2026-00001CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3U6U VAX: (763) 295-44U4
ADDRESS 5912 BADGER ST
PIN 155156003030
LEGAL DESC HILLSIDE FARM
LOT 003 BLOCK 003
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE BASEMENT FINISH
VALUATION 10,720.00
NOTE: LOOK AT STAMPED COPY OF BUILDING PLANS FOR ANY NOTES/RED STAMPS
SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK.
ELECTRICAL ROUGH IN INSPECTION TO BE DONE BEFORE FRAMING INSPECTION
FINISH BATHROOM, 1 BEDROOM AND FAMILY ROOM.
2 0 Z 6- 0 0 0 0 1*
DATE ISSUED: 01/07/2026
Permit #: 2026-00001
APPLICANT BUILDING PERMIT FEE 206.97
PLAN REVIEW 13 4.5 3
RANDY HELLMAN CONSTRUCTION LLC
STATE SURCHARGE, BLDG VAL 5.36
7310 CAHILLAVE NE
TOTAL 3-t6.86MONTICELLO, MN 55362-
763) 295-3483 Payment(s)
Minnesota State License #: 647704 CHECK 8137 346.86
OWNER
CRUZEN,WILLIAM & JENNIFER
5912 BADGER 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 ' cluding but not limited to curb, sidewalk,
public utilitie signs w'
1Mdat my expense. Applicant
Date
Bldg
Official Date SEPARATE
PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Monticeflo
BUILDING SAFETY
RESID
ADDITI(
oYR Permit No.
Date
DEC 1 9 2n''S
NTfA- BIV1G PERMIT
TION / REMODEL
SITE ADDRESS
2
LEGAL DESCRIPTION
LOT BLOCK PI.D. NUMBER
PLAT
OWNER'S NAME (Address) 5'c,` (4.3er, s eeA- tAw-V:ctNka (Tel. No.)
CONTRACTOR (Address) (Contact) (Tel. No.)
1 "3 \e \ v w y
C f's E"',. L-L L v. b b' 164 3
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE) (Email)
oy %h of c CA
PLUMBING BEING COMPLETED BY (PLEASE CHECK ONE):
HOMEOWNER CONTRACTOR
IF APPLICABLE, SPECIFY CONTRACTOR CoX P'vy lzt,., LLC Lic #
CHECK ALL THAT APPLY: KTOILET /C SINK BAR SINK BATHTUB/SHOWER
LAUNDRY TUB SOFTENER OTHER
TOTAL # OF FIXTURES 3
REMINDER: IF YOU DO NOT 01VAT THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE PULLED
B)'A .'MASTER PLUMBER.)
MECHANICAL BEING COMPLETED BY (PLEASE CHECK ONE): Ca M 1 \,.hC— noY w 60;1-;
HOMEOWNER CONTRACTOR
IF APPLICABLE, SPECIFY CONTRACTOR
CHECK ALL THAT APPLY: FURNACE A/C FIREPLACE BATHFAN
TOTAL # OF FIXTURES Bond #
DESCRIPTION OF L
WORK: r\ v_ = C Y"& au m
ESTIMATED VALUE OF CONSTRUCTION
Approved by Building Official: Total Due
Date Approved:
v
Ow
APPLICANT SIGNATURE 14 01<,L Date
505 Walnut Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax: 763-295-4404
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