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HomeMy WebLinkAbout2015-00309 - tent ` ' CITY OF ORONO ~ 2750 KELLEY PARKWAY * 2 0 1 5 - 0 0 3 0 9 * DATE ISSUED: 04/07/2015 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDRESS : 3423 SHORELINE DR PIN : 20-117-23-12-0034 LEGAL DESC : REG.LAND SURVEY NO. 1422 : LOT 000 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY PROPERTY TYPE : COMMERCIAL-BUSINESS CONSTRUCTION TYPE : TENT VALUATION : $ 0.00 NOTE: TENT WILL BE SET UP TO SELL FIREWORKS FROM JUNE 19TH THROUGH JULY 5,2015 SIZE OF TENT-30 X 30 APPLICANT PERMIT FEE SCHEDULE 25.00 RENAISSANCE FIREWORKS,INC TOTAL 25.00 Payment(s) 1625 COUNTY HWY 10 CHECK 6195 25.00 SPRING LAKE PARK,MN 55432- (612)840-3240 OWNER Brook Investment Group LLC 34321 MYRTLE LA LJNION CITY,CA 94587- AGREEMENT AND SWORN STATEMENT The work for which this pem►it 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 dces not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming this type of work shall be compied with whether or not specified herein.This pertnit 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 conformance with the State Building Code.This permit may be revoked at any time for due cause. � • / / / � Applicant Permitee Signature Date ssu d By Signature Date ��� City of Orotto �i�O/`j�� FOR CITY USE ONI.Y P.O.Box 56 i O �� 2750 Kcllcy Park�vay Date Received: �'/�— �5 ' �� Crystal Bay,MN 55323 �', �,�1 , : Phonc:(952)249-46D0 Fax:(952)249-4616 Permit Number �t�7/S-d�� �\r.V .�i 1� t�l�.i,.+[co�� i2���;.u� t �i - Pcrmit Fee: �25.00 �1�ESN0�;. G�.� Lt9S CITY OF ORONO - TENT PERMIT (All tent permits must be appros�ed by the Fire ChiefJ Tent Information: DateofEvent: ``��9 ' ��5 SizeofTent(s): 3ox 3c NumberofTent(s)� 1 Does the tent have sides? No es Please inchrde Fire Retnrrinnt Information,T•om the ren�a!company fnr tent(s)AND n Sketch or Drrrwin�of where N�e tent wifl be loc�rted on tGe nroperty alorrg x�ith this application. Owner Information: Site Address .3�35 v1,�i�-,<t�ru d�/•it,.'e. 4wner: ��^n/� �,,,.�-s�� �i ��/� Mailing Address: �y�-3�./ /J?��-;:,/� /�,,� City; �t'i�..�,rt: 1��� Zip: _ �>���s '� Home Phone: >%�' " ��� �"2 7�; Alternate Phone: Contractor/Applicant Information l Contractor/App.:��1,�ir.`�,:�Mr.fj>i,�c:.• �l`,i�,;-"�t Contact Person: /,'/�Z�•/C�1��''�i/'���� Address: ���5 l�Z� ���•j/ ��� :J�%�" City: .J' F'����''��i�%r ��'..�Zip: i-�1-/_-�;z- Phone: �/J - G�3�'- 71��.�,/'f, Alternate Phone: .li-/�'- C�z1G� �.%y/; Fax: Email: �?-2�;�."_.,'`'�i."�-r.',�.�r%i�,'t��'�'t c;��/l�_ � ll.�� 1 hereby apply for a permit anci acknowiedge that the information above is complete and uccurate; that the work wi11 be in coaforrnancc with[he ordinances of thc City of Orono and the MinncwtaF�re s:and I und stand this is only an appiication for a permit and work is not to start without a permit. `� ,.ry . .:..---- � 3--i z-i s Appl�cants Signature/Date � - 3/ � ��,/( � P fmit Approved By: Date Approve : i (TcncPumh OS/(la/I I) ' ' � City of Orono � • / Q FOR CITY USE ONLY ; � N�\ P.o.soX 66 i ` 2750 Kelley Parkway r 'i Crystal Bay,MN 55323 Date Received: 3—I�— �S { �, � ) Phone:(952)249-4600 Fax:(952)249-4616 Permit Number of�/S�L7�� "`��, �C ��1��v.ci.oronu_mn.us � v Permit Fee: $25.00 �kF.S HO�t �"--- �.� �195 CITY OF ORONO - TENT PERMIT (All tent permits must be approved by the Fire Chie� Tent Information: Date of Event: `��9 ' ��s Size of Tent(s): �U� '�' Number of Tent(s): � Does the tent have sides? No es�' Please include Fire Retardant Information from the rental company for tent(s)AND a Sketch or Drawing of where the tent will be located on the nrovertv along with this application. Owner Information: Site Address: �`��-�� ���='��'��u ���"��'� � Owner: �����/� �i��,��s� ��,���� Mailing Address: �'��3�-� �'l:�<-�,�c ��,_,� City: ��'i,.���'z; �< �-j Zip: �7�5���- , Home Phone: -5%L' ' 7_��- �'2 7_ 1t Alternate Phone: Contractor/Applicant Information: Contractor/App.:�����i,r� ����;�?,�"s Contact Person: /��C�%-.'�l���C�i'�'�1 i� Address: //��_.5�'�v;�9 ��� :��� City: �De;��1'��lc/� ��'.,vLip: �y��. Phone: (.�/"2 -� l�"_3�- 7Coy S Alternate Phone: �/Z- Szl..�i� ���/CS Fax: Email: ��,s—fl�/��j�����I.//i7/ 17t�«���J' , lC�'>'� T hereby apply for a permit and acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances of the City of Orono and the Minnesota Fire s;and I und tand this is only an application for a permit and work is not to start without a permit. � �--- l 3�-/2-i S Appl�cants Signature/Date Permit Approved By: Date Approved: (Tent Permit OS/04/I I) ������������������������������� • � � - . . ������������������������������� ������������������������������� . . - . . ������������������������������� ������������������������������� m � = ■■�■■■���■��■■��■■�■■m�■■■��■■ ■�■��■■■��■■■�■■■�■■�__����■■■■ � i iiiiiiiiiiiiiiiiii 0 i miiiiiiii ■■■���i . �■■■�--��■■■■ . ■■�� ���■■��■■■�■ ■�■■ .-----------�■■�� ��r�■ .■�. 1�■■■�.�■�■�.��■I Register .�'► � � � .� . � . .■■.i 19.99 1■■■.■■.■■.■■■■■� ■����. - . . ..■.I B1G1 I■■■■■■■■■■.■■.■■■ • .■. , . , . . . . , . . ■�■■ 1�■■�■���■■��■■��■�1 ■�■ ■■�■ . 1■�■�■■ . . ■��■■��' 3� �J�� ■■■■ � 1■■�■■■ ■■■��■■_ .■■. 19.99 II'.■■■■. ■■■■■.■'■.■. .■.■ B1G1 '.■■■■. 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S � 5 EVANSVILLE, INDiANA 47725 Order Number 5 5 F140.1 t MANUFACTURERS OFTHE FINISHED 35o8s2 5 rj ENT PRODUCTS DESCRIBED HEREIN 5 5 This is to certify that the materials described have been flame-retardant #reated 5 S (or are inherently noninflammable) and were supplied to: 5 , 5 sasaso 5 5 SA APR S PARTY RENTAL 5 � 5 5 7625 CAHILL RD 5 EDINA MN 55439 �'j 5 5 , 5 5 S 5 5 5 5 Certification is hereby made that: 5 5 The articles described on this Certificate have been treated with a flame-retardant approved 5 Schemical and that #he application of said chemical was done in conformance with California S 5 Fire Marshal Code, equal to exceeds NFPA 701, CPAi 84, ULC 109. 5 5 The method of the FR chemical application is: 5 5 Serial# so2o6soc�9� S �5 5 Description of item certified: S 5 ���AT�CUST z��a 5 5 Fiame Retardant Process Used Will N 5 5 ot Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric 5 � SNYDERMFGNEWPHILADELPHIA.OH SI ned: � ��f�-�x � 5 Name of Applicato�of Flame Resistant Finish TENT DEPARTMENT-ANCHOR INDUSTRlES INC. �j � rJ'��J'�tJ'��Pr�P t1'�cJ'�cP c.nrPcJ� tJ�� c.�c.n r1�rJ'��.PcJ�rJ�rJ�c1��J'�rJ�rJ�rl'� �.P�l'�tPrJ'�� rJ�rJ�r.P�J'�r..!'�rJ�r�'�cf� �1'�rJ�rJ�tl�tJ�f�cl��.f� �