2021-00723 (Application)Permit Type *
BUILDING
Property Type*
SINGLE FAMILY -ATTACHED
Construction Type*
WINDOW REPLACEMENT
A Plan Review is NOT required for this permit
Applicant Type*
Contractor
Job Information
House Number* Street Name*
6295 86TH ST NE
City State
MONTICELLO MN
PIN*
155186001030
Lot Block
003 001
Unit/Suite
Zip
55362-
Subdivision
CARLISLE VILLAGE 3RD ADDN
Owner Information
Owner First Name Owner Last Name
Chad HINz
Owner Street Number Owner Street Name Owner Address Line 2
6295 86TH ST
Owner City* Owner State* Owner Zip*
MONTICELLO MN 55362-
Owner Phone* Owner Cell Owner Email
651)905-3986
Contractor Information
Contractor Name*
WINDOW CONCEPTS
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
1242 BC163493
Contractor Street Number Contractor Street Name Contractor Address 2
291 EVA STREET
Contractor City* Contractor State* Contractor Zip*
ST PAUL MN 55117-
Contractor Phone* Contractor Cell
651)905-0105
Contractor Contact Name* Contractor Contact Phone* Contractor Contact Email*
Steve Mickelson 651-604-8276 steve.mickelson@wc-mn.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*
Replacing 4 existing windows
Number of full frame windows installed:
4
Number of insert windows installed:
0
Please include details for the windows.
if applicable) Size, height, materials used
all double hung full frame replacements
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*
steve.mickelson@wc-mn.com
Re-enter Applicant Email * (?)
steve.mickelson@wc-mn.com
Please make sure that the emails entered above match.
Applicant Signature*
Date
9/7/2021