2019-00789CITY OF MONTICELLO liiiiiiiiiiiiiiiiiiiiillillillillillillilliililim
505 WALNUT STREET * 2 0 1 9— 0 0 7 8 9*
DATE ISSUED: 12/04/2019
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
Permit #: 2019-00789
ADDRESS 4269 86TH ST NE
PIN 155246001080
LEGAL DESC FEATHERSTONE 3RD ADDN
LOT 008 BLOCK 001
PERMIT TYPE MECHANICAL & PLUMBING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES 8 NUMBER OF PLUMBING FIXTURES 15
APPLICANT MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 72.00
B & D PLUMBING & HEATING
STATE SURCHARGE, MECH FIX 1.00
4145 MACKENZIE COURT NE
ST MICHAEL, MN 55376- PLUMBING BASE FEE, RESI 50.00
763) 497-2290 PLUMBING FIXTURES 135.00
STATE SURCHARGE, PLBG FIX 1.00
TOTAL 309.00
Payment(s)
OWNER CHECK 560853 309.00
PROGRESSICE BUILDERS INC
17207 198TH AVE NW
BIG LAKE, MN 55309-
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.
From.O&D Plumbing. Haating and A/C 11/18/2019 15:49 #372 P_002/003
CITY OF
t"IMonticello
BUILDING SAFETY PERMIT # 1 —I "d c6
505 WALNUT STREET, SUITE 1 MONTICELLO, MN 55362
City Hall (763) 295-2711 Building Inspections (763) 295-3060 Fax (763) 2954404
UILDIN PE , ,A IO . RMI C' ,
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: 4269 - 86th Street
LEGAL: Lot Block
Property Owner Name: Progressive Builders
Address: 17207 198th Ave
Contractor Name: B&D Plumbing Heating and AC
State License #: PM059287
Address: 4145 MacKenzie Ct NE
Eng./Architect Name:
Address:
Plumber Name: B&D
Address:
Mechanical Name: B&D
Address:
e of WorkT
New
Addition
Alteration
Repair
Move
0 Other
Description of work:
New Construction Plumbing and HVAC
ZONED
Plat
Phone: 763-263-2227
City: Big Lake State: MN Zip: 55309
Phone: 763-497-2290
E-Mail: elaudenbach@bdplumbers.com
City: St. Michael State: MN Zip: 55376
City:
City:
City:
Z
e of Construction
Single Family
Duplex
El Multi -Family
Commercial
Industrial
Other
Phone:
State: Zip:
Phone:
State: Zip:
Phone:
State: Zip:
Building, Information
Use of building Residential
of stories 3
Floor area sq. ft. 2300
Estimated value
of construction $ 20,000
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 titrther 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.
11/6/19
A'pp Ii an gnature Application Date
SEE BACK FOR PLUMBING
AND MECHANICAL INFO.
From:BBD Plumbing, Heating and A/C 11/18/2019 15:49 #372 P_003/003
APPLICANT: Please show fixtures that are applicable.
Fire Suppression : (if applicable) Plumbine. (if applicable) Mechanical: (if applicable)
No. Fixture Tvne No. Fixture Tvoe No. Fixture Tvae
Sprinkler Heads 2 Water Closet (toilet) Furnace
Other/Special FS Device 1 Bathtub Gas Meter
2 Lavatory (wash basin) Range Hood
1 Shower Gas Range
1 Kitchen Sink Water Heater
1 Dishwasher 1 Air Conditioning
Laundry Tub Mech. Fireplace
1 Clothes Washer 2 Bathroom(s) Exhaust Fan
Fire Alarm: (if applicable) 1 Water Heater t Air Exchanger
Urinal 7 Dryer
No. Fixture Tvne Drinking Fountain Gas Opening w/o Fixture
1 Floor Drain
of Devices Slop Sink
Other 2 Outside Faucet
15 TOTAL 7 TOTAL
Future Owner Information:
Name:
Address:
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: Yes No
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Building Official
BPT: / /