HomeMy WebLinkAbout2010-00634 - tent � � CITY OF ORONO PERMIT NO.: 2010-00634
2750 KELLEY PARKWAY
ORONO, MN 55356- DATE IssuEn: 08/12/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 2455 NORTH SHORE DR
PIN : 09-117-23-44-0008
LEGAL DESC : SCOTCH PINE ADDN
: LOT 001 BLOCK 001
PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TENT
ACTIVITY : O/S GENERAL
VALUATION : $ 0.00
NOTE: DATE(S)TENT(S)WILL BE UP:SEPTEMBER 8,2010
SIZE OF TENT(S):20'X 30' AND 1S X 15'
APPLICANT pERMIT FEE SCHEDULE 25.00
MARFIELD, SAMUEL&JOYCE STATE SURCHARGE(VALUATION) 5.00
2455 NORTH SHORE DR
WAYZATA,MN 55391 TOTAL 30.00
PAID WITH CC# 3536
OWNER
MARFIELD, SAMUEL&JOYCE
2455 NORTH SHORE DR
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 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.l'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
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.'fhis permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issu By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
, O,4p�,O City of Orono F01t C Y USE QNLY .
P.O.Box 66 I `"
h 2750 Kelfey Parkway ' �
��i�� � Crystal Bay,MN 55323
Date�Recetved �/�� . .� PermitF:ee �� �
�'� o` (952)244-4600 ` _S /
�a�go`'' Perniit Number: c,.��.l� –''��..��CyL, �
35 3{0
CITY OF ORONO - TENT PERMIT
(All tent permits must be approved by tlie Fire Claie�
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Date of Event:�5�'P' �-O Size of Tent(s); (5' X��� Number of Tent(s): �
Does the tent have sides? No Yes �,q�RT'��(,,,, �02 w� ND t3��G'�
�15 u��� EQ
Please include Fire Retarda�at Iizforrraatiolz from the rental company for tent(s)AND a Sketcla
or Drawin�of where tlte tent wilC be located on tlae prot�erlv along with this application.
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Site Address: �a "�� � �a�� Sb-k7�tQ,� ��1�l�
Owner: �Jl�l �JQ'�GE �fZrl�(••� Mailing Address: ,2�'� '�-J I�RS6�{o(2,�. ��
c�ri: 9 2 0�vo z�p: 5 5 39 �
Home Phone: �5 Z� �Z 3 3�� Alternate Phone:
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Contractor/ pp.• �j 1�'� Contact Person: ��-1!l3 S lo�,j
Address: Z�`✓7� I�D,S 4f�� �?i►�
� City: Q�p!(/4 Zip: 5�°J l
Phone: �0 !� �� � 4'7QJ8 Alternate Phone:
Fax: 1�'J�. �� � � '¢S�' Email:
I hereby apply for a permit and acknowledge that the informa6on above is complete and accurate; that the work will be in
conformance with thc ordinances ofthe City of Orono and the Minnesota Firc Codes;and I undersfac�d this is only an application for a
permit and work is not to stari without a permit.
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Certif`ic�tian fs hereby made ttta�: •
The artrcies descrr6e�cf are �farne-retardanl, approve�d�nd regisFe�-ed by t#�e Sta#e Frre J�Rarshal anrf that
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