HomeMy WebLinkAbout2009-00454 - tent CITY OF ORONO PERMIT NO.: 2009-00454
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE ISSUED: 08/10/2009
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4045 WATERTOWN RD
PIN : 31-118-23-41-0003
LEGAL DESC : UNPLATTED 31 118 23
: LOT 000 BLOCK 000
PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TENT
VALUATION : $ 0.00
NOTE: DATE(S)TENT(S)WILL BE UP:09/11/09 THROUGH 09/12/09-(2)TENTS
SIZE OF TENT(S):
APPLICANT
PERMIT FEE SCHEDULE 50.00
KELLENBERGER,DANA&GREGORY STATE SURCHARGE(VALUATION) 1.00
4045 WATERTOWN RD
MAPLE PLAIN,MN 55359 MAIL-IN FEE 4.00
TOTAL 55.00
OWNER
KELLENBERGER,DANA&GREGORY
4045 WATERTOWN RD
MAPLE PLAIN,MN 55359
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.
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
City of Orono
Building Permit Application for Internal Work
(windows, doors, siding, re-roof, etc.) J ,�/
0\ Mailing Address: Permit number: vl009 DO /34
y PO Box 66
Q O\ Crystal Bay, MN 55323-0066 Date received: 710 ��9
°'4'"'' Received by:
scy
A a,/
Street Address: �/
�,s '1 , l'A ti i 2750 Kelley Parkway� , �,.� c , Y Plan review fee:
N`_kEsx•i Orono, MN 55356
Total Fee:1 Vis. 5c,
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us 0 ' +0 110 (Ss,-,e/O.
This application form must be completed in full and all required information must be submitted. '
Incomplete applications will be returned. (Please print) ;
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