2020-00370CITY OF MONTICELLO
505 WALNUT STREET * 2 0 2 0- 0 0 3 7 0*
DATE ISSUED: 04/29/2020
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
Permit #: 2020-00370
ADDRESS 4233 86TH ST NE
PIN 155252003030
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 003 BLOCK 003
PERMIT TYPE MECHANICAL
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES 7
APPLICANT MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 63.00
RICCAR HEATING
STATE SURCHARGE, MECH FIX 1.00
2387 STATION PARKWAY
ANDOVER, MN 55304-
TOTAL 114.00
763) 754-4000 Payment(s)
CREDIT CARD 4048 114.00
OWNER
NOVAK-FLECK
8857 ZEALAND AVE N
BROOKLYN PARK, MN 55443-
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
Bldg Official Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
M04keflo
PERMIT # z
BUILDING SAFETY
505 WALNUT STREET, SUITE I MONTICELLO, MN 55362
City Hall_ _(763)_ 295-2711 ___Building_Inspections - (763)_295-3060 __Fax_-(763)295n4404 ._
BUILDING PERMIT APPLICATION
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: /-/023-3 &.P )44- S- /v _e . ZONED
LEGAL: Lot Block Plat
Property Owner Name: Phone: 6 3 - Ll -a y - Y9
Address: — Novak -Fleck, Inc.
8857 Zealand Ave. N. State: Zip:
Brooklyn Park, MN 55445
Contractor Name: Phone:
State License #: RICCAR HEATING & AIR E-Mail:
Address: Lstsl JIAIIUIV I'AKKWAY IV.W. City: State: Zip: A DOVER, MNr55'X4
16,E-i 3,f-4uuu
Eng./Architect Name:
Address:
Plumber Name:
Address:
Mechanical Name:
Address:
Type of Work
1)6 New
Addition
Alteration
Repair
Move
Other
City:
City:
Tvne of Construction
VSingle Family
Duplex
O Multi -Family
Commercial
Industrial
Other
Phone:
State: Zip:
Phone:
State: Zip:
Phone:
State: Zip:
Buildine Information
Use of building
of stories
Floor area sq. ft.
Estimated value
of construction $
DeIcTiption of work:
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.
14/")
aa/490
11pilic—aht Signature Application Date
Z.C—
SEE BACK FOR PLUMBING
AND MECHANICAL INFO.
APPLICANT: Please show rUtures that are applicable.
Fire Sis ression : (if applicable) Plumbine: (if applicable) Mechanical. rf applicable)
No. Mire Tvae - No. Fixtufe Tvne
Sp kler heads / Warar Closet
I
toilet) L Furnace
Othe /Special FS l evlce Bati4ub L Gas Meter
L-avatory wash -basin)-- Range Hood- - -
Sho ver Gas Range
Kite a Sink Water Heater
Dish asber T Air Conditioning
L ry Tub c} Mech. Fireplace
Cl th Washer o f Bathroom(s) Exhaust Fan
Fire Alarm: (if a licable) ater ater Air Exchanger
r{nal f Dryer
No. Fixture Tv a Drinking ntain Gas Opening w/o Fixture
Floor Drain
ofDevi es Slop Sink
Otl:er Outside Faucet
I
TOTAL TOTAL
Future Owner Information:
Name:
Address:
1
FOR CITY USE ONLY
Tree Ordinance Handout Yes No
Other Handouts Yes No
City: ADDITIONAL INFORMATION:
Valuation:
State: Zip: Construction Type:
Occupancy Group:
Phone #: Division:
Square Footage:
of Stories:
of Residential Units:
Maximum Occupancy:
Fire Sprinklers: 0 Yes O No
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Building Official
BPT: / /