2021-00675 (Application)Permit Type *
BUILDING
Property Type*
SINGLE FAMILY -ATTACHED
Construction Type*
SIDING
A Plan Review is NOT required for this permit
Applicant Type*
Contractor
Job Information
House Number* Street Name*
102 KENNETH LN
City State
MONTICELLO MN
PIN*
155021002460
Lot Block
046 002
Unit/Suite
Zip
55362-
Subdivision
RITZE MANOR
Owner Information
Owner First Name Owner Last Name
QUIST. SUSIE
Owner Street Number Owner Street Name Owner Address Line 2
102 KENNETH LN
Owner City* Owner State* Owner Zip*
MONTICELLO MN 55362-
Owner Phone* Owner Cell Owner Email
612-412-5221
Contractor Information
Contractor Name*
DISCOUNT SIDING & ROOFING
If you cannot locate your contractor name, please contact the Building Department at 651-762-6300 to be included in our database.
ContractorNumber Contractor License/Bond Number* MPCA License Number
2938 BC721304
Contractor Street Number Contractor Street Name Contractor Address 2
10795 93rd AVENUE NORTH
Contractor City* Contractor State* Contractor Zip*
MAPLE GROVE MN 55369-
Contractor Phone* Contractor Cell
763)229-0923
Contractor Contact Name* Contractor Contact Phone* Contractor Contact Email*
Pat Simco 763-226-8142 simcopatrick@yahoo.com
Federal Regulation Title 40 Lead Paint Requirement:
Firms performing renovation or repair projects that disturb lead -based paint in homes, child care facilities, and kindergartens built before 1978 must be certified and must use certified
renovators.
Does Title 40 apply to this project?*
Yes
No
Project Summary
Project Summary*
Siding replacement
Is this a partial Re -Side*
Yes • No
Identify the area where the siding is being performed.*
e.g. Front, rear, left side, right side, garage only, patch work
complete house
Signature
Permit becomes void if work does not begin within 180 days or is suspended at any time for over 180 days. Permits issued and inspections made by the city are a public service and do not
constitute any representation, guarantee, or warranty, either implied or expressed, to any person as to the condition of the building or conformance to applicable construction codes- The
Undersigned acknowledges that this application has been read and that the above is correct and agrees to comply with all the ordinances and laws of the City of Monticello. Periodic
and/or a final inspection of this work are required by the Minnesota State Building Code.
Applicant Email*
simcopatrick@yahoo.com
Re-enter Applicant Email
simcopatrick@yahoo.com
Please make sure that the emails entered above match.
Applicant Signature*
Date
8/12/2021