2020-00637CITY OF MONTICELLO IIIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111
505 WALNUT STREET * 2 0 2 0— 0 0 6 3 7*
DATE ISSUED: 08/26/2020
MONTICELLO, MN 55362-
763) 295-3060 FAX: (763) 295-4404
Permit #: 2020-00637
ADDRESS 9872 HART BLVD
PIN 155117002010
LEGAL DESC RIVER VIEW SQUARE
LOT 001 BLOCK 002
PERMIT TYPE MECHANICAL
PROPERTY TYPE MULTI FAMILY
CONSTRUCTION TYPE FIREPLACE
VALUATION 5,000.00
NOTE: SET AND VENT 2 HEAT-N-GLOW TRUE 42) GAS FIREPLACE UNITS. GAS LINE DONE BY OTHERS.
NUMBER OF MECHANICAL FIXTURES 2
APPLICANT
CONDOR FIREPLACE
8282 ARTHER STREET NE
SPRING LAKE PARK, MN 55432-
763)786-2341
OWNER
MONTICELLO SR HOUSING OWNER LLC
17550 HAMLOCK AVENUE
LAKEVILLE, MN 55044-
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
MECHANICAL BASE FEE, COMM 100.00
MECHANICAL FIXTURES 18.00
STATE SURCHARGE, MECH FIX 1.00
TOTAL 119.00
Payment(s)
CHECK 95025 119.00
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
C 1 T Y 0 f
Permit No. /`" ` Monticello
BUILDING SAFETY Date
COMMERCIAL / INDUSTRIAL BUILDING PERMIT APPLICATION
505 Walnut Street, Suite #1 Monticello, MN 55362 Phone: 763-295-3060 Fax: 763-295-4404
SITE ADDRESS
LEGAL DESCRIPTION
LOT
PLAT
A 43 + 0"-
BLOCK
OWNER (Name)
Engelsma Construction
OWNER'S E-MAIL ADDRESS:
CONTRACTOR (Name)
Condor Fireplace
CONTRACTOR'S LICENSE NUMBER (IF APPLICABLE)
MB003841
CONTRACTOR'S E-MAIL ADDRESS:
ryan.thiede@condorfireplace.com
ARCHITECT (Name)
ARCHITECT'S E-MAIL ADDRESS
ENGINEER Name)
ENGINEER'S E-MAIL ADDRESS:
DESCRIPTION OF
PI.D. NUMBER
ZONDED
Address)
Tel. No.)
Address)
8282 Arthur Street
Tel. No.)
763) 786-2341
Address)
Tel. No.)
Address)
Tel. No.)
WORK: I H
Set and vent 2 Heat-n-glo(True 421las fireplace units. Gas line by others.
M
TYPE OF WORK (Please Circle One) TYPE CONSTRUCTION (Please Circle One)
0
ew I Comme '
Addition Industrial
Alteration Institutional
Repair Multi -Family
Move Other
Other
ADDITIONAL INFORMATION MISC. NOTES:
Valuation: 5000.00
Construction Type:
Occupancy Croup:
Square Footage:
of Stories:
Maximum Occupancy:
Fire Suppression: Yes No 10
ESTIMATED VALUE OF CONSTRUCTION
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 under-
stand that this application is not a permit and that the work is not to start without a permit. I further un-
derstand that the work will be in accordance with the plan that has been approved by the Building Offi-
cial. I agree that any damage caused to public property including but not limited to curb, sidewalk, pub-
lic utilities and signs wilL.bejepa' at y expense.
Applicant Signature
Print Name / Title y l Thiede/Admin
Date 8/4/20
Approved by Building Official:
Approved by Fire Marshal
Date Approved:
Y
CITY OF
montkdo COMMERCIAL & INDUSTRIAL PLAN
SUBNVSSION MATRIX
Project Title: Senior Living Plan Type
Project Address: Riverview Drive
All plans submitted for review must be 24"06" size 9
Arch D) or smaller. Larger plans will not be accepted.
PROJECT TYPE b
a
M U W
Check one
Quantity
New Building Construction 2 1 1
Building Addition 2 1 1
Interior Remodel/Interior Tenant Build -out (no exterior site work) 2 1 1
Interior Remodel/Interior Tenant Build -out (with exterior site work
1 1
e. parking lot improvements/ rovements/exexpansion, utility changes)
2
g•P g P P y
I
Building Demolition 21 0 1
Site work (parking lot expansion, grading/drainage, landscaping, 0 1 1
photometric plans and cut sheets, etc.)
New Exterior Signage (Wall, monument, pylon, etc)
Free-standing signage requires a certif cate of survey with location and 2 1 1
setbacks clearly marked
Mechanical (HVAC) permit I 2 0 l
Plumbing permit (more than S fixtures must be reviewed by the 28 0 1
state)
Fire Sprinkler or Alarm permit (20 or more heads must be sent to 0 3 1
the state Fire Marshal for review)
SAC square rootage based on Met Council's most current guidelines
Applicants shall identify all use categories and square footage as 1 1
applicable an tvarksheet provided.
Footnotes:
a. Plumbing projects with more than 5 plumbing fixtures must be submitted to the state for review prior to permit issuance. Basic plumbing
inure plans may be required with some building permit applications for calculating fixture counts and SAC charges.
b. "Civil Plans" must include; Certificate of Survey, site plan, soil boring locations, utility plan, exterior lighting plan (with photometric),
landscape plan, SWPPP, and grading, drainage & erosion control plan. I Office use only
Date submitted:
Distributed by:
Plan review submission matrix v5 July 2019