2012-00577CITY OF MONTICEL'LO
505 WALNUT STREET
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
ADDRESS 4332 87TH ST NE
PIN 155180004070
LEGAL DESC FEATHERSTONE 2ND ADDN
LOT 007 BLOCK 004
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
GOLD NUGGET DEVELOPMENT INC
8857 ZEALAND AVE N
BROOKLYN PARK, MN 55445-
6.0000
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 1 2— 0 0 5 7 7*
DATE ISSUED: 10/11/2012
MECHANICAL BASE FEE, RESI 45.00
MECHANICAL FIXTURES 54.00
STATE SURCHARGE, MECH FIX 5.00
TOTAL 104.00
PAID WITH CC # 4048
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
10/11/2012 10:39 7637540132 RiCCAR PAGE 01
MONTICE LLO
DEVELOPMENT SERVICES PERMIT'# 17 -C)CG7,
BUILDMG INSPECTIONS PID 9
505 WALNUT STREET, SUITE I.
MONTICELLO, MNSS362
City Hall (763) 295-2711 Building Inspections (763) 295-3060 Fax (763) 295-4404
Please Print - iNCOMP.LETE APPLICATIONS WILL NOT BE ACCEPTED.
SITE ADDRESS: 7 ?.? o? A. tG - ZONED
LEGAL: Lot Block Plat
Property Owner Name: n , . if „ Phone: g-' _ y 'j 9S
Address:% / et' City: << s-P ty: S, QJ 2' State: f C Zip'.
Contractor Name: RICCAR HEATING & AIR Phone:
State License # 138TSirttwl rHttnt'VHI IV.VY. ..
Address: 76-15a-0fity: State: Zip:
Eng./Architect Name: NA Phone:
Address: City: State: Zip:
Plumber Name: Phone:
Address: City: State: Zip:
Mechanical Name': Phone:
Address: City: State: Zip:
Trof'Work Tvner of Construction Building Information
New Nj Single Family Use of building.
Addition Duplex of stories
Alteration Multi -Family Floor area sq. ft.
Repair Commercial Estimated value
Move industrial of construction $
Other Residential Garage is this a Master Plan" per MN Rule
Other 1300.0160 Subp.6? 11 Yes No
Desch on o jw t FOR ROOF & SIDING PERMITS,
PLEASE PROVIDE # OF SQUARES
OF SHINGLES &/OR SIDING
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 Statc of Minnesota.
and that I understand that this application is not a permit and that the work is not to start without a permit. 1 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 cxpense.
SEE BACK FOR PLUMBING
AND MECHANICAL INFO.
Applicant Signature Application Date
10/11/2012 10:39 7637540132 RICCAR PAGE 02
APPLICANT: Please showfixtures that are applicable. Fire
SunAression : (if applicable) Pltunbime. (if applicable) Mechanical: (if applicable) No.
Fixture Tvue No. Fixture Tvwc No. Fixture Tvve Water
Closct (toiler) Furnace Sprinkler
Heads Batht
h Gas Meter Other /
Special FS Device Lavatory (
wash basin) _ Range Hood Shower
j Gas Range Kitchen
Sink tflater Heater Dishwasher ^
7 Air Conditioning Laundry
rub Mech. Fireplace Clothes
Washer r Bathroont(.t) Exhaust ,Fan Fire.
Ala rnt: (applicable) rater Heater Air Exchanger Urinal _
Dryer No. .
Fixture Tvve, Dr/jrki tg Fountain Gas Opening w/o Fixture Floor
Drain It
of Devices Slop Sink - Other
ftydranJs 1
TOTAL
IOTA.I. S9
Per rketure) ($9 Per Fixture) i !
e.
qe' •i; } • ^. ;' llf - ri' •'tl '•.,: 'y 9Vir ,,1:A:,ii4,i'i.. i T ' •
R'
d i% •.}-
r4 - ~'•.
i _.Gy. .r jj//j{{'jj rr :4 i /_::1•x.'j.6_:•;•r^r%;•'` ti.K
Tt• Tree
Ordinance Handout D Yes 0 No Other
Handouts o Yes NO FEES:
Bldg.
Permit Plan
Review State
Surclarge Bldg.
Total Plnlg.
Permit ADDTTION,IL INFOILM.AT.rON; Fixtures
Valuation:
Surcharge
Construction
Type: Plmg.
Total Occupancy Group: Mcch.
Permit Division: Fixtures
Square Footage: Surcharge
4 of Stories: Mcch.
Total of .
R.csidential Units: Sewer
Access _ Maximum Occupancy: Water
ACCCSS Fire Sprinklers: Yes No Water.
Meter Off Street Parking Covcrcd: Meter
Sales Tax Oft-Strect Parking Uncovered: Meter
Total Sew &
Water Permit Trunk
Water Building Officdal Trunk
Sanitary Sewer BPT: Trunk
Storm Sccr w• Lift
Station TOTAL
FEES: