2020-00601CITY OF MONTICELLO
505 WALNUT STREET * 2 0 Z 0- 0 0 6 0 1*
DATE ISSUED: 07/17/2020
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
Permit #: 2020-00601
ADDRESS 4136 87TH ST NE
PIN 155252002060
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 006 BLOCK 002
PERMIT TYPE MECHANICAL & PLUMBING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES 10 NUMBER OF PLUMBING FIXTURES 17
APPLICANT MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 90.00
INNOVATIVE PLUMBING & HEATING
STATE SURCHARGE, MECH FIX 1.00
14918 200TH AVE NW
ELK RIVER, MN 55330- PLUMBING BASE FEE, RESI 50.00
763) 441-2404 PLUMBING FIXTURES 153.00
STATE SURCHARGE, PLBG FIX 1.00
TOTAL 345.00
Payment(s)
OWNER CHECK 6603 345.00
NOVAK-FLECK INC
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.
r
CITY OF
Monticello
BUILDING SAFETY
PERMIT # F,
505 WALNUT STREET, SUITE 1 MONTICELLO, MN 55362
City Hall (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: 4136 - 87th St. NE
LEGAL: Lot Block Plat
ZONED
Property Owner Name: Novak Builders & Remodelers, Inc Phone: 763-262-7799
Address: 12990 -1st St. SE City: Becker State: MN
Contractor Name: Innovative Plumbing & Heating, Inc Phone: 763-441-2404
State License #: PC004926, MB003696 E-Mail: kevin@innovativeph.com
Address: 14918 - 200th Ave NW City. Elk River State: MN
Eng./Architect Name:
Address:
Plumber Name: Innovative Plumbing & Heating, Inc
Address: 14918 - 200th Ave NW
Mechanical Name: Innovative Plumbing & Heating, Inc
Address: 14918 - 200th Ave NW
Zip: 55308
Zip; 55330
Phone:
City: State: Zip:
Phone: 763-441-2404
City: Elk River
City: Elk River
TVDC of Work Tvne of Construction
0 New 0 Single Family
Addition O Duplex
Alteration 0 Multi -Family
Repair Commercial
Move Industrial
Other Other
Description of work:
Installation of plumbing, & Hvac for new home, gas lines, water lines, furnace, A/C, HRV,
State: MN Zip: 55330
Phone:
State:MN Zip: 55330
BuildinLy 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.
Ap
SEE BACK FOR PLUMBING
7/17/2020 AND MECHANICAL INFO.
Application Date
e
APPLICANT. • Please show fixtures that are applicable.
Fire Suppression : (if applicable) Plumbing: (if applicable) Mechanical: (if applicable)
No. Fixture Tvue No. Fixture Tvue No. Fixture Tvue
Sprinkler Heads 3 Water Closet (toilet) 1 Furnace
Other /Special FS Device 2 Bathtub 1 Gas Meter
3 Lavatory (wash basin) Range Hood
1 Shower Gas Range
1 Kitchen Sink Water Heater
1 Dishwasher 1 Air Conditioning
1 Laundry Tub 1 Mech. Fireplace
1 Clothes Washer 4 Bathroom(s) Exhaust Fan
Fire Alarm: (if applicable) 1 Water Heater 1 Air Exchanger
Urinal I Dryer
No. Fixture Tvae Drinking Fountain Gas Opening w/o Fixture
1 Floor Drain
of Devices Slop Sink
Other
z Outside Faucet
17 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
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Building Official
BPT: / /