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Home My WebLink About2017 - 00465 - doors CITY OF ORONO 1111111 1111 I I II 11 11 UPI i 1 i* 20 1 II 2750 KELLEY PARKWAY DATE ISSUED: 05/08/2017 ORONO,MN 55356- (952)249-4600 FAX: (952)249-4616 ADDRESS : 4435 WOLVERTON PL PIN : 31-118-23-31-0009 LEGAL DESC : FOXFYRE ESTATES : LOT 003 BLOCK 002 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DOORS ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 1,100.00 NOTE: DOOR REPLACEMENT APPLICANT PERMIT FEE SCHEDULE 46.71 STATE SURCHARGE(VALUATION) 0.55 DESIGN CRAFT CONSTRUCTION INC. 3619 85TH AVE N#B TOTAL 47.26 BROOKLYN PARK,MN 55443- Payment(s) (612)760-0888 CHECK 6361 47.26 Minnesota State License#:BUIL-BC692134 OWNER GRANDSTRAND,DAVID&KAREN 4435 WOLVERTON PL MAPLE PLAIN,MN 55359 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within :1 :.• . date of issuance,or if construction is suspended a period of 180 days :t any time after work has commenced. The a.. icant is responsible for ass ring all required inspections are req -sted in conformance with th State Building Code.This permit may be re oked at any time for due cau Ain IW ��2 ISrE.L5 / S / / 7 Applicant Permitee Signature Date Issued By Sig re Date .4, City of Orono Building Permit Application for Maintenance/ Replacement/ Remodel- Residential 01 ,Y (i.e.windows,doors,siding,re-roof,etc.- NO STRUCTURAL EXPANSION) WMailingAdess: Permit number: RQ/ l -0°4405 Crystal Bay, MN 55323-0066 Date received: 5 g17 Street Address: Received by: 2750 Kelley Parkway Plan review fee: Orono, MN 55356 �( Total Fee: /17, Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: Job Site Address: 4435 Wolverton PI Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? 0 Yes ® No If yes,a special event permit is required with Police Department and City Council approval 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates sufficient on-site parking is available. Non-permitted events will not be allowed. CONTRACTOR/APPLICANT INFORMATION: Name: DesiqnCraft Construction, Inc. State License# BC692134 Expiration Date: 03/31/2019 Lead Certification Number: NAT-F11585-1 Expiration Date: 08/21/2018 (for work on homes that were constructed prior to 1978 Phone: (cell) (office) 763-333-2559 Mailing Address: 3333 80th Ave N City: Brooklyn Park ZIP: 55443 Contact Person: Joan Tharp Applicant is: Contractor / Homeowner tcirdeone) Email and/or Fax: info@designcraftconstruction.com PROPERTY OWNER INFORMATION: Name: David Grandstrand Phone(day): 651-785-9320 Address: 4435 Wolverton Place City: Orono ZIP: 55359 Email and/or Fax: PROJECT INFORMATION: Overall project description: Type of Project Any earth movement may also require MC❑ Door(s) ❑ Remodel ❑ Fire Damage �revi�8`permi ts° ❑ Re-roof,asphalt ❑ Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 15320 Minnetonka Blvd ❑ Re-roof,cedar El Restoration ❑Water Damage Minnetonka, MN 55345 El Re-roof,other(specify) ❑Siding M Other: (specify) Phone: 952-471-0590 Fax: 952-471-0682 ❑Window(s) replacement doors____ www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) $ 1100.00 APPLICANT ACKNOWLEDGEMENT: • Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to the best of his/her knowledge. The applicant recognizes that they are solely responsible for submitting a complete application being aware that upon failure to do so,the staff has no altemative but to reject it until it is complete; • Some or all of the infor ion that you are asked to provide on this application is classified by State law as either private or confidential. Private d a is information w ich generally cannot be given to the public but can be given to the subject of the data. Confidential data is i ormation which g: erally cannot be given to either the public or the subject of the data. Our purpose and intended use of this' formation is to a ually update our records and records of other governmental agencies required by law. If you refuse to supply the information,t,- appf .tion may not be issued. Applicant's Signature: � - •� Date: 05/07/2017 Owner's Signature: Date: Last Updated:January 2016