HomeMy WebLinkAbout2016-00419 - sign/temporary � A�
� CITY OF ORONO * 2 0 1 6 — fd 0 4 1 9 *
2750 KELLEY PARKWAY DATE ISSUED: 04/25/2016
ORONO,MN 55356-
(952)249-4600 FAX: (952 249-4616
ADDRESS : 2750 KELLEY PKWY
PIN : 33-118-23-12-0007
LEGAL DESC : CITY OF ORONO ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : SIGN
PROPERTY TYPE : CONIMERCIAL-BUSINESS
CONSTRUCTION TYPE : SIGN-TEMPORARY
NOTE: USING FIRE DEPARTMEN'T'S TEMPORARY SIGN TO ADVERTISE FOR 2K WALK ON 04/30/16.
TO BE DISPLAYED 04/25/16 TO 04/30/16.
SIGN WILL BE PLACED ON CORNER OF EMPTY LOT,OFF WAYZATA BLVD-38 ADDRESS LJNASSINGED PID#33-118-23-11-0060
APPLICANT SIGN TEMPORARY 0.00
TOTAL 0.00
City of Orono
ORONO,CITY OF
2750 KELLEY PARKWAY
P.O.BOX 66
CRYSTAL BAY,MN 55323-
OWNER
City of Orono
ORONO,CITY OF
2750 KELLEY PARKWAY
P.O.BOX 66
CRYSTAL BAY,MN 55323-
AGREEMENT AND SWORN STATEMENT
The work for which this pennit 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 dces
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances goveming this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction suthorized 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 aze
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 Issued By Signature Date
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� City of Orono
' Temporary Sign Permit Application
O Mailing Address: Pennit number: ��{Q '� � I
� �� Crysal Bay, MN 55323-0066 Date receiyed: ° t-�- ��— �(
Street Address: Received by:
'� �" 2750 Kelle Parkwa $3 . 0
��, � Y Y Permit Fee: 8��
G Orono, MN 55356
��k�s�p�� If mailing,add$2,00
Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us
This application form must be completed in full and all required information must be submitted.
Incomplete application will be returned. (Please print) P ���� (�Q�a.nf
SIGN LOCATION ADDRESS: _ ��� V"�� 2Q�a �V� �fi �(�
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BUSINESS INFORMATION: ,'l � �-F'�'
Name: � 33-�(8`73�����
Address: City: ZIP:
Contact Person:
Phone:
Email and/or Fax
APPLICANT(RESPONSIBLE�?ARTY):
Name: ( l� o �i � � rb N C'
Mailing Address: Z Cit : t'1 ZIP: `�� 6�
Contact Person: i -z Z
Phone: a
SIGN COMPANY/OWNER(IF NOT SAME AS BUSINESS):
Name:
Address: City: ZIP:
Contact Person:
Phone:
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PROJECT INFORMATION: � � �I�- � V�- r�� /� '�r�
Type of Sign: Size of Sign: Location of Sign: Dates Sign to be Displayed:
�.
Portable Reader board ���P l�(���
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p Banner �L�l��Ck h Lp_ I `�"" I,�,��� `�_.Z�-�G-j�o `�-o
❑ A-Frame � �°3� -1�
❑ Balloon � , �
❑ Other(specify) �`�� `�`""`"��'�
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For signs not attached to a building, provide/ocation sketch on back of application.
APPLICANT ACKNOWLEDGEMENT:
. Violation of City Ordinances is a misdemeanor. Each day the violation continues in existence shall be deemed a separate
violation;
• The Ciry may,without notice,remove any temporary sign erected' iolation of city,state or federal regulation;
• The si n s si n su oRs or ortable stand must removed m ublic view at the end of the ermit riod.
Applicant Signature: � Date: a����P
For Multi-Tenant Buildings: �
Property Owner or Manager Signature: Date:
Printed Name of Property Owner or Manager:
Phone Number. Email Address:
w:\(applications,license or pertnit applications)l,sign pertnit-temporary application vl.doc
Updated: 03/25/2015
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION T E SCHEDULED � �'�
PERMIT NO. ������� �� COMPLETED
ADDRESS ���7 S � l� w� .
OWNER / " i`�'l-1 ���(��LEPHONE �`���. 7 ' �2 3
CONTRACTOR � �2 ����
j, DESCRIPTION � � �r �k-- ��`��—
ly ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL�'` '�
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP ❑ FOLLOW-UP
W ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
_
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
2 OWNERICONTtiACTOR TO MEET YOU:_YES_NO
� COMMENTS: "
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W ❑WORKSATISFACTORY:PROCEED ❑ PROJECT COMPLETE
� ❑CORRECT VYORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. p pHOTOTAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑ INSPEGTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. (g52) 249-46��
OwnerlContra r on site:
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Inspector �'
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