2022-00602 (Application)Permit Type*
MECHANICAL
Property Type*
SINGLE FAMILY DETACHED
Construction Type*
FIREPLACE
A Plan Review is NOT required for this permit
Applicant Type*
Contractor
Job Information
House Number* Street Name*
4331 86TH ST NE
City State
MONTICELLO MN
PIN*
155264001010
Lot Block
001 001
Unit/Suite
Zip
55362-
Subdivision
EDMONSON RIDGE
Owner Information
Owner First Name Owner Last Name
LSW INVESTMENTS LLC
Owner Street Number Owner Street Name Owner Address Line 2
4065 CHELSEA RD W
Owner City* Owner State* Owner Zip*
MONTICELLO MN 55362-
Owner Phone* Owner Cell Owner Email
6128066149
Contractor Information
Contractor Name*
METRO HOME
If you cannot locate your contractor name, please contact the Building Department at 763-295-3060 to be included in our database.
CcntractorNumber Contractor License/Bond Number* MPCA License Number
1684 BC598508
Contractor Street Number Contractor Street Name Contractor Address 2
5861 QUEENS AVE NE
Contractor City* Contractor State* Contractor Zip*
Elk River MN 55330
Contractor Phone* Contractor Cell
6128066149
Contractor Contact Name* Contractor Contact Phone* Contractor Contact Email*
David Gardner 6128066149 david.gardner@installed.net
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*
Set and Vent Gas Fireplace-Gas/Electric installed by others
Fee Related Questions
Question
Number of Mechanical Fixtures
Signature
Answer*
1.00
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*
david.gardner@installed.net
Re-enter Applicant Email * (?)
david.gardner@installed.net
Please make sure that the emails entered above match.
Applicant Signature*
Date
8/16/2022