2021-00288CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX (763) 295-4404
ADDRESS 4173 87TH ST NE
PIN 155252001030
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 003 BLOCK 001
PERMIT TYPE MECHANICAL
PROPERTY TYPE SINGLE FAMILY -DETACHED
CONSTRUCTION TYPE NEW CONSTRUCTION
NUMBER OF MECHANICAL FIXTURES
APPLICANT
RICCAR HEATING
2387 STATION PARKWAY
ANDOVER, MN 55304-
763)754-4000
OWNER
NOVAK-FLECK
8857 ZEALAND AVE N
BROOKLYN PARK, MN 55443-
9
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
2021-00288*
DATE ISSUED: 04/20/2021
Permit #: 2021-00288
MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 81.00
STATE SURCHARGE, MECH FIX 1.00
TOTAL 132.00
Payment(s)
CHECK 48293 132.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF
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 - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: gl7,1 (?7-& 0-k A(-E.
LEGAL: Lot 131-11 Plat
Property Owner Name: Novak -Fleck, Inc.
Address: 8857 Zealand Ave. N.
Brooklyn Park, MN 55445
Contractor Name:
State License #:
Address:
Eng./ArchiteeLXa.mer
Address:
Plumber Name:
Address:
Mechanical Name:
Address:
ZONED
Phone: 745_Aj,*q_ -4t9g5
State: Zip:
RiCCAR HEATING & AIR f Phone:
2387 STATION PARKWAY N.W. E-Mail:t (;Ct riC' >(i11rY C_ L-or
A"LIU K, M14 559U4 '`''City: State: Zip: 70)-754-4606
Phone:
City: Skat'.:. alp:.......
State: Zip:
Phone.
City: State:— Zip:
Type of Work Tv_De of Construction Building Information
New X Single Family Use of building
Addition Duplex of stories
Alteration 0 Multi -Family Floor area sq. ft.
Repair Commercial Estimated value
Move Industrial of construction $
Other Other
Description of woxxk
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
AND MECHANICAL INFO. 4ApDpDt Signature Application Date
APPLICANT: Please show fixtures that are applicable.
Fire Suppression : (ifapplicable) Plumbing. (if applicable) Mechanical: (ifapplicable) No.
Fixture Tvne No. ixture Tvne No. Fixture Tvoe Sprinkler
Heads Water Closet (toilet) _ Furnace Other/
Special FS D e BNitub I_ Gas Meter Lav
i ory (wash bas) Range Hood Show
Gas Range Kitche
ink Water Heater Dlshwas
er - Air Conditioning Laundry
hi Mech. Fireplace Clothes
W er Bathroom(s) Exhaust Fan Fire
Alarm: (i 'ldcable) Water H ter Air Exchanger Urinal
Dryer No.
Fixture vne Drin g Founta 1 Gas Opening w/o Fixture Flo
Drain of
evices Sl Sink Ot
er tside Faucet TOTAL
TOTAL OR
CYTY USE ONLY Future
Owner Information: Tree Ordinance Handout Yes No Other
Handouts Yes No Name:
I
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: / /