2021-00246CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4144 87TH ST NE
PIN 155252002040
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 004 BLOCK 002
PERMIT TYPE MECHANICAL
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NOTE: ALSO, ADD GAS LINE FUTURE GARAGE HEATER AND ON FOR THE KITCHEN RANGE.
NUMBER OF MECHANICAL FIXTURES 7
APPLICANT
RICCAR HEATING
2387 STATION PARKWAY
ANDOVER, MN 55304-
763)754-4000
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
2021-00246*
DATE ISSUED: 04/08/2021
Permit #: 2021-00246
MECHANICAL BASE FEE, REST 50.00
MECHANICAL FIXTURES 63.00
STATE SURCHARGE, MECH FIX 1.00
TOTAL 114.00
Payment(s)
CHECK 48290 114.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
ACITY
OF
monffcao
BUILDING SAFETY PERMIT # Z ` z j (
9
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: /V-E
LEGAL: Lot Block Plat
Property Owner Name: Novak -Fleck, Inc.
Address: 8857 Zealand Ave. N.
Brooklyn Park, MN 55445
ZONED
Phone: 7& 5 - &tot Ll — 44 9
State: Zip:
Contractor Name: HEAT!RIGGAR AIR a Phone:
State License #: 9sR7 E-Mail:j2aj.V,-ei J.,e (D
Address: ANOOVER,MN 55304 City: State: Zip:
63-7z4-40 n
Eng./Architect Name:
Address:
Plumber Name:
Address:
Mechanical Name:
Address:
T pe of Work
New
Addition
Alteration
Repair
Move
Other
Phone:
City: a e: Zip:
Phone:
State: Zip:
Phene:
City: State Zip:
ae of Construction
Single Family
Duplex
O Multi -Family
Commercial
Industrial
Other
Building Information
Use of building
of stories
Floor area sq. ft.
Estimated value
of construction $
Dplawription of work:
t
r, rn; I-1, ,t r
I%',
n
T'; tma cars I l r1r .
u
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.
ea
Ap licant Signature
SEE BACK FOR PLUMBING
AND MECHANICAL INFO.
Application Date
9C)11U
APPLICANT. Please show fixtures that are applicable;
Fire Sunnresslon : (if applicable) Plumbine: (if applicable) Mechanical. (if applicable)
No. Fix re TVDe
Sp Her Heads
No. \Fixture Tvoe
ater Closet (tollet)
No.
I
Fixture Tvoe
Furnace
Othe Special FS Devi a thtub Gas Meter
La Cory (wash b n)
Sho r
Range Hood
Gas Range
Kitche Sink
Dishwas er
Water Heater
Air Conditioning
Fire Alarm: (ifapp able)
Laundry
Clothes W er
Water Hat
Mech. Fireplace
Bathroom(s) Exhaust Fan
Air Exchanger
Urinal L Dryer
No. Fixture Tye Drinks g Fount ' Gas Opening w/o Future
Floor Drain
of D ces
Other
Slop ink eOutideFaucet
Tom,
FOR CffY tTSE 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: O Yes No
Off -Street -Parking Covered:
Off -Street Parking Uncovered:
Building Official
BPT: / /