2025-01394CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 VAX: (763) 295-4404
ADDRESS 9872 HART BLVD
PIN 155117002010
LEGAL DESC RIVER VIEW SQUARE
LOT 001 BLOCK 002
PERMIT TYPE BUILDING
PROPERTY TYPE COMMERCIAL
CONSTRUCTION TYPE ROOFING
VALUATION : $ 7,800.00
NOTE: REMOVE EXISTING SHINGLE ROOFING MATERIAL AND REPLACE WITH SAME.
GAF TIMBERLINE HDZ
2 0 2 5- 0 1 3 9 4
DATE ISSUED: 09/09/2025
Permit #: 2025-01394
APPLICANT BUILDING PERMIT FEE 162.45
PLAN REVIEW 105.59
HORIZON ROOFING INC
STATE SURCHARGE, BLDG VAL 3.90
2010 COUNTY ROAD 137
TOTAL 271.94
WAITE PARK, MN 56387-
612) 425-7555 Payment(s)
CREDIT CARD 1864 271.94
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 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.
Applican
D2:rateZO
Bldg Official Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
MonticeRo
BUILDING SAFE1 Y
COMMERCIAL / INDU
0
S E P 4 2025
TRIAL BUILDING PEI
505 Walnut Street, Suite #1 Monticello, MN 55362
builciingdepartment@MonticelloMN.gov
Permit No."bf 3j'
Date-5 -2 --A
IT APPLICATION
Ph: 763-295-3060
SITE ADDRESS
9872 Hart Blvd, Monticello, MN. 55362
LEGAL DESCRIPTION
001 002LOTBLOCK
PLAT 11117-River View Square
I
PID. NUMBER 155117002010
ZONED 205 - 4A Apartment 4+
OWNER (Narne) i
Headwaters Development
Address)
17550 Hemlock Ave, Lakeville, 55044
OWNER'S E-MAIL ADDRESS:
i
mhoagberg@headwatersdevelopment.com
Tel. No.)
CONTRACTOR (Name)
I
Horizon Roofing, Inc
Address)
2010 County Road 137, Waite Park
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE)
I R739837
CONTRACTOR'S E-MAIL ADDRESS:
geoff.s@horizonroofinginc.com
Tel. No.)
612) 425-7555
ARCHITECT (Name)
i
i
Address)
ARCHITECT'S E-MAIL ADDRESS Tel. No.)
ENGINEER (Name) Address)
ENGINEER'S E-MAIL ADDRESS: Tel. No.)
DESCRIPTION OF
WORK:
Remove existing shingle roofing material and replace with same. GAF Timberline
TYPE OF WORK (Please Circle One) TYPE OF CONSTRUCTION (Please Circle One)
New Commercial
Addition Industrial
Alteration Institutional
i
4ReLpa3ir Cmulti-Farnily
Move Other -
Other
ADDITIONAL INFORMATION MISC. NOTES:
7,800Valuation:
Construction Type: Reroof
Occupancy Group:
Apartment
Square Footage: 21000 SF
of Stories: 1 @ Work Space
Maximum Occupancy:
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 further un-
derstand that the work will be in accordance with the plan that has been approved by the Building Offi-
cial. I agree that any damage caused to public property including but not limited to curb, sidewalk, pub-
lic utilities and signs will be repaired at my ex ense.
Applicant Signature
Print Name / Title Geoff Spa f6timator-PM
Date 9-4-2025
Approved by Building Official:
Approved by Fire Marshal
Date Approved: Total Permit Fee:$ o ,