2020-00816CITY OF MONTICELLO NUARRIBIREM
505 WALNUT STREET * 2 0 2 0— 0 0 8 1 6*
DATE ISSUED: 10/22/2020
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
Permit #: 2020-00816
ADDRESS 4148 87TH ST NE
PIN 155252002030
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 003 BLOCK 002
PERMIT TYPE MECHANICAL & PLUMBING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES 7 NUMBER OF PLUMBING FIXTURES 13
APPLICANT MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 63.00
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 117.00
STATE SURCHARGE, PLBG FIX 1.00
TOTAL 282.00
Payment(s)
OWNER CHECK 562642 282.00
PROGRESSIVE BUILDERS INC
17207 198TH AVE NW
BIG LAKE, MN 55309-
AGREEMENT AND SWORN STATEMENT
1 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 /G -.,a c
Bldg Official Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
it Ar
CITY OF
montieflo
BUILDING SAFETY PERMIT ZO
505 WALNUT STREET, SUITE I 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: 4148 - 87th Street NE ZONED
LEGAL: Lot Block Plat
Property Owner Name: Progressive Builders Phone: 763-263-2227
Address: 17207 - 198th Ave City: Big Lake State: MN
Contractor Name: B&D Plumbing Heating and AC Phone: 763-497-2290
State License #: PM059287 E-Mail: elaudenbach@bdpiumbers.com
Address: 4145 MacKenzie Ct NE City: St. Michael State: MN
Eng./Architect Name:
Address:
Plumber Name: B&D
Address:
Mechanical Name: B&D
Address: City:
AveA of Work TvDe of Construction
El New El Single Family
0 Addition 0 Duplex
0 Alteration 11 Multi -Family
0 Repair 0 Commercial
El Move 0 Industrial
Cl Other 0 Other
Description of work:
All Plumbing and HVAC: Work
Zip: 55309
Zip: 55376
Phone:
City: State: Zip:
Phone:
City: State: Zip:
Phone:
State: Zip:
Buildine Information
Use of building Residential
of stories 3
Floor area sq. ft. 2600
Estimated value
of construction $17,000
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 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.
SEE BACK FOR PLUMBING
10/13120 AND MECHANICAL INFO.
Appli t 'i n ure Application Date4
APPLICANT: Please show,fr".xtures that are applicable.
Fire Suppression : (if applicable) Plumbing: (If applicable) Mechanical: (if applicable)
No. Fixture Tvne No. Fixture Tvne No. Fixture Tvne
Sprinkler Heads 2 Water Closet (toilet) 1 Furnace
Other/SpecialFS Device 2 Bathtub Gas Meter
2 Lavatory (wash basin) Range Hood
Shower 1 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 1 Air Exchanger
Urinal 1 Dryer
No. Fixture Tv*De Drinking Fountain Gas Opening w/o Fixture
1 Floor Drain
of Devices Slop Sink
Other
2 Outside Faucet
13
Name:
Address:
TOTAL 7 TOTAL
CI1y%X 6 -y
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:
wilding Official
BPT: _