2021-00520CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4155 87TH ST NE
PIN 155252001050
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 001 BLOCK 005
PERMIT TYPE PLUMBING
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE LAWN SPRINKLER
NOTE: NOT TO BE LOCATED IN PUBLIC RIGHT OF WAY
BACK FLOW PREVENTER AND RAIN SENSOR ARE REQUIRED
TO BE CONNECTED BY A LICENSED PLUMBER
NUMBER OF PLUMBING FIXTURES 1
APPLICANT
2ND NATURE PROPERTY SERVICES
727.5 CEDAR STREET
BUFFALO, MN 55313-
763)682-3418
OWNER
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 including but not limited to curb, sidewalk,
public utilities and signs will be repaired at my expense.
Applicant
Date
Bldg Official Date
2 0 2 1— 0 0 5 2 0*
DATE ISSUED: 06/30/2021
Permit #: 2021-00520
PLUMBING BASE FEE, RESI 50.00
PLUMBING FIXTURES 9.00
STATE SURCHARGE, PLBG FIX 1.00
TOTAL 60.00
Payment(s)
CREDIT CARD 60.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
Monticello
BUILDING SAFETY
SITE ADDRESS
4 1 SS
LEGAL DESCRIPTION
LOT
PLAT
Permit No.
Date "-
RESIDENTIAL BUILDING PERMIT
ADDITION / ALTERATION / REMODEL
S"sI IJC BLOCK
PI.D. NUMBER OWNER (
Name) (Address) CONTRACTOR
II (
Name) (
Address) 4d
A4wte- PLke-/-441 Sew\ulc, CO TRACIR1S
nI_CENS(,TUI (IF APPLICABL) t /Iql ,
z PLUMBING BANG
COMPLETED BY (PLEASE HECK ONE): HOMEOWNER CONTRACTOR
IF APPLICABLE,
SPECIFY CONTRACTOR Lic # CHECK ALL
THAT APPLY: TOILET SINK BAR SINK LAUNDRY TUB
SOFTENER TOTAL # OF
FIXTURES Tel. No.)
Tel. No.)
BATHTUB/SHOWER
OTHER REMINDER:
IF
YOU DO NOT OWN THIS PROPERTY OR ARE NOT PERFORMING THE WORK, PERMIT MUST BE PULLED B Y
A MASTER PLUMBER) MECHANICAL BEING
COMPLETED BY (PLEASE CHECK ONE): HOMEOWNER CONTRACTOR
IF APPLICABLE,
SPECIFY CONTRACTOR CHECK ALL
THAT APPLY: FURNACE A/C FIREPLACE BATHFAN TOTAL # OF
FIXTURES Bond # DESCRIPTION OF
WORK: OF rrajj ,.
I
er I
V1 ESTIMATED VALUE
OF CONSTRUCTION Approved by Building Official: Date Approved:
Applicant Signature
Date PP U _ 505
Walnut
Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax: 763-295-4404