HomeMy WebLinkAbout2018-00411 - tent ` CITY OF ORONO
2750 KELLEY PARKWAY * 2 1 8 - 0 0 1 1
DAT0 E ISSUED: 04/11 9/2018
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS 315 TONKAWA RD
PIN 06-117-23-14-0021
LEGAL DESC REG.LAND SURVEY NO.0540
LOT 000 BLOCK 000
PERMIT TYPE ACCESSORY STRUCTURE-TEMPORARY
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TENT
ACTIVITY : O/S GENERAL
NOTE: DATE(S)TENT(S)WILL BE UP: JUNE 16,2018
SIZE OF TENT(S): 80 X 120
SIZE OF TENT(S): 30 X 30
SIZE OF TENT(S): 20 X 20
APPLICANT TENT-TEMPORARY 25.00
TOTAL 25.00
GLOBAL MINNESOTA Payment(s)
1901 UNIVERSITY AVE SE CHECK 10602 25.00
MINNEAPOLIS,MN 55414-
(612)626-2406
OWNER
MACMILLAN,MARTHA
315 TONKAWA RD
LONG LAKE,MN 55356-
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 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.
Tkatlzd) /I J/14 1-4
Applicant Permitee Signature Date Issued By Signature Date
MY of Orono FOR MY USE ONLY j
4 P.O.Box 66
2750 Kelley Parkway Date Reoeivv&::--
Crystal Bay,MN 55323
^' Phone:(952)2494600 Fax:(952)2494616 Permit Number
wgm.ci.orom mn.us_ Permit For.
CITY OF ORONO-TENT PERMIT b
(All tent permits must be approved by the Fire Chief
t �
Date of Event:. ' - . .l9 ' . Size of Tent(s);.. -0'X12Number of Tent(s):x30
Does the tent have sides? No ZDx Z�
tent s llal
F,�eate fnclledeFtne Rntln!orw from the. can� y,for.. () ... . .:
. or` tr � � � t�,= al�o ;wlth_this_pplica�tlori G
Site Address. (rQ� k,
ry ��Owner: Gr,� ,Vi Mailing Address: 76Y1 ilk tf
0 _ Zip:
MN
Home Phone: .Z ' . 6�7 Alternate Phone: •fo 12 d
;C���:.�pII :'�til`ormat%ii:> •
Contractor/App.: GJ61:� 1 Contact Person:
Address: G ri City: :. ;' ...*zipw. s
Phone: �.. Alternate Phone:
Fax: . Emaila:., AkXAAAd6ftsox-
I hereby apply for a permit and aclmowledge duu the information above is complete and aecaraw;that the work wilt be in
confbrm;wc&with the ordinances of tbe City of0two and The Minnesota I underoand dAsisonlyanapplicationfora
permit and q'S k isnot to start without a permit.
�.D
P;#-Approved By-' Patepioca&
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COMb
City of Orono FOR CITY USE ONLY
P.O.Box 66 /
2750 Kelley Parkway Date Received:
Crystal Bay,MN 55323 ^h
a
Phone:(952)249-4600 Fax:(952)249-4616 Permit Number501 [,CJ
s www.ci.orono.m�.us
�e G` Permit Fee: 2S 5.00
E
CITY OF ORONO - TENT PERMIT
(All tent permits must be approved by the Fire Chiefi
Tent Information:
Date of Event: Size of Tent(s): 0 Za Number of Tent(s): 13
30N30
Does the tent have sides? No es 2 D X ZO
Please include Fir,f Retardant Information from the rental company for tent(s)AND a Sketch
orrawltneywhire the tent w# [ .on the nronerty:along with thisapplication.
Owner Information:
Site Address: (W t (�
MA('
Owner: &W 1 M d1/A MA('rVtf`L(/i� Mailing Address: - -T6YI it
City: O iy ►'l b Zip: (AN I' y
Home Phone: 2— qla " S L Alternate Phone: �1Q 12 73
Contractor/Applicant Information:
Contractor/App.: N b W 4MU S-, Contact Person: �I
Address: lqol w vAi6CC City: (,1 LS zip: S I
Phone: C D =�fj Z V! �Q Alternate Phone:
Fax: Email: _� �� VCM no
4
I 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 Codes;and I understand this is only an application for a
permit and i.�k is not to start without a permit. a
Applicants Sig iureJD to
Permit Approved By: Date Approved:
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MAR 2 62018
Z CITY OF ORONO
IMPORTANT DOCUMENT
Certificate of Flame 1 si tance
ISSUED BY Date of Shipment
5/18/2015
A
Registration Number CHOW
F-140.01 � � INDUSTRIES INC. Sales Order#
SO-616370
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
is
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8152310(l)
Description of item certified: CENTURY END 80W X 20 LOOP SNYDER WHITE VINYL 10'SPACING
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
SNYDER MANUFACTURING INC. PHILADELPHIA PA
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
IMPORTANT DOCUMENT
Cenzi cate of Flame Wf sistance Date of Shipment
ISSUED BY P
5/18/2015
•
Registration Number MCHOR INDUSTRIES INC.®
F 140.01 Sales Order#
50-616370
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
CAL
G 5
2�
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8152210(l)
Description of item certified: CENTURY END 80W X 20 HOLE SNYDER WHITE VL W/O WEB GUYS 10'SP
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
SNYDER MANUFACTURING INC. PHILADELPHIA PA
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
IMPORTANT DOCUMENT
Certificate of Flame Wssistance
ISSUED BY Date of Shipment
5/21/2014
Registration Number Sales Order#
F-140.01 INr�CHORO
USTRIES INC.
SO-601931
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
1ST
C
N
RErta
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8020600C 5)
Description of item certified: 20 x 20 Fiesta Expandable Catenary(2pc.)Top Snyder White#1023970A
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
SNYDER MANUFACTURING INC PHILADELPHIA PA
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
IMPORTANT DOCUMENT
Certificate of 1.&me Rssistance Date of Shipment
ISSUED BY 5/21/2014
Registration Number VICNORNDUSTRIES INC,®F 122.02Sales Order#
SO-601931
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
GN
G4C/,cod O
�Q y�
H
fr
R E^f;p`
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8106090C 100)
Description of item certified: Tent Wall T-10"X 20'using 13oz.Wideside#1022001 N
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
HERCULITE, YORK PA
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
IMPORTANT DOCUMENT
Certificate of F&me 4WWance
Date of Shipment
ISSUED BY 5/18/2015
1;:l
Registration Number q RF-140,01 NDUSTRIES INC. Sales Order#
SO-616370
EVANSVILLE,INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
Go CArr
l�
RE'tp
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8152110(2)
Description of item certified: CENTURY MIDDLE 80WX20 SNYDER WHITE VL W/O WEB GUYS 10'SP
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
SNYDER MANUFACTURING INC. PHILADELPHIA PA
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
IMPORTANT DOCUMENT
Certificate of g7&me Wpistance
ISSUED BY Date Shipment
03/07/1/1 1
Registration Number
_e CNOR I
F140.1 INDUSTRIES INC. Tent Identification
F1
�.�.r 14944961
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described have been flame-retardant treated(or are inherently noninflammable) and
were supplied to:
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA, MN 55439
ts1 5 T
CF CAL,? Q
F
L� �?E'r p
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701-99, ULC 109.
Serial#
8020000C(2)
Description of item certified:
FIESTA EXPANDABLE MIDDLE 16WX8
SNYDER WHITE VINYL
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
SNYDER MFG NEW PHILADELPHIA.OH
Name of Applicator of Flame Resistant Finish AL
Signed:
AN HOR INDUSTRIES INC
IMPORTANT DOCUMENT
Certycate of Atme Wssistance
ISSUED BY Date of Shipment
5/18!2015
Registration �CHOR G
F- istration Number INDUSTRIES INC. Sales Order#
F-140.01 SO-616370
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
T
Cats
9 FFA at�y��
� AE'tP
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8152120(3)
Description of item certified: CENTURY MIDDLE 80W X 30 SNYDER WHITE VINYL 1l)'SPACING
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
'
SNYDER MANUFACTURING INC.PHILADELPHIA PA
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
IMPORTANT DOCUMENT
Certificate of Flame Wsssistance
ISSUED BY Date of Shipment
5/21/2014
Registration Number NCR O INDUSTRIES INC. Sales Order#
F-140.01 '%_ � SO-601931
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
G�gT
4�kpF C
y p
RE O
R E"r p�
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8067002 10)
Description of item certified: FIESTA MARQUEE ENDS 9W(PR) SNYDER BLOCKOUT WHITE VINYL
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
SNYDER MANUFACTURING INC PHILADELPHIA PA AX&
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
IMPORTANT DOCUMENT
Cenywate o_f Flame Wsistance
ISSUED BY Date of Shipment
511$12015
Registration Number CNCHGRG
F-140.01 '. INDUSTRIES- INC. Sales Order#
SO-616370
EVANSVILLE,INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
�g
CAL,pp O
�•tt �/!�E M 4p
R E"C p
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8027000C(4)
Description of item certified: FIESTA EXPANDABLE CATENARY TOP 30WX30 SNYDER WHITE
VINYL(1023970A)
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
SNYDER MANUFACTURING INC. PHILADELPHIA PA
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
IMPORTANT DOCUMENT
Certificate of Flame Ws r tance
Date of Shipment
ISSUED BY
5/21/2014
Registration Number
9 CHOR
w
F-76101 "' 'NCH
INC. Sales Order#
SO-601931
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
643490
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA MN 55439
USA
G%ST
CAC/,c�9 O
V1 A
9 F�f� Mp�b4•
�� R E'r P►4
Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701, ULC 109.
Serial# 8106090C 15)
Description of item certified: CLEAR Tent Wall T-10"X 2D'trimmed in 13oz.White Burlan#1022250A
Clear#1010030A
APRES SPEC#00-115
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
BURLAN GASTONIA NC
/&
Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
APPLICATION FOR USE OF BUILDING& GROUNDS
ORONO ISD#2'7n8
Name of group or individual requesting use
Requesting which facility?0 M d gb What type of room or field? l- �I ("
Purpose of use ? am/,,iA
VHow many people attending
Single Meeting Date
Day � R �� ( � .
z1y�,-���Date Hours(from)L� �(to)
Series of Meetings
Days Dates Hours(from) (to)
Special need uired such as tables,chairs,AV equipment,food service,etc. Please list in detail:
Permission to bring into building or onto ground these items(please list in detail):
Will you charge fees for this event? If so,how much for adults and how much for students
What will the proceeds be used for? �� r 1 r ( r i s(t -i�(
Rental charge(if any)will be made in accordance with the schedule p nted in policies governing rentals. Payment shall be made to Orono
Community Education upon receiving an invoice from Orono Community Education. Buildings will not be open except upon presenting to the
custodian or building supervisor an official permit issued by the Community Education Office. Employee charges include direct and indirect(fringe
benefits)cost of employees are in addition to school facilities fee charges. Employee charges for overtime(beyond normal working hours)will be at
double the normal employee salary and fringe benefit rate.
The undersigned who is to be in charge of the group is 21 years of age or over. This person agrees that they will be responsible to the
Board of Education for the use and care of the school property.They further agree that the character of use will conform with that
stated in the application,and that they will make the required payment for any damages occurred during use. They also understand
that the custodian cannot permit the use of the building except upon representation of an official permit granted by Orono Community
Education.
Signature of person in charg <.en�— Printed Name
Address d!'e' /�/�T�LlS4/g , ��f/ �*�+/ S%fit A,•a S(%City_�*00l/$ Zip
Home#Q:.:r4 )-02 Z 4?Yy Work#(GSL
Cell# E-mail Address IA"ieSaT
Liability Insurance Coverage Policy# Check here if applicant does not have liability coverage
*Office Use—Not to be filled in by applicant
Date received $15 Permit Processing Fee Paid—Permit# Permit Sent Bill Sent
Approved( ) Not Approved( ) Principal Signature Date
Remarks
ZO Co PKWlu nt ty Return completed application to: Orono Community Education
705 N.Old Crystal Bay Rd
Education Long Lake,MN 55356
0 Orono Public Schools or fax to 952-449-8359