2020-00811CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4219 86TH ST NE
PIN 155252003020
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 002 BLOCK 003
PERMIT TYPE MECHANICAL
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES
APPLICANT
RICCAR HEATING
2387 STATION PARKWAY
ANDOVER, MN 55304-
763) 754-4000
OWNER
NOVAK-FLECK
8857 ZEALAND AVE N
BROOKLYN PARK, MN 55443-
AGREEMENT AND SWORN STATEMENT
7
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
Bldg Official Date
2020-00811*
DATE ISSUED: 10/15/2020
Permit #: 2020-00811
MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 63.00
STATE SURCHARGE, MECH FIX 1.00
TOTAL 114.00
Payment(s)
CHECK 48237 114.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Montf6do
BUILDING SAFETY PERMIT #
505 WALNUT STREET, SUITE 1 MONTICELLO, MN 55362
City Fall (763) 295-2711 Building Inspections (763) 295-3060 Fax (763) 295-4404
BUILDING PERMIT APPLICATION
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: 0 (n/l%.E
LEGAL: Lot Block plat
Property Owner Name:
Address:
Novak -Fleck, Inc.
8857 Zealand Ave. N.
Brooklyn Park, MN 55445
ZONED
Phone: -M--L4a4- z4 g1s-s-
State Zip:
Contractor Name: - Phone:
State License #: RICCAR HEATING & AIR E-Mail: M lepe_( jam, _r- t_(.O A'V' h tl&O_„Cow
Address: xiui 6iA1101v PARfido k'r NX. City: State: Zip:
713_'O 54-436
Eng./Architect Name:
Address:
Plumber Name:
Address:
Mechanical Name:
Address:
Tvue of Work
New
Addition
Alteration
Repair
Move
Other
Phone:
City: State: Zip:
Phone:
City, State: Zip:
City: State: Zip:
Type of Construction
Single Family
Duplex
O Multi -Family
Commercial
Industrial
Other
Description of work: C
1
Buildins Information
Use of building
of stories
Floor area sq. ft.
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 understand that this application is not a permit and that the work is not to start without a permit. I further 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.
V" 16.4"y /2
e/& - "
2 _ U'(4
Applicant Signature U Application Date
SEE BACK FOR PLUMBING
AND MECHANICAL INFO.
APPLICANT: Please show fixtures that are a-)plicable.
Fire Suppression : (if applicab e) Plumbine: (if applicable) Mechanical: (ifapplicable)
No. Fixture Tvpe No. Fixture Tvae No. Fixture Tvoe
Sprinkler Heads Water Closet oilet) r Furnace
ther/Special FS ice athtub L Gas Meter
L vatory ( ash basin) Range Hood
S! ower Gas Range
Ki then ink
T
Water Heater
Dis jtw sber Air Conditioning
La ry Tub Mech. Fireplace
Clo tes Washer Bathroom(s) Exhaust Fan
Fire Alarm: ppllcable) W t Heater Air Exchanger
rina l Dryer
No. Fixt a vae Drinkin Fountain Gas Opening w/o Fixture
Devices
Floor D in
Slop SinktheyOutsideFa tcet
TOTAL TOTAL
FOR CITY USE ONLY
Future Owner Information: Tree Ordinance Handout Yes No
Other Handouts Yes No
Name:
Address:
City: ADDITIONAL INFORMATION:
Valuation:
State: Zip: Construction Type:
Occupancy Group:
Phone #: Division:
Square Footage:
of Stories:
of Residential Units:
Maximum Occupancy:
Fire Sprinklers: Yes No
Q Off -Street Parking Covered:
Off -Street Parking Uncovered:
J-- , ero Building Official
BPT:
OW