2020-00812CITY OF MONTICELLO
505 WALNUT STREET * 2 0 2 0- 0 0 8 1 2*
DATE ISSUED: 10/15/2020
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
Permit #: 2020-00812
ADDRESS 4151 87TH ST NE
PIN 155252001060
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 006 BLOCK 001
PERMIT TYPE MECHANICAL
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES 7
APPLICANT MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 63.00
RICCAR HEATING
STATE SURCHARGE, MECH FIX 1.00
2387 STATION PARKWAY
ANDOVER, MN 55304- TOTAL 114.00
763) 754-4000 Payment(s)
CHECK 48237 114.00
OWNER
NOVAK-FLECK
8857 ZEALAND AVE N
BROOKLYN PARK, MN 55443-
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.
CITY
Monticello
BUILDING SAFETY PERMIT#
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 - INCOMPLEETE APPLICATIOONS WILL NOT BE ACCEPTED.
SITE ADDRESS: 4/1 s of 0 'J' 11L. /V.C. ZONED
LEGAL: Lot Block Plat
Property Owner Name: Novak -Fleck, Inc. Phone-3o3-
Address: 8857 Zealand Ave. N. State: Zip:
Brooklyn Park, MN 55445
Contractor Name: aIV-1ep P.EU u+ I l"I Phone: _
State License #: 9387 STATION PARKWAY N W_ E-Mail: roc _ tie C@ r t_CCa 'h l/C C . COrYI
Address: ANDOVER,MN 55304 City: State: Zip:
763-754-4000
Eng./Architect Name: Phone:
Address: City: State: Zip:
Plumber Name: i
i Phone:
Address: City: State: Zip:
Mechanical Name: Phone:
Address: City: State: Zip:
Tyne of Work Tvne of Construction Building Information
3z New 1 0 Single Family Use of building
Addition Duplex of stories
Alteration CI Multi -Family Floor area sq. ft.
Repair Commercial Estimated value
Move Industrial of construction $
Other Other
Dk
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.
ApplicSignature
SEE BACK FOR PLUMBING
l G ' /_*X
AND MECHANICAL INFO.
Application Date
APPLICANT. Please show fixtures that are applicable.
Fire Suppression : (if applicable) Plumbing: (if applicable) Mechanical: (if applicable)
No. -,kture Tvae No. Fixture Tvoe No. Fixture Tvoe
Sprli kler Heads Water Closet (tot Furnacet) _L Furnace
Othe?(Special FS Device Bathtub ( Gas Meter
i avatory (w h basin) Range Hood
Shower Gas Range
tchen nk Water Heater
D hw her Air Conditioning
Lan ry Tub Mech. Fireplace
Clo tes Washer Bathroont(s) Exhaust Fan
Fire Alarm: (if pplicab7e) w t Heater l Air Exchanger
rin f Dryer i/4
No. Fixtu a Tvne rink g Fountain Gas Opening w/o Future
o, Devices
Future Owner Information:
Name:
Address:
City:
State: Zip:
Phone #:
Floor IRrain
Slop Si k
Outside Faucet
TOTAL TOTAL
FOR CITY USE ONLY
Tree Ordinance Handout Yes No
Other Handouts Yes No
ADDITIONAL INFORMATION:
Valuation:
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: / I