2020-00369CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4139 87TH ST NE
PIN 155252001090
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 009 BLOCK 001
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-
8
AGREEMENT AND SWORN STATEMENT
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
2020-00369*
DATE ISSUED: 04/29/2020
Permit #: 2020-00369
MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 72.00
STATE SURCHARGE, MECH FIX 1.00
TOTAL 123.00
Payment(s)
CREDIT CARD 4048 123.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Monticello
BUILDING SAFETY PERMIT # 2 02-0 -0 a 3 '
505 WALNUT STREET, SUITE 1 MONTICELLO, MN 55362 _ / 2 • O a
City Hall_ (763) 295-2711 Building Inspections (763) 295 30.60 _ Fax (763) 295-4404_
BUILDING PERMIT APPLICATION
Please Print - INCOMPL'ET/E APPLICATIONS rWILL NOT BE ACCEPTED.
SITE ADDRESS: ZONED
LEGAL: Lot Block Plat
Property Owner Name: Phone: %p,_3- l/at _ X
Address: Novak -Fleck, Inc.
8857 Zealand Ave. N. State: Zip:
Brooklyn Park, MN 55445
Contractor Name: Phone:
State License #: RICCAR HEATING & AIR E-MaiL•_J0CJLC hp I le- 0 f1 t" 0 n,y' h Ir6-0 _ ('
Address: 2387 STATION PARKWAY N.W. City: State: Zip: ti born, IVIII 5bsu4
bJ-/4-4000
Eng./Architect Name: Phone:
Address: City: / State: Zip:
Plumber Name: Phone:
Address: City: State: Zip:
Mechanical Name: Phone:
Address: City: State: Zip:
TVDe of Work
New
Addition
Alteration
Repair
Move
Other
Tvne of Construction
Single Family
O Duplex
I7 Multi -Family
Commercial
Industrial
Other
Buildine Information
Use of building
of stories
Floor area sq. ft
Estimated value
of construction $
Description of work: IkM ., fix, l/g'r'l `'A /1C%%d uk-
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.
A 7 /
t;6Iflw,QO i
A pli nt Signature Application Date
SEE BACK FOR PLUMBING
AND MECHANICAL INFO.
APPLICANT: Please show_ratures that are applicable.
Fire Suanression : (if applicable) Plumbine: (iapplicable) Mechanical. rf applicable) No.
Fix re Tvae No. Tixture Tvae sater
SprklerHeadCloset (toilet) I 1
Furnace
Oth /
Special FS evice Bathtub Gas Meter Lavatory (
wasirb )-- - Range Hood - Sho
er Gas Range Kitcl
n Sink Water Heater DishAsher
T Air Conditioning Laund
Tu Mecli. Fireplace Clothes
her Badhroom(s) Exhaust Fan Fire
Alarm: f apicable) Water He Urinal
1
Air Exchanger Dryer
No.
F1 tore Tvne Drinks g Fou tain Gas Opening w/o Fixture Name:
Address:
City:
State:
Phone #:
of
Devices Other
Future
Owner Information: Out
lde Faucet TOTAL
TOTAL FOR
CITY USE ONLY Tree
Ordinance Handout Yes No Other
Handouts Yes No ADDITIONAL
INFORMATION: Valuation:
Zip:
Construction Type: Occupancy
Group: 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: / /