2020-00734CITY OF MONTICELLO
505 WALNUT STREET * 2 0 2 0- 0 0 7 3 4*
MONTICELLO, MN 55362-
DATE ISSUED: 09/15/2020
763) 295-3060 FAX: (763) 295-4404
Permit #: 2020-00734
ADDRESS : 4155 87TH ST NE
PIN : 155252001050
LEGAL DESC : FEATHERSTONE 4TH ADDN
LOT 001 BLOCK 005
PERMIT TYPE : MECHANICAL & PLUMBING
PROPERTY TYPE : SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE : NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES 10 NUMBER OF PLUMBING FIXTURES 18
APPLICANT MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 90.00
INNOVATIVE PLUMBING &HEATING
14918 200TH AVE NW
STATE SURCHARGE, MECH FIX 1.00
ELK RIVER, MN 55330- PLUMBING BASE FEE, RESI 50.00
763) 441-2404 PLUMBING FIXTURES 162.00
STATE SURCHARGE, PLBG FIX 1.00
TOTAL 354.00
Payment(s)
OWNER CHECK 6616 354.00
NOVAK-FLECK INC
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 includin n limited to curb, sidewalk,
public utilities and ' i e repaired at my expense.
Applican
Date q , '/ —';7
Bldg Official Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Mynticello
ILDING SAFETY PERMIT # 2020 - as 73 y
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: 4155 - 87th St. NE
LEGAL: Lot Block Plat
ZONED
Property Owner Name: Novak Builders & Remodelers, Inc Phone: 763-262-7799
Address: 12990 - 1st St. SE City: Becker State: MN
Contractor Name: Innovative Plumbing & Heating, Inc Phone: 763-441-2404
State License #: PC004926, MB003696 E-Mail: kevin@innovativeph.com
Address: 14918 - 200th Ave NW City: Elk River State: MN
Eng./Architect Name:
Address: City:
Plumber Name: Innovative Plumbing & Heating, Inc
Address: 14918 - 200th Ave NW City: Elk River
Mechanical Name: Innovative Plumbing & Heating, Inc
Address: 14918 - 200th Ave NW City: Elk River
Tvpe of Work Tvue of Construction
0 New 0 Single Family
Addition Duplex
Alteration Cl Multi -Family
Repair Commercial
Move Industrial
Other Other
Description of work:
Installation of plumbing, & Hvac for new home, gas lines, water lines, furnace, A/C, HRV,
Zip; 55308
Zip: 55330
Phone:
State: Zip:
Phone: 763-441-2404
State: MN Zip: 55330
Phone:
State: MN Zip: 55330
Buildine Information
Use of building
of stories
Floor area sq. ft.
Estimated value
of construction $
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 been approved by the Building Official. I agree that any damage caused to public property including but
not limited to curb, sidew is t' ities and signs will be repaired at my expense.
SEE BACK FOR PLUMBING
9/1512020 AND MECHANICAL INFO. Application Date 3 51.
00
APPLICANT: Please show fixtures that are applicable.
Fire Suppression : (if applicable) Plumbins: (if applicable) Mechanical. (if applicable)
No. Fixture Tvue No. Fixture Tvne No. Fixture Tvne
Sprinkler Heads 3 Water Closet (toilet) 1 Furnace
Other/Special FSDevice 1 Bathtub 1 Gas Meter
3 Lavatory (wash basin) 1 Range Hood
2 Shower 1 Gas Range
1 Kitchen Sink Water Heater
1 Dishwasher 1 Air Conditioning
1 Laundry Tub 1 Mech. Fireplace
2 Clothes Washer 2 Bathroom(s) Exhaust Fan
Fire Alarm: (if applicable) 1 Water Heater 1 Air Exchanger
Urinal 1 Dryer
No. Fixture Tvue Drinking Fountain Gas Opening w/o Fixture
1 Floor Drain
of Devices Slop Sink
Other 2 Outside Faucet
18 TOTAL 10 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:
of Residential Units:
Maximum Occupancy:
Fire Sprinklers: Yes No
Off -Street Parking Covered:
Off -Street Parking Uncovered:
Building Official
BPT: / /