2025-01742CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 215-3060 FAX: (763) 295-4404
ADDRESS 5824 BISON CIR
PIN 155201002060
LEGAL DESC HILLSIDE FARM 4TF1 ADDN
LOT 006 BLOCK 002
PERMIT TYPE BUILDING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE BASEMENT FINISH
VALUATION 10,000.00
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 MOST OF THE BASEMENT, INSTALL FLOOR, BAR WITH SINK, ISLAND
ONE WALL WILL BE INSTALLED TO CLOSE THE UTILITY ROOM WITH A DOOR
2 0 2 5— 0 1 7 4 2
DATE ISSUED: 10/31/202-5
Permit #: 2025-01742
APPLICANT BUILDING PERMIT FEE 192.13
PLAN REVIEW 124.88
MACHADO, IVAN OROZCO
STATE SURCHARGE, BLDG VAL 5.00
5824 BISON CIRCLE
MONTICELLO, MN 55362- TOTAL 322.01
Payment(s)
CREDIT CARD 0139 322.01
OWNER
MACHADO, IVAN OROZCO
5824 BISON CIRCLE
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 (0/3 l / 2-02
Bldg Official Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
c' 1 1 Y 01 Permit No. ZhQ
Montice o y f .
BUILDING SAFETY ` ^'`^ ;i Date /0 3b
0 CT L . 2 L-5
RESIDEN IAL BUILDING PERMITADDITION / A'FfRRM6'H'EL SITE
ADDRESS tl"
fz 1VI f(i 55 362- LEGAL DESCRIPTION
LOT BLOCK
PI.D. NUMBER PLAT OWNER'
S
NAME (Address) Tel. No.) 1vAN 0-
1-WZC0 K/-V:gAPO CONTRACTOR (Address) (
Contact) Tel. No.) CONTRACTOR'S
LICENSE NUMBER (IF APPLICABLE) (Email) PLUMBING BEING
COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER CONTRACTOR
IF APPLICABLE,
SPECIFY CONTRACTOR Lic # CHECK ALL
THAT APPLY: TOILET SINK BAR SINK BATHTUB/SHOWER LAUNDRY TUB
SOFTENER OTHER TOTAL # OF
FIXTURES ? 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 A/C FIREPLACE BATHFAN TOTAL # OF
FIXTURES Bond # IPT OI'
O/ 1 1ot/- f Gt 4 LC WORK MG (J C r''!P/ /"'PTA 1 W 7YI S/Ix e G
o G> o ^'1 G C too / ESTIMATEDVALUE
OF CONSTRUCTION Approved by
Building Official: Total Due
0 / O
Date Approved:
3olg APPLICANT SIGNATURE
Date 1 (Yq L-4 0 ZS505 Walnut Street,
Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax: 763-295-4404
CITY OF
ontluu-no
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
that the house which I am applying for this permit located at:
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.
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 Property Owner Date
To determine whether a particular contractor is required to be licensed, please call the
Department of Labor and Industry @ 651-284-5012
Basement 2 w CAS(
o,22en ( Y'1BT
CT w << e
wc,
n oT
4-.7 5o/6,Tec
V-r TY oc C f
L
I (W,
FIREBLOCKIN® REQUI D
fi V )n -r he Cut Off Concealed Draft Openinp
Between Stono .. MW, OW
Horizontal to Vertical Perw rsdm. J
r-
i+ Seal All Penot-atom Around
Duct, Pipe and Wire Through
y -rIn s 'v, 4 re. ,
e ,
AH Top and Bottom Plates
7
c
3 d2c-)v 13 aTkV 0 yv)
A(.e G JT
G GdY
c ( C anC yTNK{
W, ,'1 G 0 W
I ._._--
Carbon Monoxide alarms
are required 10' from bedrooms
per MS 299F.50
G(,ec,c(
6UnL
q zG e Cj S T O
C
J
S
3e4-fZ d44C f'sl
vvttrG
CITY F
Montiaello
BUILOINO SAFETY
APPROVED FILE COPY
REVIEWED FOR CODE COMPLIANCE
SUEUECT70 FIELD INSPECJJQN
Ian: WI,4< Signature: