2020-00600CITY OF MONTICELLO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4191 87TH ST NE
PIN 155252001010
LEGAL DESC FEATHERSTONE 4TH ADDN
LOT 001 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-
AGREEMENT AND SWORN STATEMENT
8
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
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DATE ISSUED: 07/22/2020
Permit #: 2020-00600
MECHANICAL BASE FEE, RESI 50.00
MECHANICAL FIXTURES 72.00
STATE SURCHARGE, MECH FIX 1.00
TOTAL 123.00
Payment(s)
CHECK 48207 123.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
MoCITn
Y OF
t ce o
BUILDING SAFETY PERMIT
505 WALNUT STREET, SUITE I MONTICELLO, MN 55362
City Hall (763) 295-2711 Building Inspections (763) 295-3060 Fax (763) 295-4404
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BUILDING PERMIT APPLICATION
Please Print - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: 4191 87th St. N.E. ZONED
LEGAL: Lot Block Plat
Property Owner Name: Novak -Fleck Phone: 763-424-4955
Address: 8857 Zealand Ave. N. City, Brooklyn Park State: MN Zip: 55445
Contractor Name: Rlccar Heating and Cooling
State License #:
Address: 2387 Station Parkway N.W.
Eng./Architect Name: NA
Address:
Plumber Name:
Address:
Mechanical Name:
Address:
Tvne of Work
El New
Addition
Alteration
Repair
Move
Other
Description of work:
Install furnace, a/c, air ex., duct., ventilation
Phone: 763-754-4000
E-Mail: michelle@dccarhvac.com
City: Andover State: MN Zip: 55304
Phone:
City: State: Zip:
Phone:
City: State: Zip:
Phone:
City: State: Zip:
TVDe of Construction Building Information
E Single Family Use of building
Duplex of stories
El Multi -Family Floor area sq. ft.
Commercial Estimated value
Industrial of construction $
Other
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.
Appikant Signature
SEE BACK FOR PLUMBING
7/16/2020 AND MECHANICAL INFO.
Application Date
APPLICANT: Please show_ bdures that are applicable.
Fire Suppression : (if applicable) Plumbine: (if applicable) Mechanical: (ifapplicable)
No. Fixture Tvae No. Fixture Tvae No. Fixture Tvoe
Sprinkler Heads Water Closet (toilet) I Furnace
Other/Special FS Device Bathtub 1 Gas Meter
Lavatory (wash basin) Range Hood
Shower Gas Range
Kitchen Sink Water Heater
Dishwasher 1 Air Conditioning
Laundry Tub Meclt. Fireplace
Clothes Washer 2 Bathroom(s) Exhaust Fan
Fire Alarm: (if applicable) Water Heater 1 Air Exchanger
Urinal 1 Dryer
No. Fixture Tvoe Drinking Fountain Gas Opening w/o Fixture
Floor Drain
of Devices Slop Sink
Other Outside Faucet
TOTAL 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: / /