2024-00188 AlterationCITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 9872 HART BLVD
PIN 155117002010
LEGAL DESC RIVER VIEW SQUARE
LOT 001 BLOCK 002
PERMIT TYPE PLUMBING
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE ALTERATION
VALUATION 2,465.00
NOTE: ADDING 1/2" RPZ BACK FLOW PREVENTER TO STEAMER MACHINE IN KITCHEN
APPLICANT
MONTICELLO PLMG, HTG & AIR
211 DUNDAS RD
MONTICELLO, MN 55362-
763)314-0083
OWNER
MONTICELLO SR HOUSING OWNER LLC
17550 HAMLOCK AVENUE
LAKEVILLE, MN 55044-
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 accordanceJwith the plan that has been approved by
the Building OfficI agree that any damage caused to public
property yicludmg but no limited to urb, sidewalk, public
utilitie nd sign will b repaired a se. Applic
at % Dated—
Bldg
Official Date IILIIIWll11Wil
III I 1i 2
0 2 4- 0 0 1 8 8 DATE
ISSUED: 03/22/2024 Permit #:
2024-00188 PLUMBING
BASE FEE, COMM STATE
SURCHARGE, PLBG VAL TOTAL
Payment(
s) CREDIT
CARD 5949 100.
00 1.
23 101.
23 101.
23 SEPARATE
PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
mo ii effo
Pern itNo. q\OI
J\
13UILDING SAFETY Date ' 2-0 Lo Zy
COMMERCIAL / INDUSTRIAL BUILDING PERMIT APPLICATION
505 Walnut Street, Suite #1 Monticello, DIN 55362 Ph: 763-295-3060
buildingdepartmentrci.mouticello.mmus
SITE ADDRESS
9872 Hart Blvd Monticello MN, 55362
LEGAL DESCRIPTION
LOT C7O I BLOCK 00 --
PLAT l t V l,/ J4 t,cGr/-
O«'NER (Name)
Head Water Development
ON NER'S E-MAIL ADDRESS:
maintenance@willows-landing.com
PID. NUMBER 14 7 / / 700 '(O 10
ZONED
Address)
9872 Hart Blvd Monticello, MN 55362
Tel. No.)
763) 229-1299
CONTRACTOR (Name) (Address)
Monticello Plumbing and Heating Po Box 180 Monticello, MN 55362
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE)
PC74319
CONTRACTOR'S E-MAIL ADDRESS: (Tel. No.)
scheduling@montiplumbing.com (763) 314-0083
ARCHITECT (Name) (.Address)
N/A
ARCHITECT'S E-MAIL ADDRESS (Tel. No.)
N/A
ENGINEER (Name) (Address)
N/A
ENGINEER'S E-MAIL ADDRESS: (Tel. No.)
N/A
DESCRIPTION OF
WORK:
Adding 1/2" RPZ back flow preventer to steamer machine in kitchen.
TYPE OF WORK (Please Circle One)
New
Addition
CAlteration
Repair
Move
Other
ADDITIONAL INFORMATION
Valuation: $
2465.00
Construction Type:
Occupancy Group:
Square Footage:
4 of Stories:
Maximum Occupancy:
TYPE OF CONSTRUCTION (Please Circle One)
Qjmm ercia
Industrial
Institutional
Multi -Family
Other
MISC. NOTES:
Fire Suppression: Yes No
ESTIMATED VALUE OF CONSTRUCTION
I hereby apply for a permit for construction as described and acknowledge that the information I have
provided above is complete and accurate. I agree that the work will be conducted in conformance with
the ordinances of the City of Monticello and with the Laws of the State of Minnesota; and that I under-
stand that this application is not a permit and that the work is not to start without a permit. I firrther un-
derstand that the work will be in accordance with the plan that has been approved by the Building Offi-
cial. I a,,ree that any damage caused to public property includi , but not limited to curb; sidewalk, pub-
lic utilities and signs will be repaired at m ns .
Applicant Signature
Print Name i Title
Laura Torre
Date
03/ 18/24
Approved by Building Official
Approved by Fire Marshal
Date Approved:
v
3 !;Q ZL1 Total Permit Fee:$ / o1'-3
CITY OF
41 Monticello COMMERCIAL & INDUSTRIAL PLAN
SUBMISSION MATRIX
Project Title: Willows Landing- kitchen steamer RPZ Plan Type
Project Address: 9872 Hart Blvd Monticello, M N 55362
All plans submitted for review must be 241106" size
Arch D) or smaller. Larger plans will not be accepted. r
U
y to a.
C_ C U
PROJECT TYPE c
CLl U [ir
Check one
r ' Quantity
New Building Constriction 2 1 1
Building Addition 2 1 1
Interior Remodel/Interior Tenant Build -out (no exterior site work) 2 1 1
Interior Remodel/Interior Tenant Build -out (with exterior site work
t 1
parking lot improvements/ rovements/expansion utility changes)
2
e.g.:g•P P expansion,
Building Demolition 2' 0 1
El work (parking lot expansion, grading/drainage, landscaping) 0 1 1
photometricphotometric plans and cut sheets, etc.)
New Exterior Signage (Nall, monument, pylon, etc)
Free-standing signage requires a certificate of surrey rith location and 2 1 1
setbacks clearly marked
Mechanical (HVAC) permit 2 0 1
Plumbing permit (more than S fixtures must be reviewed by the z 0 1
state)
Fire Sprinkler or Alarm permit (20 or more heads must be sent to 0 3 1
the state Fire Marshal for revie-,N)
SAC square footage based on Met Council's most current guidelines
Applicants shall ident fy all use categories and square footage as 1 1
applicable on •orksheet provided.
Footnotes:
a. Plumbing projects with more than j plumbing fixtures must be submitted to the state for review prior to permit issuance. Basic phnnbing
fixture pla ns may be required with some building permit applications for calculating fixture comas mrd .5.4 C charges.
b. "Ci%it Plans" must onclude; Certificate of Sunny showing proposed location of the building s, site plan; soil boring locations; utility plan,
exterior lighting plan (with photometric), landscape plan, SWPPP, and I Office use only
grading, drainage R erosion control plan. Dale submitted:
Distributed by:
Plan review submission matrix v6 October 2020020