HomeMy WebLinkAbout2017-00743 - tent 1
CITY OF ORONO * 2017 - 00743 *
2750 KELLEY PARKWAY DATE ISSUED: 07/05/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS 640 TONKAWA RD
PIN 05-117-23-33-0017
LEGAL DESC ROSENTHAL ADDN
LOT 001 BLOCK 001
PERMIT TYPE ACCESSORY STRUCTURE-TEMPORARY
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE TENT
NOTE: DATE(S)TENT(S)WILL BE UP: AUGUST 26,2017
SIZE OF TENT(S): 30 X 40
APPLICANT TENT-TEMPORARY 25.00
TOTAL 25.00
CLEMENTS,MR.&MRS. Payment(s)
640 TONKAWA RD CREDIT CARD 25.00
LONG LAKE,MN 55356-
OWNER
CLEMENTS,MR.&MRS.
640 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.
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Applicant Permitee Signature Date I ued By Signature Date
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P.O.Box 66Oronu
2750 Kelley Parkway Date Reivtad: �.
Crystal Bay,MN 55323
Phone:(952)249-4600 Fax:(952)249-4616 PerinitNWnbtrr C AQ)7
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Permit Fee:
CITY OF ORONO - TENT PERMIT
(All tent permits must be approved by the Fire Chiej)
Date of Event: 2 G Size of Tents
( ) Number of Tent(s):
Does the tent have sides? No
Please include Fire Retardant Information from the rental company for tent(s)AND a Sketch
or Drawinr of where the tent will be located on the nronerty,along with this application. Pe n
Site Address: 640 C
Owner: 111°L 1/1/lfil/L Mailing Address:
City: Zip:
Home Phone: ® � _ Alternate Phone: 412- 99q Z_7 fS
Contractor/App.: ` r� �� Contact Person: M u m
Address: ;/`( `'(, NICity: &.y1tA44 Zip: s�7
Phone: 7 1n 7 L 0 Alternate Phone:
Fax: 7G 3 S -/ 4 Z Email: Q- h'1 LLi/l l�lL �ry?✓1. Gorjn
I hereby apply for a permit and acknowledge that the information bove is complete and accurate; that the work will be in
conformance with the ordinances of the City of Orono an the Minne Codes-* dl nderstand this is only an application for a
permit and work is not to start without a permit.
p icants ig at e/Date
Permit Approved By: Date Approved:
IMPORTANT DOCUMENT
5S
5 V.Ctrtif itatt of f larap Rot'.qtanrr s
5 REGISTERED ISSUED BY 5
5 APPLICATION o- / CHORD Date of Manufacture S
5 NUMBER INDUSTRIES AJC. 05/04/00 5
55 EVANSVILLE, INDIANA 47711 Order Number c
5 F121 4 MANUFACTURERS OF THE FINISHED 313878
5 TENT PRODUCTS DESCRIBED HEREIN 5
SThis is to certify that the materials described have been flame-retardant treated 5
5 (or are inherently noninflammable) and were supplied to: 5
5 SAARCEE RENTAL CENTER INC S
3501 SOUTH HIGHWAY 100 5
5 P O BOX 16183 5
5 5
5 MINNEAPOLIS MN 55416 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
5 chemical and that the application of said chemical was done in conformance with California Fire 5
5 Marshal Code, equal to exceeds NEPA 701, CPAI 84, ULC 109. 5
C5 The method of the FR chemical application is: c5
Serial #: 5
5 8025300(3)
5 Description of item certified:
5 FI EXP MID 30W X 10 VL W W 5
5 _ Flame Retardant Process Used Will Not Be Removed By 5
5 Washing And Is Effective For The Life Of The Fabric S
Signed: o'--r-g 5
5 J0 _9e_'M§YJame Resistant FinishTENT DEPARTMENT—ANCHOR INDUSTRIES INC. 5
D rJ�cl�r�rJ��nr�r�r rr PrJ�rJ�clrrcnrJ�cncPr.P�rJ-�Pcn�CncJUnoPrJ��ncnl.rr rr nr�cPi.frPr nr�rJfl: i:� nj: j i�rJ-rJrJ��r�-cPrJrJ�rrrJ�rJr�r��rr�c r�n�nc nr�r�onrJ�r Pr.P�nrJ��tcPr�r J�r�c ncPrJ��nc n 50
I
IMPORTANT D O C U M E N Tnrs�f�t �n��n���nt�n���n�����n�n�n o
5 5
5 „ 5
S
Certifiratr of f lame 11tqigtance 5
5 REGISTERED �� ISSUED BY S
5 APPLICATION a =� MOR. Date of Manufacture
S
5 NUMBER y s INDUSTRIES INC. 5/14/79"? 5
EVANSVILLE, INDIANA 47711 Order Number
5
SF121.4 aK °' MANUFACTURERS OF THE FINISHED 218112 �5
TENT PRODUCTS DESCRIBED HEREIN S
5 This is to certify that the materials described have been flame-retardant treated 5
5 (or are inherently noninflammable) and were supplied to: 5
S5 S
AARCEE PARTY RENTAL INC. 5
5 3501 S. HWY 100 5
5
5 MINNEAPOLIS MN 55416 S
S S
5 Certification is hereby made that:
SThe articles described on this Certificate have been treated with a flame-retardant approved 5
5 chemical and that the application of said chemical was done in conformance with California Fire
5 Marshal Code, equal to exceeds NFPA 701, CPAI 84, ULC 109. 5
5 The method of the FR chemical application is: 5
SSerial#: 8025320 (0003) 5
5 c5
I Description of item certified: FI EXP MID 30W X 10 VL R W 5
5 5
5 FIame Retardant Process Used Washing And Is Effective a For T/he Life Of The FabrNot Be rii By 5
5 g 5
5FAT & Signed: r.e1Z 5
5 Name of Applicator of Flame Resistant Finish TENT DEPARTMENT—ANCHOR INDUSTRIES INC. e
D tJ�cPcPrJ�cJ�rJ'rJ�cPclrJ'rJrJ�rJ�rJ�rPr�rJ�rJ��PrJ�rJ��PrJ��Prnr�rJt�r�r PC J�tPrJ��P�PrJ�cPrJ�rJ�cJ�rJ�r�cPr��rJ�rncPrJ�rJ�c1PJr P�f�PcPrJ�rJ�r�r�cl�rJ�rJ�rJ�rJ�rJ�r�rJ�rJ�r��PcJ�rJ�rJ�t�r�r�r�rJ�rJ�cP OSI
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MY of Orono
'" FQR CFi`3t o P.G.Box 66 L
Cryad Boy,MM 55323 DOC Remved.
Mxm(952)204600 Fax:(952)2494616 P=h Number
E btsvw.oi_aom.mm�w
t4 Permit Fee.
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CITY OF ORONO-TENT PERMIT
(All teatpermtta mim be approved by the Fire Chwf)
Date of Event: Z G j Size of Tal(s): -30 X Ll® Number of T s): 11
Does the tent have sides? No \`
PJeaae hwludelwo from the reWd company for 16W(s)AND a
nr AMIkB Of tree Oke AM WE be b g
&Ae on=alongwith this applicadoa r
Site Address: 640 _
owner: �Q���3te�f� 'h+tvK .e-�D
Mailing Address:
Com: _t9Yt9'vt o Zip: S3 SG
Home Phone: q '41 1 0 I'l 7_ Alternate Phone:
Contractor/App.: t I/I �'
Contact Person. A �isok. un 640—
Address:
42Adds: t^ N City: Zip:2 :554411
Phone: AbMuste Phone:
Fax
I Eby qVY itr a PmmK and ac mowle*that mo hffamutim is oamptae and
wwwithdww*na"=ofdwC7tyof0Mw the 1 °:thisis onty an+bat the work w3u be is
permit and we*is not to start without a permit, �
tte
it Approved By: Date prop ved: