2018-00404CITY OF MONTICELLO iiiiiiiiiiiiiiiiiiiiiillillillillillillilliEM
505 WALNUT STREET * 2 0 1 8- 0 0 4 0 4*
MONTICELLO, MN 55362-
DATE ISSUED: 06/22/2018
763) 295-3060 FAX: (763) 295-4404
Permit #: 2018-00404
ADDRESS 4253 86TH ST NE
PIN 155246001090
LEGAL DESC FEATHERSTONE 3RD ADDITION
LOT 009 BLOCK 001
PERMIT TYPE MECHANICAL
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES 7
APPLICANT MECHANICAL BASE FEE, RESI 45.00
MECHANICAL FIXTURES 63.00
RICCAR HEATING
STATE SURCHARGE, MECH FIX 1.00
2387 STATION PARKWAY
ANDOVER, MN 55304- TOTAL 109.00
763) 754-4000 Payment(s)
CHECK 47479 109.00
OWNER
NOVAK-FLECK
8857 ZEALAND AVE N
BROOKLYN PARK, MN 55445-
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.
0411812018 09:24 Riccar Heating fAX)763 754 0132 P.0021003
CITY OF
Monticello
BUILDING SAFETY
16
PERMT # 1
505 WALNUT STREET, SUITE 1 MON77CELLO, MN 55362
City Mall (763) 295-2711 Building Inspections (763) 295-3060 Fax (763) 295-44D4
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Please Print - INCOMPLETE APPLICATIONS SWILL NOT BE ACCEPTED,
SITE ADDRESS: 0jlo, `C 1 I1. ZONED LEGAL:
Lot Block Plat Property
er Name: Novak -
Fleck, Inc. 'hone: -
76.3 - qa-q— '(q Address•
State: Zip: 8857ZealandAve. N. Brooklyn
Park, MN 55445 Contractor
Name: RICCAR HEATING & AIR Dne: State
License #: 2387 STATI014 i'AKavift NA '" m o 24 te-4 Address:
plvuuvcn, [tii-'95964 City: State: Zip: 3„ 1-4A90 Eng./
Architect Name: Address:
Plumber
Name: Address:
Mechanical
Name: Address:
Tvpe
of Work New
Addition
Alteration
Repair
13
Move Other
Phone:
City:
fate: Zip: Phone_ :
sty:
State: Zip: City:
vpe
of construction Single
Family Duplex
Multi -
Family 13
Commercial Industrial
Other
Phone
State.,
Zip: aildin
Information Use
of building of
stories Floor
area sq. ft. Estimated
value of
construction S Descri '
on of ork: ri
1
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 coeformance 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. c
X ph
ant Signature Application Date SEE
BACK FOR PLUMBING AND
MECHANICAL INFO.
0411812018 09:24 Riccar Heating fA})763 754 0132 P.0031003
APPLICANT: Please show fixtures that are applicable.
Fire Su Dresslon : (lf applicable) Plumbine: (if applicable) Mechanical. (If applicable)
No. Fixture Tvoe No. Fixture Tvne No. Fixture Tvne
Sprinkler Heads Water C/oset(tolkt) Furnace
Othe/Special FS Device Bathtub Gas Meter
Lavatory (was asin) Range Hood
Gas Range
Water HeaterlDiskwerAirCondltionh7g
Mech. Fireplace
r Eathroom(s) Exhaust Fan
F'rt e_ (if applicable) Air Enchanger
Urinal Dryer
No. Fixture INIM Drinking Fountain Gas Opening w/o Future
Name:
Address:
City:
State:
Phone #:
of Devl
other
Future Owner Information:
Floor Drain
Slop Sink
Outside Faucet
TOTAL 0 TOTAL
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1
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11. ra•' Yr.
YtJ%r 1: •: •!i W' 1t•r. • /..v,rid•!i J'• dt'ry,''
Tree Ordinance Handout 0 Yes p No
Other Handouts 0 Yes 0 No
ADDITLONAL INFORMATION:
13
Zip: _ Valuation:
Construction Type:
Occupancy Group:
Division:
Square Footage:
d of Stories:
of Residential Units:
Maximum Occupancy:,
Fire Sprinklers: Yes
Off -Street Parking Covered:
Off -Street Parking Covered
Building Official
OPT:
No
0
0411812018 09:23 Riccar Heating fAX)763 754 0132 P.0011003
RICCAR HEATING & AIR CONDITIONINNG
2387 STATION PARKWAY N.W.
ANDOVER, MN 55304
PHONE: (763) 754-4000
FAX: (763) 754-0132
FAX TRANSMITTAL SHEET
Company:
Pages: v
Fax Number:_Xj0 9 -5—" 4/'-/oc/ 4)
lz"wul-' - IF
YOU RECEIVED THIS FAX IN ERROR, PLEASE CALL 763-754-4000