2023-01282 (Application)Permit Type*
PLUMBING
Property Type
SINGLE FAMILY DETACHED
Construction Type*
WATER HEATER
A Plan Review is NOT required for this permit
Applicant Type*
Contractor
Job Information
House Number* Street Name* UniVSuite
4297 87TH ST NE
City State Zip
MONTICELLO MN 55362-
PIN *
155180002110
Lot Block Subdivision
011 002 FEATHERSTONE 2ND ADDN
Owner Information
Owner First Name Owner Last Name
GOLD NUGGET DEVELOPMENT INC
Owner Street Number Owner Street Name Owner Address Line 2
8857 ZEALAND AVE N
Owner City* Owner State* Owner Zip*
BROOKLYN PARK MN 55445-
Owner Phone* Owner Cell Owner Email
763-3001411
Contractor Information
Contractor Name*
MONTICELLO PLMG, HTG & AIR
If you cannot locate your contractor name, please contact the Building Department at 763-295-3060 to be included in our database.
ContractorN umber Contractor License/Bond Number* MPCA License Number
1113 mb005534
Contractor Street Number
211
Contractor City*
MONTICELLO
Contractor Phone*
763) 314-0083
Contractor Street Name
DUNDAS RD
Contractor State*
MN
Contractor Cell
320) 980-2863
Contractor Address 2
Contractor Zip*
55362-
Contractor Contact Name* Contractor Contact Phone* Contractor Contact Email*
mlKR MOSSEY 763-314-0083 info@montiplumbing.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*
to replace electric water heater.
Fee Related Questions
Question
Number of Plumbing Fixtures
Answer*
1.00
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*
info@montiplumbing.com
Re-enter Applicant Email
info@montiplumbing.com
Please make sure that the emails entered above match.
Applicant Signature*
La,46 r0>rir53
Date
12/19/2023
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