2020-00881CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4143 87TH ST NE
PIN 155252001080
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 008 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-
7
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
MENHHOURM
2020-00881*
DATE ISSUED: 11/06/2020
Permit #: 2020-00881
MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 63.00
STATE SURCHARGE, MECH FIX 1.00
TOTAL 114.00
Payment(s)
CHECK 48245 114.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Monticello
BUILDING SAFETY PERMIT# 2020 "'Oaggl
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: y jqg -'E
LEGAL: Lot Block Plat
Property Owner Name: Novak -Fleck, Inc.
Address: 8857 Zealand Ave. N.
Brooklyn Park, MN 55445
Contractor Name:
State License #: rn;S6i5.344'7'1
Address: P2 AIR
EngJArchitect Name: ANDOVER, MN 55304
Address: - ' - b5
ZONED
Phone: 7& 3-y 4q 9
State: Zip:
Phone:
E-Mail: m LCirr k ke- P rv—c r r h me . con
City: State: Zip:
Plumber Name: i
Address: /
Mechanical Name:
Address:
Phone:
Cj State: Zip:
City:
City:
Tvae of Work Tyue of Construction
New Single Family
Addition Duplex
Alteration Multi -Family
Repair Commercial
Move Industrial
Other Other
Phone:
State: Zip:
Phone:
State: Zip:
Banding Information
Use of building
of stories
Floor area sq. %
Estimated value
of construction $
Description of work: L e-4. K Lw ftmfi . '" -) //)'C Fy_ 3 ) ' vv'ft'4.
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.
11q•0 O
J
SEE BACK FOR PLUMBING
ylc G" I A S aZ AND MECHANICAL INFO.
Appli nt Signature Application Date
APPLICANT. Please show.rbaures that are applicable.
Fire Suppression : (ifapplicable) Plumbine. (if applicable) Mechanical. (ifapplicable)
No. Fixture Tvpe No. fixture Tvae No. Fixture Tvoe
Sprin er Aeads ater Closet (toilet) Furnace
Other/ ecial FSlepice tub _ Gas Meter
story (wash b in) Range Hood
Sh wer Gas Range
Kits en Sink Water HeaterXLDishaslierAirConditioning
Laun b Mech. Fireplace
Clothes as{ter Bathroom(s) Exhaust Fan
Fire Alarm: (' applicab) Water er _ Air Exchanger
Urin I Dryer
No. F' re Tvae Dr, in g Fo Gas Opening w/o Fixture
1•Z r Drain
of Devices S p Sink
Other inside Faucet
TAL 2 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:
i# of Residential Units:
Maximum Occupancy:
Fire Sprinklers: Yes No
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Building Official
r PT: / /