HomeMy WebLinkAbout2012-00835 - tent CITY OF ORONO * Z 0 1 2 - 0 0 8 3 5 *
2750 KELLEY PARKWAY pATE �SS[1E�: 08/27/2012
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 3070 FARVIEW LA
PIN : 04-117-23-34-0013
LEGAL DESC : FARVIEW
: LOT 003 BLOCK 002
PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TENT
ACTIVITY : O/S BUILDING- UNDEFINED
VALUATION : $ 0.00
NOTE: DATE(S)TENT(S)WILL BF,UP: SGPTEMBEIt 14,2012 — 4–lS– ��
SIZE OF TENT(S): 30'X 45'
APPLICANT PERMIT FEE SCHEDULE 25.00
SILUS, DAVID&BARBARA TOTAL 25.00
3070 FARVIEW LA
LONG LAKE, MN 55356-
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OWNER
oYn� IrNtii �Sss``wiE',
SILUS, DAV[D& BARBARA
3070 FARVIEW LA
LONG LAKE, MN 55356-
t v i�:�..,
�'!�Y';-
AGREEMENT AND SWORN STATEMENT •� �°er�m;
"I'he work for which this permit is issued shall bc performed according to �;�G,�'`"
the approved plans and specitications,applicablc City approvals,and thc .�•r!{I
State Building Code. This permit is for only the work described and does ��l�"�� '��
not grant permission for additional or related work which requires separate ;�i�
permits. Ail provisions of la�vs and ordinances governing this type of work ,_,____,,.,,,,__.
shall be compied wiUi whether or not specified herein.This pemiit will ,,r.k ��� '��
expire and become null and void if construction authorized is not wr�j� ��,.;
commenced within 180 days of the date of issuance,or if construction is s;3y�Y•;
suspended for a period of 180 days at any[ime after work has commenced. �.,�Z ;��?
The applicant is responsible tor assuring all required inspections arc �a� A(3�i
requested in conformance with the S[ate[3uilding Code.This permit may be
revoked at any time for due cause. ' r'
/ �
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Applicant Permitee Signature Date ssucd By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
� ,¢p�, City of Orono FOR CITY USE O LY
� � P•O. Box 66 � ���
�*��--�. 2750 Kelley Parkway
a ���,'' ,�' Crystal Bay,MN 55323 Date Received: I
�' ������`° �
��Ho$ Phone:(952)249-4600 Fax:(952)249-4616 Permit Number ��� .�O
www.ci.orono.mn.us �
Permit Fee: $25.00 �
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CITY OF ORONO - TENT PERMIT
(All tent permits rrti�st be czpproved by the Fire Chiefl
Tent Information:
Date of Event: 9��5" ��-- Size of Tent(s): �D X 5�5 � Number of Tent(s): /
Does the tent have sides? No Yes
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 vroperty along with this application.
Owner Information:
Site Address: 3 070 �a'r V/ �'_c,c, LI�
Owner: �.-CGU� ���� ���4 Mailing Address: �070 �'/"►�l�uJGn�
,
City: ��� Zip: �s 3�(�
Home Phone: �5 2 �7� 78 2�'j Alternate Phone: (o�Z 7 ZD Z 7 S�
Contractor/ Applicant Information:
Contractor/App.: Contact Person:
Address: City: Zip:
Phone: Alternate Phone:
Fax: Email:
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 M innesota Fire Co��ff s;and I understand this is only an application for a
permit and work is not to start without a permit. � �����
i g aa ��
Applicants Signature/Date
Permit Approved By: Date Approved:
(Trnt Permit OS/04/l�l)
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S Cer�i�t i��..�at�e v� �lam►e :Re�i��ce 5 -
5 REGISTRATION � � ��,� o �SSUED BY Date of Shipment 5
5 NUMBER '' 1 ���'��R� 3/26/2008 5
� INDUSTRIE INC.
5�j F-191/F-59301 � "
�� �*�,hQ� EVANSVILLE, INDIANA 47725 Tent Identification 5
�t� E MANUFACTURERS OF THE FINISHED 04602398 5
TENT PRODUCTS DESCRIBED HEREIN C�
5 This is to certify that the materials described have been flame-retardant treated 5
5 (or are inherently noninflammable) and were supplied to: S
5 643490 5
S APRES INC 5
� S DBA APRES PARTY RENTAL S
5 7625 CAHILL RD 5
5 EDINA MN 55439 5
5 5 .
S 5
5 5
SS Certification is hereby made that: 5
5 The articles described on this Certificate have been tr�ated with a fiame-retardant approved 5
5 chemical and that the application of said chemical was done in conformance with California S
5 Fire Marshal Code. All fabric has been tested and pass�es NFPA 701-99, CPAI 84, ULC 109. 5
5 Serial # 5
5 8106090C(7) 5
SDescription of item certified: 5
5 5 TENT WALL 7'10"X20'CLR VINYL �
#1010030A**OLD SPEC FOR 5
5 Flame Retardant Process Used Will Not Be Removed By S
5 Washing �nd is Effective For The Life Of The Fabric 5
5 ROBECO/DAFNEWYORKNY Slgfl@d: �� � ����� �
5 Name of Appiicator of Ffame Resistant Finish '
ANCHOR INDUSTRIES INC. 5
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5 ��r���i��� c�� �la �e��� c� S
SREGiSTRATlC`� � ISSUE� EY� � 5
5 :.�,�. Dat� of iuianufactu�re 5
APPLiCAiIOF,t Q�, c 5
5 NUMBER �c���`' 04/22/03 5
�n �. INDUSTRIES �NC. �
� � �� �4E5�� EVANSVIL�E, ONDIA(VA 47725 Orde: !��r:��er 5
F140.t � E ° MANUFACTURERS OFTHE FlNISHED 366785 C
5 TENT PRODUCTS DESCRIBED HEREi�v � I 5
5 �his is to c�rtify that the r�aterials described have been f{ame-retardant freatEd 5
5 (or are inherently noninflammable) and were supplied t�: 5
5 643490 5
5 DBA APR S PARTY RENTAL 55
7625 CAHILL RD �,7
5 EDINA MN 55439 5
5 5
5 5
5 5
cCertificatior� is hereby made that: 5
5 The art�icles Jes�ri�e� on this Certificate have been treated v�rith a flame-�etarriar�t approved 5
5 chemica! and thaf �the application �f said chemical was cJone in conformar�e vu�#h �;aiiforr�ia S
5 Fire Marshal Code, equal to exceecis NFPA 701, CPA1 84, ULC ��g. 5
5 The method of the FR chemical application is: 5
5 Serial # 8003300C(1) �
5 51
�5
5 Description of item certified: _ r
5 CENT FRM TOP 30X30 SNY WITH .. _ �
5 _ . 5
5 Flarrie �tetardant Process Used Will NQt Be Remcsved Eiy 5
5 11Vashing And Is Effective For The Life Of The Fabric 5
5 SNYDERMFGNEWPHILADELPHIA,OH Si ned: / � ��+�u�-`--� 5
Name of Applicator of Flame Resistant Finish �
7ENT DEPARTMENT-ANCHOR !NDUSTRIES INC.
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5 Cert�if i.c�� vf �la 1�esis ce S
c
5 REGISTRATION � ISSUED BY� 5
5 APPLICATION Q �'�' Date of Shipment 5
5 NUMBER 1 �CH��� 3l17/2006 5
y INDUSTRIE INC. �
5 ��F �,�i EVANSVILLE, INDIANA 47725 Tent Identification 5
5 04237646 5
5 F140.1 '� E M* �' MANUFACTURERS OF THE FINISHED 5
5 cj TENT PRODUCTS DIESCRIBED HEREIN 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
5 643490 5
5 DBA APR S PARTY RENTAL 5
S 7625 CAHILL RD 5
rj EDINA MN 55439 5
5 5
5 5
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
5 chemical and that the application of said c.hemical was done in conformance with California S
5 Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. 5
5 Serial # glog9���I� 5
�CCC5 5
Description of item certified: 5
5 CENTURY MATE EXPANDABLE MIDDLE �
5 40W;C20 SNYDER WHITE VINYL �
5 Flarr�e Retardant Process Used Will Not Be Removed By S
S Washing And Is Effective For The Life Of The Fabric 5
C��. SNYDBR MFG NEw PH[LADELPHIA OH Si ned: �N� ��� `�
S ` SPECIAL EVENTS DIVISION-ANCHOR INDUSTRIES INC.
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,�p�, C�ty of Orono FOR CTTY SE O Y
O O Y.O.Box 66 ;:
� 2750 Kelley Pazkway Data Received �' ��
� � �' Crystal Bay,M�I 55323
tti��,g�oa$� Phone:(952)249-46D0 Fax:(952)249-4616 PeYtrritNumber'Q�� � r ;: _ �
www.ci.orono.mn.us p��t k'8e 2$ 5 00
CITY OF OROND - TENT PERM�T
(All tent permits must be approved by the Fire Chie�
�'Te�f�Tnf�rm�t��S� �=�:��=� ,� �" s�
- �PL'^�T.`� t' 4i' ��
Date of Event: 4��5" ��- Size of Tent(s); �D X '�S � '
Nunrzber of Tent(s}: /
Does the tent have sides? No Yes
Please include Fire Retardant Inforrnation from the rental company for tent(s)f1ND a Sketclz
or Drarvin�of where tlte tent will be located on tlie nr•onertv along with this application.
'nwz7er'T�nfozmat�o,n `�, � �` _ _
Site Address: 3 o7a �'G�'r v/t�.c,r, L11--�
Owner: �.CGU� ��Q1i� t����-�1 MailingAddress: 307� f-��rV�u��7�..�
City: � � Zip: J�J�3�10
Home Phone: �5�- �7 3 78 29 Alternate Phone: l��Z 7 Z-C� �-7 S�
���. - -�----�-�----
�G�ntractQ�L�A��I��,aii,t��zma�tnri:=��;;'",=��=_�-_�`
.-�—.-�T -� �.�.._.� - - -
Contractor/App.: Cantact Person:
Address: City: Zip:
Phone: Alternate Phone:
Fax: Email:
I hereby apply for a permit and acknowledge tl�at the information above is comptele and accurate; that the work will be in
confonnance with the ordinances of the City of Orono and the Minneso�e Co ;and I understa�d this is o�ly an application for a
pennit and work is not to start without a pennit.
i g aa r a.
Applicants Signature/D1te
/
_ �'�2���2
P it Approved By: Datc Approvcd:
u
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