HomeMy WebLinkAbout2013-00854 - tent CITY OF ORONO * 2 0 1 3 — 0 P1 8 5 4 *
2750 KELLEY PARKWAY ppTE 1sSUEn: 09/03/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 2640 NORTH SHORE DR
PIIY : 09-117-23-13-0009
LEGAL DESC : COLWELL ADDN
: LOT 000 BLOCK 000
PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TENT
ACTIVITY : O/Sl��ERAL
VALUATION : $ 0�00�'
NOTE: DATE(S)'I�EN"1'(S)WILL BE UP: SEPTEMBER 21,2013
S[7.E OF TEN"1'(S):40 X 80
APPLICANT PERMIT FEE SCHEDULE 25.00
APRES INC TOTAL 25.00
7625 CAHILL ROAD
EDINA, MN 55439-
OWNER
HODDER,KENT H&JUDITH B
zG40 NORTH SHORE DR
, MN 55391-
AGREEMENT AND SWORN STATEMENT
llie 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 Ihe work described and does
not grant 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.This 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 Yor a period of 180 days at any time afrer work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permi[may be
revoked at any time for due cause.
/ / / � / ��
Applicant Permitee Signature Date ssue y Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OT�IER THAN DESCRIBED ABOVE.
.
�O A rO City of Orono - FOR CITY USE ONLY
<y P.O.Box 66
2750 Kelley Parkway Date Received: ��-��'J-��
Crystal Bay,MN 55323 ��/3—DD$S
,� Phone:(952)249-4600 Fax:(952)249-4616 Permit Number
y�, � www.ci.orono.mn.us
� Permit Fee: $25.00
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CITY OF ORONO - TENT PERMIT
(All tent permits must be approved by the Fire Chie�
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Date of Event: 2� � � Size of Tent(s): � Number of Tent(s): �
Does the tent have sides? No Yes �(�s�� (�' `��1 yt1�/�
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Please include Fire Retardant Information from the rental compcz�y for tent(s}AND a.Skefch
or Drawang of where the tent will be Cocated on.the z�ropertv alang'with this applicatio�.
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Site Address: �� 7 � � � J ��� � �
Owner: `1\ d �� �Y� Mailing Address:
ci�,: (.�V`0 zip: ��3 9/
Home.�,�one: �p I Z- 3 C�(o � (� �(�(Z Alternate Phone: �l/�Z ' �Z��r�3 �
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Contractor/App.:
� ����� Contact Person: �'^�
Address: � b 7 1� � S�'(����� Cit}': Zip>� l
Phone: �0 �2 � 3�[a " ���b Alternate Phone:
Fax: Email: � � � �� C'V'• C(�1/"�
I hereby apply for a permit and acknowledge that the information above i omplet d ac ate; that the work will be in
conformance with the ordinances of the City of Orono and the Minneso der d this is only an application for a
permit and work is not to start without a permit. ,L
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pp icants ignature/Date
Permit Approved By: Date Approved:
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5 REGISTRATION ISSUED BY Date of Shipment 5
5� APPLICA710N ' `��R ��i%;zooe
5! NUMBER �NDUSTFIE ING R 5
5� i EVANSVILIE, INDIANA 47725 Tent ldentification S
5� I�iai�.l MANUFACTURERS OF THE FINISHED °�'-"«�' S
�f TENT PRODUCTS DESCRIBED HEREIN 5
5� This is to certify that the materials described have been flame-retardant treated 5
!_' {or are inherently noninflammable} and were supplied #o: i5
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= EDINA MN 55439 �`Ar�j
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� Certification is hereby made that: 5
51 The articles described on this Certificate have been treated with a flame-retardant approved 5
� chemical and that the appiication af said chemical was done in conformance with California 5
S Fire Marshai Code.Ail fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. S
� Seriai# �ios��s;�,� 5
SDescription of item certified: 5
5 C�NTIIRY titAT�G\PANDA[3LI:[:ND �
S 40W�0 SN\'D[R WI-IITF.YINYL.
� Fiame Retardant Process Used Wiil Not Be Removed By r5�
5 Washing And Is Effective For The Life Of The Fabric 5
5 5 SNYI)LRMFGNPN'PHIIADFI.PI�IIAOIi 5'�9��: ��'`^'v��i�,•O�
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S REGISTRATION �
ISSUED BY Date af 5hipment 5
� APPLICATION a � �CN R sii�r2oos �
C� NUMBER = iNousraie�u,c" S
5 �� ~ EVANSVIILE, INDIANA 47725 Tent Identification 5
� Ftao l MANUFACTURERS OF THE FINISHED °�'-"�'�° 5
�5 TENT PRODUCTS DESCRIBED HEREIN C�
'S This is to certity that the materiais describet! have been flame-retardant treated 5
_ '�r aRa inheren#I} nonir�flammable) and v�re�e suppiia�#o: -�
643490 �i
APRES INC ��
DBA APRES PARTY RENTAL �
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,_, 7625 CAHILL RD ^�
!,_; EDINA MN 55439 ,�
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SCertification is hereby made that: 5
5� The articies described on this Certificate have been treated with a flame-retardant approved 5
chemical and that the application of said chemicai was done in conformance with California 5
5 Fire Marshal Code.All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. SI�
� Serial� �t�eQ7�ti� 5
5 5
5 Description of item certified: 5
5 CENTURI"\IAl F'{?XI'4Nl)r\BLG MIDDLF �
5 90WX20 SNYDFR�4'HI'I'I{VINI'1.
5 Flame Retardant Process Used Will Not Be Removed By 5
5 Washing And Is Effective For The L fe Of The Fabric �
5 snYD�RMFCiNE�Vpimnnz���nn.oi� Signed: �r.�.,iai:_-:�-a-c; 5
5
� SPEqAL EVENTS DIYISION•ANCHOR INDUSTRIES INC. �j
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� ISSUED BY — �
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5 :���i EVANSVILLE. INDIAPiA 47725 rent tdentifirat�on i5
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��-�'-��� � '� � ° MANUFACTURERS OF THE FINISNED � i S
5 �-- � TENT PRODUCTS DESCRIBED HEREIN �
�, Ti�is i; ro certify that the materials described have been flame-retardant treated i�.
;�,r �ru ;nn.re�°4;� nonii�flammable) and were supplied tc. �c`
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�^.� 643490 '�''
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- DBA APRES PARTY RENTAL -
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7625 CAHILL RD
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C:, EDINA MN 55439
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SCertification 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 chemical was done in conformance with California 5
S�' Fire Marshal Code. All fabric has been tested and passes NFPA 701-99. CPAI 84, UI.0 109. S
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ic; Flame Retardan� Prac�ss Lls-d �Nill i�aot Be Removed By i�i
j�i Washing And Is Effective For The Life Of The Fabric ���
��! JOH'J[30YLE STATESVILL N `-� � �� ;�� ��
Sig�ed: --�=-------' -^t Y :<k'�, r,�;
!�. Name� i-� ,r�f Fiamp Hes�siant Fintsh ANCHOR INDUSTRIES INC. i,��
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