HomeMy WebLinkAbout2016-00957 - adv plan review CITY OF ORONO * Z 0 1 6 - 0 0 9 5�
2750 KELLEY PARKWAY DATE ISSUED: 08/1 U2016
ORONO, MN 55356-
� " (952) 249-4600 FAX: (952) 249-4616
ADL?R°ESS : 3333 SHORELINE DR
PiN : 20-117-23-11-0024
LEGAL DESC : REG. LAND SURVEY NO. 1422
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : C p�y��,�!j�}�
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUAT[01�1 : $ 400,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 400,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL/ADDITION TO COMMERCIAL BUILDING
PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00956
APPLICANT ADVANCED PLAN REVIEW 1,949.95
TOTAL 1,949.95
CARLSON-LAVTNE, INC. Payment(s)
2965 PARTRIDGE CHECK 68729 1,949.95
ROSEVILLE,MN 55113
(651)303-8762
OWNER
Lunds Food Holding Inc.
4100 W SOTH STREET#2100
EDINA,MN 55424-
AGREEMEIYT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable Ciry 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 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conforcnance with Ihe State Building Code.This permit may be
revoked at any time for due cause.
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App(icant Permitee Signature Dake Issued By Signature Date
CITY OF ORONO
�' BUILDING PERMIT APPLICATION
•' FOR NEW STRUCTURES OR ADDITIONS
�O�O MailingAddress: Permitnumber: � - (�� I�
PO Box 66
Crystal Bay, MN 55323-0066 Date received: �1 I 1 I
� ,, Street Address:'
Received by: IZ�
y�, G� 2750 Kelley Parkway {(� � �qf�� r plan revie , feae:
��'�ESH��� Orono, MN 55356 •
Main: 952-249-4600 Total Fee:
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: `�j�j�j ��,��t�E y7�wE
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ 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 su�cient on-site paricing is available. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: Ca2�,v- LAVr�r�, /�,c•
State License# Expiration Date:
Phone: (cell) `s]. ?ie�, . St�1 2 (office) C�$1- l038. yv�o
Mailing Address: 29CoS `�ari-r�c� Q. Cit : ��, . F ZIP: SS 113
Contact Person: ��� �,or...�p Applicant is: on rac / Homeowner (Circle One)
Email and/or Fax: �,�,o nS �C,,c,¢t��,��av„r�. cawl
PROPERTY OWNER INFORMATION:
Name: L�,r� �EAt, L�sr,oT-C �{b�D,..�a,L� LL.0
Phone (day): �5 2 . � � $' . ZCot9(p
Address: �/0� I,✓. SO"' �c�T City: �DtiN�a ZIP: SSyZy
Email and/or Fax ��,,.��FE2• ltE�rT�L�'HI •Cor-1
ARCHITECT/ENGINEER INFORMATION:
Name: �J}�E,�4 /0 n.r,�{tT�'�cs�
Phone (day): ��I Z • ?�39 . �2S�
Address: _�p �,rs)-�{ g'n+ c�,�zuE,� City:J✓���,N�,s P�,uS ziP: S�ya Z
Email and/or Fax: �IAsvn� S� S,�tEA�r�s�c.�.i.CoM
PROJECT INFORMATION: Descri tion of ro'ect: ����/� ��� L`r�
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal 8�
Water Supply
❑ New Construction ❑Single Family with ❑Accessory Bldg./Garage
�Addition attached garage ❑ Deck �J Public Sewer
❑Accessory Building ❑ Single Family with �Office/Commercial
❑ Relocation detached garage ❑ Residence ❑ Private Sewer
❑ Other: (specify) ❑Multiple Family/Condo ❑ Retaining Wall(s)
❑ Public 4-feet or greater �Public Water
**Any earth movement may also require �Commercial ❑Storage
MCWD review 8�permits. ❑ Industrial ❑Warehouse ❑ Private Well
Minnehaha Creek Watershed District(MCWD) ❑ Other: (specify) ❑ Other(specify)
15320 Minnetonka Blvd
Minnetonka,MN 55345
Phone: 952-471-0590
Fax: 952-471-0682
www.minnehahacreek.or
Estimated Construction Valuation (excluding land) � �����•�
Last Updated: January 2016