HomeMy WebLinkAbout2016-01149 - adv plan review CITY OF ORONO �2 0 1 6 - 0 1 1 4 9 *
� 2750 KELLEY PARKWAY DATE ISSUED: 09/20/2016
ORONO,MN 55356-
� (952)249-4600 FAX: (952 249-4616
ADDRESS : 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 : COMMERCIAL-BUSINESS
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 300,000.00
NOTE: ADVANCED PLAN REVIEW FOR PERMIT#2016-01148-INTERIOR REMODEL PERMIT
APPLICANT ADVANCED PLAN REVIEW 1,540.45
TOTAL 1,540.45
CARLSON-LAVINE,INC. Payment(s)
2965 PARTRIDGE CHECK 69018 1,540.45
ROSEVILLE,MN 55113
(651)303-8762
OWNER
Lunds Food Holding Inc.
4100 W SOTH STREET#2100
EDINA,MN 55424
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shail be performed according to
the approved p(ans 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
permiu. All provisions of Iaws 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 l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause. �'r,^'
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��� ��`�-��5��` � l ZC►�/ l b
Ap 'cant P 'tee Sign ture D te Issued By Signature Date
'� CITY OF ORONO
. BUILDING PERMIT APPLICATION
FOR NEW STRUCTURES OR ADDITIONS
�O� Mailing Address: Permit number. "V . g
O PO Box 66
Crystal Bay, MN 55323-0066 Date received: '-2� �`� r
� � StreetAddress:' �� �a ` Received b : �-4
y�, G` 2750 Kelley Parkway p� � I n review fee:
`qkESH��� 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 �'-�-���h,t.�..�'�., "'�,�rZt V E
Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No
!f yes,a specia/everrt permit is required with Po/ice Department and City Counci/approva/60 days prior to the event. Shutt/e bus service wi//be
required un/ess applicant demonstrates su�cient on-site parking is availab/e. Non-permitted events will not be allowed.
CONTRACTOR/APPLICANT INFORMATION:
Name: C�A2�.S�,.t � LAV�..a€r IN�.
State License# � Expiration Date:
Phone: cell " j. d E Z, office , la �3.QJ toot7
Mailing Address: �R�., � Cit : � � �� ZIP: ►
Contact Person: Applicant is: C rac / Homeowner (Circle One)
Email and/or Fax: ����'�C.,t2csaN�..av���.CoN
PROPERTY OWNER INFORMATION:
Name: L.e��r� �ao� —�-�oc..� r�.t�� f�rc •
Phone(day): CjS�• 9/5: 2��Z
Address: y lats �. �p"^" S�-��er City: ����A ZIP:�s�-{Z�
Email andbr Fax j2�S� , c�.r��V��w�e,r{� L�(. c.��-�t
ARCHITECT/ENGINEER INFORMATION:
Name: �f vd �C!2�'-+-t Nl��f'�,
Phone(day): (�-L_�y� . �2 !Qi
Address: Id 50�'1'�-� �'i" ST . City: ��hN'�p A��tS ZIP:ss�'f�Z
Email and/or Fax: .4 � � ,�.rt: � t . o t�1
PROJECT INFORMATION: Descri tion of ro'ect: �� ��� ��
����'
1.Type of Project 2. Proposed Use 3.Structure Type 4.Sewage Disposal&
Water Supply
❑ New Construction ❑Single Family with ❑Accessory Bldg.!Garage
❑Addition attached garage ❑ Deck � Public Sewer
❑Accessory Building ❑ Single Family with [�Office/Commercial
�Relocation detached garage ❑ Residence ❑ Private Sewer
Other: (specify) ��'�r�� ❑Multiple Family/Condo ❑ Retaining Wall(s)
o�►L 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