Correspondence - 4016 Shoreline Drive - 2/7/2019t ' RECEIVED FEB 112019
.� N SPRI G PARK
On .cake Minnetonka
BUSINESS USE CERTIFICATE APPLICATION
The purpose of the business use certificate is to provide an administrative review process to ensure
compliance with city code prior to the establishment or change of any business within Spring Park. No person,
firm, corporation, or other entity shall conduct any business within the city without having first obtained a valid
business use certificate from the City. The City shall not issue any building permit or sign permit to a new
business entering the city prior to receiving application for a business use certificate.
The following information is intended to be shared with the fire department and police department to ensure
the City can provide adequate safety services to all businesses in the community.
Instructions. Complete and return this application to the City Hall, along with the following items:
1) Graphic or written demonstration of the size of the business use(s) / the floor area of individual business
uses within the building (i.e. office, retail, storage, etc.).
2) A scaled site plan drawing is required when the following applies: a change in business tenancy I
occupancy may result in a change in on -site traffic patterns, amount of required parking, or modification,
enlargement or construction of an addition to an existing building, or exterior site improvements.
3) Graphic or written demonstration of required parking for the business use.
4) The proposed sign plan, showing exterior building or freestanding business signs.
5) A narrative describing storage, handling, use, and disposal plans for any hazardous substances,
materials or devices, including any flammable or toxic materials.
A complete application shall include a completed and signed application form, payment of the
required fee, and the additional submissions detailed above.
PROPERTY INFORMATION
Property Identification Number (PID):
Street Address: 4016 Shoreline Dr., Spring Park, MN 55384
-- - --------- ------
Legal Description: - -- -
Other information:
BUSINESS CONTACT INFORMATION
Business Name:
Owner of Building:
Water Carrier LLC
Business Name: GREGORY & PATRICIA BAUERLY
Street Address 3260 Carriage Drive
Street Address 5546 GARDEN HILLS LN
City, State, Zip Medina, MN 55340
City, State, Zip SAINT CLOUD MN 56301
Office Phone Number 612-940-0405
Office Phone Number
320-2520570
Fax Number
Fax Number
Email rndall@skaar.com
Email
Website www.vannrestaurant.com
Primary Contact: Randall Skaar
Secondary Contact:
Street Address 3260 Carriage Drive
Street Address
City, State, Zip Medina, MN 55340
City, State, Zip
Office Phone Number 612-940-0405
Office Phone Number
Fax Number
Fax Number
Email
Email
DESCRIPTION OF REQUEST (attach additional sheets as necessary)
Existing Business Use of Property:
Restaurant
Proposed Business Use of Property:
Restaurant
FIRE PROTECTION NEEDED
Alarm Type
Is Alarm Monitored?
Alarm Co. Name
Alarm Co. Contact Number
Alarm Panel Location
Fire Dept. Key Box Installed?
Yes
No
Location of Key Box
Fire suppression system located and attached to vent hood in kitchen
-F-
Smoke Detectors?
Yes
No
Sprinkler System?
Yes
No
If yes, hard and or battery?
If yes, sprinkler system type?
Wet
Dry
Heat Detectors?
Yes
No
Stand Pipe
Yes
No
Horns / Horn Strobes?
Yes
No
Fire Department Connection
Yes
No
Please list any hazardous materials, flammable liquids, or special hazards that fire or rescue personnel may
encounter in the building:
None ---- -- — -----
Please describe your disposal plan for the aforementioned materials:
Fire Department Comments to be completed by fire department personnel only) -
Received by Fire Department:
APPLICATION FEES AND EXPENSES. The undersigned has paid the business use certificate registration
fee for this application. The application must be submitted prior to any occupancy or use of a building by the
applicant, and prior to any pre -opening preparation of the building. The fee is incrementally increased when
an application is received after an identified date on which business occupancy began prior to receiving the
required business use certificate.
ACKNOWLEDGEMENT AND APPLICANT SIGNATURE. I, the undersigned, hereby apply for the
considerations described above and declare that the information and materials submitted in support of this
application are in compliance with adopted City policy and ordinance requirements and are complete to the
best of my knowledge.
1, the undersigned, grant permission to the city administrator, or designee thereof, to inspect the business
premises to verify its compliance with City Code prior to issuing the requested business use certificate. I
understand that pursuant to such inspection, the City Administrator, or designee thereof, may advise me
as to any corrections necessary for compliance, which must be addressed prior to issuance of the
requested business use certificate.
I, the undersigned, agree to prominently display the business use certificate, once granted, on the
premises at all times during business hours.
Applicant Signature: 4 5F e-5 Date: ro /a D
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Property Owner Signature: Date:
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