HomeMy WebLinkAbout2017-00902 - tent � CITY OF ORONO
2750 KELLEY PARKWAY * z 0 1 7 - 0 0 9 0 2 *
DATE ISSUED: 08/08/2017
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2755 COUNTRYSIDE DR W
PIN : 04-117-23-12-0017
LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN
: LOT 002 BLOCK 003
PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY
PROPERTY TYPE : RESIDENTIAL
C01�ISTRUCTION TYPE : TENT
ACTIVITY : O/S BUILDING-UNDEFINED
NOTE: DATE(S)TENT(S)WILL BE UP: AUGUST 18,2017
SIZE OF TENT(S): 20 X 60
APPLICANT TENT-TEMPORARY 25.00
TLJNHEIM, RE&KA TOTAL 25.00
Payment(s)
2755 COUNTRYSIDE DR W CREDIT CARD 25.00
LONG LAKE,MN 55356-
OWNER
TLINHEIM,RE&KA
2755 COUNTRYSIDE DR W
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 goveming this rype 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 l80 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 � ssued By Signature �(.Q,J`j Date
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„ n A�,O Ctty o�Orono '..� . .FbR.�T!'Y IISE O Y: ”.
�'"��r P.O.Box 66 � .
2730 Kellry Packway I p���
C.tyefai B�'.MN 55323 � •
,� Phw�e:(952)249-4600 Fsx:(93�249-4616 !�Ra�m�it N�be,r.O� � � �
6��, warw_c[.aa�o.am.us � '�yp� �
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CITY OF ORONO - TENT PERMiT
(All terrtpermfis must be approved by the FYre Chie,ff
T�tE�f�'�,�ari:'': "�,�,:
Date of Event:. 'g��8 j i't . Siu of Tent(s): � x �� Numher of Tcat(s):t
Docs the tent hsve sides? No Yes ���t...Q � r�•t.1 :� rt�«�•.j >
Ple,aae i�clude F�rr+e�orriar�t l�!'e�n fi�ont tbe�tal ca�a►ry for terrt{s).�l1�'D a S�c1�
er Dra�of xabere d ie�w�ll be JtioeMd�,jij�along wtth th�a appltca�on
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site Adcimss: 2?s S, Co•�•�.4�t��:dx A r:�c wK i-
owner: �S : �C•�4� 't'w�kc�«r :Nailing Aaaress: s-?s s G....,�„�.i. A�. �,,.
City: �ro�0 7�p; SS;S G--
�Home Phone: Lr I1 -�C C -a s t,3 Alter�ate Phone: �►(2-'ZS 1� G 10�
�onti�ctor t App�Zcaa��Iufoi�atioa: � ` ' .:,� �
Contracbor/App.:��"'�'`� -— Cantact Person:
Address: City: Zip:
Phone: Altcrnate Pl�on�e:
Fax: � F.mai.l:
I hereby app[y fbr a permit�d acimowledge tbac the ia5oemaHon abo�is compl�e and eocurete;that t6e work will be tn I
confom�ance wtth dte ordinaaces ofthe City of Oc+�w sad t�e Codar aad I uadaad�ad 9�is is only an spplf�aEt�Lor s i
i pem�lt and ao:ic'ss not to ahut wi�tout a pecmit � _` - �
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Agpllc�nta Signatnre/Da�e t
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it Appraved By: ��►PP � ed:
t���
� �O A TO City of Orono FOR CITY USE O LY
i V P.O. Box 66 �r
2750 Kelley Parkway Date Received: D � �
Crystal Bay,MN 55323 ��
� � Phone: (952)249-4600 Fax:(952)249-4616 Permit Number ,�.� �� """���
ti � www.ci.orono.mn.us
�'t � Permit Fee:� �25.00 �� C,
'�KESH��� �
CITY OF ORONO - TENT PERMIT
(All tent permits must be approved by the Fire Chie�
Tent Information:
Date of Event: � ���S � 1'� Size of Tent(s): �'' '� �� Number of Tent(s): �
Does the tent have sides? No Yes ���c..-��...� 3 e�t-t ��' ►r�c�N;�-S >
Please include Fire Retardant Information from the rental company for tent(s)AND a Sketch
or DrawinQ of where the tent will be located on the propertv along with this application.
Owner Information:
Site Address: �-7 5� C�o�.�+�r�s�d--� n�: �� wet}-
Owner: K'�f�+• �`�'�k��'� Mailing Address: 1-?S r' (',...w,,t,,, .� ��'• w•
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City: �+r��� Zip: 5S3S(.
Home Phone: � ��- `�S� - o Z v3 Alternate Phone: �'��- 'Z>r�"' � � � L
Contractor/Applicant Information:
Contractor/App.: l�S�''`'�'`� 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 Minne ire Codes;and I understand this is only an application for a
permit and work is not to start without a permit. �
/
Applicants Signature/Date
Permit Approved By: Date Approved:
(Tent:Permit�OS/04l1 I)
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