2017-00471CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4318 87TH ST NE
PIN 155180004080
LEGAL DESC FEATHERSTONE 2ND ADDN
LOT 008 BLOCK 004
PERMIT TYPE : BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE ROOFING
VALUATION $ 4,000.00
NOTE: FINAL INSPECTION TO BE CALLED IN A MAXIMUM OF 48 HOURS AFTER COMPLETION
MUST BE PRESENT AT FINAL INSPECTION WITH A LADDER FOR ACCESS TO THE ROOF
8 SQUARES ONLY
APPLICANT
JB EXTERIORS INC
12875 232ND AVE NW
ELK RIVER, MN 55330-
763) 238-0022
OWNER
MCCARTY, NYE
4318 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
2 0 1 7— 0 0 4 7 1*
DATE ISSUED: 07/05/2017
Permit #: 2017-00471
BUILDING PERMIT FEE
STATE SURCHARGE, BLDG VAL
TOTAL
Payment(s)
CREDIT CARD 9841
103.09
2.00
105.09
105.09
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF Permit No.
Monticello Date
BUILDING SAFETY
RESIDENTIAL BUILDING PERMIT
ADDITION / ALTERATION / REMODEL
SITE ADDRESS
6 3 1P
LEGAL DESCRIPTION
LOT
PLAT
f71-4&-
sf Al
IAKOT" PI.D. NUMBER
OWNER (Name) (Address) (Tel. No.)
l l V6- '1n Vw%rfV 3lf P-d 5- XIS
CONTRACTOR (Name) (Address)
Tl7
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE)
gc-
PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE):
Tel. No.)
3 '4-I/E 'q'w Ell(-I'i (/a e
HOMEOWNER CONTRACTOR
IF APPLICABLE, SPECIFY CONTRACTOR
CHECK ALL THAT APPLY: TOILET SINK BAR SINK
LAUNDRY TUB SOFTENER
TOTAL # OF FIXTURES
Lic #
BATHTUB/SHOWER
OTHER
REMINDER: IF YOU DO NOT OWN 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 CONTRACTOR
IF APPLICABLE, SPECIFY CONTRACTOR
CHECK ALL THAT APPLY: FURNACE
TOTAL # OF FIXTURES Bond #
DESCRIPTION OF /I
WORK: 1)%
ESTIMATED VALUE OF CONSTRUCTION
y/0
A/C
mm
Applicant Signature Z,174 _ 1
505
Walnut Street, Suite #1 onticello, MN 55362 FIREPLACE
Approved
by Building Official: Date
Approved: BATHFAN
Date
7 o 9/ 7 Phone:
763-295-3060 Fax: 763-295-4404 ^ q
It