT FEE STATE SURCHARGE, BLDG VAL TOTAL Payment(s) CHECK 10981 117.93 2.50 120.43 120.43 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. c i r c) t Permit No. Monticello ;, 2 { tG14 tiUI1 1)+NG S A I C"i'Y i ) Date IL:f 1 RESLMENTTAL R_iTi,T,i,,, N 4 lIT ADDITION / ALTERATION /"MODEL SITE ADDRESS 4 3V0 p f- S- i)-N o LEGAL DESCRIPTION LOT i BLOCK q PI.D. NUMBER PLAT OWNER -Tan y1 ( Name) i ATiCONTRACTOR ( Name) Address) 13%- 1 s Address) CONTRACTOR' S LICENSE NUMBER (IF APPLICABLE) r-\ N'41?(;?3)sd-J PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER IF APPLICABLE, SPECIFY CONTRACTOR CHECK ALL THAT APPLY: TOILET LAUNDRY TUB SOFTENER TOTAL # OF FIXTURES Tel. No.) t k K"f Tel. No.) 5) 23-3yy CONTRACTOR to Lic # SINK BAR SINK BATHTUB/SHOWER OTHER 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 NIA IF APPLICABLE, SPECIFY CONTRACTOR CHECK ALL THAT APPLY: _ FURNACE A/C FIREPLACE BATHFAN TOTAL # OF FIXTURES Bond # DESCRIPTION OF 11 / I V Q WORK: cl '`' - _ (^. ll l ' C f ' ';'C ESTIMATED VALUE OF CONSTRUCTION S' o f - Applicant Signature 505 Walnut reet, Suite #1 Monticello, MN 55362 Approved by Building Official: v Date Approved: Date l 1 I Phone: 763-295-3060 Fax: 763-295-4404 g F1 S4 r1,n+;cello N 16' 4 pr+j l 4 A f HY-LAND SURVEYING, P.A.© LAND SURVEYORS 959.6 Proposed Top of Block 11947 Idaho Ave. N. INVOICE NO. 33281 Champlin. Minnesota 55316 F.B. NO. XXX 959.2 Proposed Garage Floor PHONE (763) 323-1300 SCALE 1"= 30' FAX (763) 323-7035 956.4 Proposed Lowest Floor hylandsurveyOgwestoffice.net • Denotes Iron Monument Found Type of Building — O Denotes Iron Monument Set Ourvegars TPriifirutr Denotes wood Hub SetSPLITLEVEL For Excavation Only NOTE: PROPERTY CORNERS N SET BY DEVELOPERS SURVEYOR x000.0 Denotes Existing Elevation O Denotes Proposed Elevation s-- Denotes Surface Drainage Note: 6" of Snow on Lot w s E NOVAK FLECK Property Located In Part Of NW 1 4 Sec. 23. Twp. 121. R. 25. s ap s:s>a°fe Gefe S C Property Owner / Applicant shad existin ;, private and public f m a .... 6 l ........... 859Z 1 59 9•9 i I Igo .. v roe 9s \ e 1\ I 13.e ry pROpOsCD CQ S 1 alsoo ENOENms> II \ as>.e 44a. 0 OZ \ 91s r0 to 9s4 6945?3+K 952— \ \ EPa' I POND I I , 73.56 S86'21'4e\V' LOT 9, BLOCK 4, FEATHERSTONE SECOND ADDITION a obi rsso9 This survey is certified only to the above nomad peraan or persons and not to subsequent owners, mortgoges or title Insurers. The only easements shown are from plats of record of Information provided by client I hereby dimensions and roar alowtbns must be verified by diem C 1 hereby certify that this survey wos prepared by me or under my direct supervision, and that I orn o duly Registered Land Surveyor under the laws of the State of Minnesota. Signed Surveyed by us this 17TH day of MARCH 20 14 Milton E. Hyland, Minn. Reg. No. 20262