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2020-00815CITY OF MONTICELLO 505 WALNUT STREET * 2 0 2 0- 0 0 8 1 5* DATE ISSUED: 10/22/2020 MONTICELLO, MN 55362- 763) 295-3060 FAX: (763) 295-4404 Permit #: 2020-00815 ADDRESS 4156 87TH ST NE PIN 155252002020 LEGAL DESC FEATHERSTONE 4TH ADDN LOT 002 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 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 ia - r Bldg Official Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF 011t1Ce 0 hERMIT # - C BUILDING SAFETY - 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: 4156 - 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 Zip: 55309 Contractor Name: B&D Plumbing Heating and AC Phone: 763-497-2290 State License #: PM059287 E-Mail:elaudenbach@bdplumbers.com Address: 4145 MacKenzie Ct NE City: St. Michael State: MN Zip: 55376 Eng./Architect Name: Phone: Address: City: State: Zip: Plumber Name: B&D Phone: Address: City: State: Zip: Mechanical Name: B&D Phone: Address: City: State: Zip: Tvtae of Work TvDe of Construction Building Information El New El Single Family Use of building Residential Addition Duplex of stories 3 Alteration [ I Multi -Family Floor area sq. ft. 2300 repair Commercial Estimated value Move Industrial of construction $19,000 Other Other Description of work: All Plumbing and HVAC Work 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 10/13/20 AND MECHANICAL INFO. App ah Slg a ure ` Application Date APPLICANT.- Please show vaures that are applicable. Fire Suppression : (if applicable) Plumbine: (Iapplicable) Mechanical: (if applicable) No. Fixture Tvne No. Fixture Tvae No. Fixture Tvne Sprinkler Heads 2 Water Closet (toilet) I Furnace Other / Special FS Device 1 Bathtub Gas Meter 2 Lavatory (wash basin) Range Hood 1 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 Tvue Drinking Fountain Gas Opening w/o Fixture 1 Floor Drain of Devices Slop Sink Other 2 Outside Faucet 13 TOTAL 7 TOTAL ya q f}§ a d•'Ri 2.'a. `„n $ 9 rl•a yP 1 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: / /