2026-00750ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
VALUATION
CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
103) 295-3U6U YAX:
610 MINNESOTA ST
155010081011
ORIGINAL PLAT
LOT 000 BLOCK OOP
BUILDING
SINGLE FAMILY -DETACHED
BASEMENT FINISH
5,280.00
APPLICANT
STARK,ROBERT T & SHELLEY K
610 MINNESOTA ST
MONTICELLO, MN 55362
OWNER
STARK,ROBERT T & SHELLEY K
610 MINNESOTA ST
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 utilitie
and
igns will fired t expense.
Applicant
Date Z
Bldg Official Date
295-4404
2 0 2 G— 0 0 7 S 0
DATE ISSUED: 09/18/2026
Permit #: 2026-00750
BUILDING PERMIT FEE 132.77
PLAN REVIEW 86.30
STATE SURCHARGE, BLDG VAL 2.64
TOTAL 221.71
Payment(s)
CREDIT CARD 0777 221.71
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
on eflo
BUILDING SAFETY
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 116thatthehousewhichIamapplyingforthispermitlocatedat: WO [K1jeso a S 6K,A CP
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 I 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 I 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 operty Owner Date
To determine whether a particular contractor is required to be licensed, please call the
Department of Labor and Industry @ 651-284-5012
CITY OF I ,tl
Monticello D
BUILDING SAFETY
SEF 6 c026 ` n
RESIE1KN A4
ADDITI N / ALTE
Permit No. 07- Douo "6V 7 V
Date q 'Z'(0
ODEL
SITE ADDRESS
esc a I f'ct11 /1/ LEGAL
DESCRIPTION n
L LOT
O() O BLOCK C) 0 r PI.D. NUMBER ,' C Q OR, Q 1 f PLAT
f lCr 7 t -1 O f/ <<, I et c- 11 G DOWNER'
S NAME (Address) (Tel. No.) Rober+
PeLl S rj< 763-eq3-?3- 1 ICON
CTOR (Address) (Contact) (Tel. No.) JCONT
CTOR'S LICENSE NUMBER (IF APPLICABLE) (Applicant Email) IPLUMBING
BEING COMPLETED BY (PLEASE CHECK ONU nHOMEOWNER
CONTRACTOR IF
APPLICABLE, SPECIFY CONTRACTOR Lic .. CHECK
ALL THAT APPLY: TOILET SINK BAR ® SINK BATHT OWER LAUNDRY
TUB SOFTENER Ih
5 t` OTHER
TOTAL #
OF FIXTURES 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): HOMEOR-
NER CONTRACTOR IF
APPLICABLE, SPECIFY CONTRACTOR
CHECK
ALL THAT APPLY: FURNACE A/C FIItEPLACE BATH TOTAL #
OF FIXTURES BOND# pESCRIPTION
OF R'O K: vt
I S 1 ewieiA1iESTIMATED
VALUE OF CONSTRUCTION Approved
by Building Official: Total
Due p /
Date
Approved: % L4 ay. APPLICANT
SIGNATU 505
NN'alnut Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax: 763-295-4404
A0V' No water closet shall be set closer than 15"
from its center to a side wall or obstruction.
Vul
IN
III Bottom Wall PlatesMasonry ShallwithConcrete
ge Decay Resistive
Carbon Monoxide alarms
are required 10' from bedrooms
per MS 299F.50
Doer
S
4;
101
iF1REBLOCKINC REQUIRED;
Cut Off Concealed Draft
Between Stones & Attic, Chose
f.
Horizontal to Vertical Penetrations,
A1'4 VtgN6 urE*v
APPROVED FILE COPY
REVIEWED FOR CODE COMPLIANCE
SUBI TTO FIELD INSPECTION
Date:
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