HomeMy WebLinkAbout2011-00691 - tent � •
CITY OF ORONO PERMIT NO.: 2011-00691
2750 KELLEY PARKWAY
ORONO, MN 55356- �ATE ISsuED: 07/22/2011
952 249-4600 FAX: 952 249-4616
ADDRESS : 1635 CONCORDIA ST
PIN : 17-117-23-22-0040
LEGAL DESC : REG. LAND SURVEY NO. 1628
: 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: AUGUST 6,2011
SIZE OF TENT(S):40 X 40
APPLICANT PERMIT FEE SCHEDULE 25.00
ALTON, LISA
1635 CONCORDIA ST TOTAL 25.00
WAYZATA, MN 55391- PA[D WITH CC# 1501
OWNER
ALTON, LISA
1635 CONCORDIA ST
WAYZATA, MN 55391-
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 gran[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."I'his 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
suspendcd for a period of 180 days at any time after work has commenced.
'ihe applicant is responsible for assuring all required inspections are
requested in conformance with the State E3uilding Code.This permit may be
revoked at any time for due cause.
/ / D 7/ o� /
Applicant Permitee Signature Date
Issue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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g0�� City of Orono FOR CITY USE ONLY
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/�0.', 0�\ P.O.Box 66 /
II � � 2;50 Kelley Parlcway Date Received: � �� �
','+� �i�'y,'; �'�� Crystal Bay,MN 55323
���t�;r`�'';�j°.'� Phonc:(952)249-4600 Fax:(952)249-4616 Permit Number
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Permit Fee: �25.00
CITY OF ORONO - TENT PERMIT
(�ll ient permits mTast be approved by 1he Fire Chie.f}
Tent Information:
Date of Event: �+ v � . �� � Size of Tent(s):�� X ��� Number of Tent(s): �
Does the tent have sides? No Yes U r� l<-( f�'' r'`c�-;�
Please include Fire Retardant firformation frorn the r�ntal compatry,for tent(s�A1VD Q�'ketch
or Drawing of where the tent will be located on the arovertv along with this application.
Owner Information:
Site Address: l �--� � ��'`� �-C' �'U I c.�. ��f , v l�c:'�'� C3
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Owner: ,-`t C:�ti d-�c7 J'� ���C;'` Mailing Address:
ct�: �� ��f-� __ z�P: S ��:�� i
Home Pbone: �� � Z-' � ,7� " ����� Alternate Phone: �� � z � � �-� 3 � 3
Contractor/Ap�licant Informatioa:
ContractorlApp.: f E . ��1�'�� Contact Person: �� L�����'- �(��lt.��(�'1 C
Address: a� to ��.S �'-4 �h' l � � �. City: C[` I��G� Zip:S 5 �� 3 �f
Ph�ne: � � Z - �`� �� -��D j �' Alternate Phone: � ( L -� � �=� "7 3 3 3
Fa�:
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I hereby apply for a pertnit and acknowledge that thc information above is complete and accurate; that the work will be in
conformance wi th the ordinances of the City of Orono and the Minnesota Fire Codes;and T understan is is ooly an application for a
permit and�vork is not to stan without a permit. ' ���� 1 �a /C1 �
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Applicants Sigaature/Date
Permit Approved By: D�te Appmved:
Reset Form �T�=r�+�es�oa�i�
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GlSTRATION `
ISSUED BY
Daie of Shipment 5
�PLICATION Q u�1O� �,`��R� 3n�rzoos S
NUMBER �� � INOUSTRIE INC 5
r�, �i EVANSVILLE, INDIANA 47725 Tent [dentification 5
Ft4o.t �'y a °r MANUFACTURERS OF THE FINISHED a�2'?5�t6 5
TENT PRODUCTS DESCRIBED HEREIN 5
fhis is to certify that the materials described have been flame-retardant treated S
:or are i�herently naninflammable) and were supplied to: 5
643490 5
APi�ES iNC
DBA APRES PARTY RENTAL 5
7625 CAHILL RD
EDINA MN 55439 S
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Certification is hereby made that: 5
The articles d�scribed on fhis Certificate have been treated with a flame-retardant ap�roved 5
chemical and that �he application of said chernical was done in conforrnance with Califarnia 5
F'rre Marshal Code. A!I fabric has been tested and passes NFPA 701-99, CPA1 B4, ULC 109. S
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Seriai # 81D8935�2� S
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Descr�ptlan ot item certitied: 5
CLN'IURY�MATE E7{PANDABLE�N� 5
40WX20 SNYDER LVH:TE VINYI� �
�larne Fie#�rtDar�t Pre�c�s� Usec! Vllill Not Se Rerr�oved By . 5
��shing ��d Is Ef�e�ti�e �or The L�e Of The �abric 5
SNYDER MFG NE�U PHiLADFLj'H(A_` H�! 5igned: �-�^^lfit/�(=��o�L. 5
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