2022-00382 (Application)Permit Type*
PLUMBING
Property Type*
SINGLE FAMILY DETACHED
Construction Type*
LAWN SPRINKLER
A Plan Review is NOT required for this permit
Applicant Type*
Contractor
Job Information
House Number* Street Name* Unit/Suite
4408 86TH ST NE
City State Zip
MONTICELLO MN 55362-
PIN *
155264002070
Lot Block Subdivision
007 002 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
612-875-1258
Contractor Information
Contractor Name*
G&M OUTDOOR SERVICES
If you cannot locate your contractor name, please contact the Building Department at 763-295-3060 to be included in our database.
ContractorNumber Contractor License/Bond Number* MPCA License Number
3140 N/A
Contractor Street Number
Contractor City*
MONTICELLO
Contractor Phone*
612)554-4941
Contractor Street Name
Contractor State*
MN
Contractor Cell
Contractor Address 2
P.O. BOX 1140
Contractor Zip*
55362-
Contractor Contact Name* Contractor Contact Phone* Contractor Contact Email*
Holly Winn 612-875-1258 operations@gmoutdoorservices.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*
New Construction/Irrigation Install - Plumber responsible for RPZ
Fee Related Questions
Question
Number of Plumbing 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*
operations@gmoutdoorservices.com
Re-enter Applicant Email * (?)
operations@gmoutdoorservices.com
Please make sure that the emails entered above match.
Applicant Signature*
ff, W6%
Date
6/9/2022