HomeMy WebLinkAbout2017-00586 - tent , 1
CITY OF ORONO * z 0 1 7 - 0 0 5 8 6 *
2750 KELLEY PARKWAY DATE ISSUED: 05/31/2017
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 3020 NORTH SHORE DR
PIN : 09-117-23-32-0003
LEGAL DESC : CRYSTAL BAY PARK
: LOT 000 BLOCK 000
PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : TENT
NOTE: DATE(S)TENT(S)WILL BE UP:NLY 8,2017
S[ZE OF TENT(S):60 X 90
APPLICANT TENT-TEMPORARY 25.00
SWENSON,J&K TOTAL 25.00
3020 NORTH SHORE DR Payment(s)
CHECK 8566 25.00
WAYZATA,MN 55391-
OWNER
SWENSON,J&K
3020 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 Ciry 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
pertnits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not speci6ed 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 for a period of l80 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with[he 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
1�'Nd P.o.s�� ..,r..... ....�.,.,�.
z�so x�y�way Jc-,c�/�
Crystsl BeY�MN 55323 �R°0°�°d'
s � i'ho�:(952)249�600 Fsx:(95�24��ENED r�;c N„�,n� o i� a� $�
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�1� SM�RE
C�Y OF ORhNO
CITY OF ORONO - TENT PERMIT
(A11 tent permfts must be approved by the Fb�e Chie,f)
Teathifo�ina�ion:
Date of Event � Size of Tent(s}: d C Number of Tent(s):�
Does the teut hsve sides? No Yes � �
Ple�se include F�re Relandarrt l�fo�atioir{rorn the rsntal cw�g�ny.for't�t(s)AND a ck
or I�naw�itB af wlEtere the te.�t wr71 be lucated on t�re nroo�erlu along with tlt�s appl3car�tott
4+�r;I�f4am�tion: ..:�
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Home Phane: �� �-" '?�I I�" �2.ff j Alternate Phone: ��.'ZZ,( ' ?O'�
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Contractor/App.: Contact Pexsan: ���Q� Dy�d h'1�.G�1 P�
Address: ��� � �PA .f�r City: �/lAh i �'b�n�t Zip: 3�.� .��3
Phone: �.�� ��3 ``��--�� Alternate Phone_ ' �
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Fax: !,'}12-'" �y Z".S 1 �t� Email. ��»�,�.1�w r-��_S�Qr'�'y �
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T hwebY ePP�Y�a P�aod acimowkdge thst the informabiaa above is ao�e aad acauabr thet tde wudc will be in t
cooformaocewiththe ordina�ofthe Ctiy�Qrono mdtheM�Fine Codes;�ndlimdas4mdthiais mlyan applit�lion faa f
Pwa►it and vrork is t�to�ett withart a peamit �
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rmit APP�'�� Date Approved: �.
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�U�V � P.O.Box 66 l v�•�l� � v�L vl•u•
%�� ���� 2750 Kelley Parkway Date Received:
f Crystal Bay,MN 55323 p �+
�, � Phone:(952)249-4600 Fax:(952)249�4�6+E�VE� PermitNumber
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�"�KESF�o���� MAY � 4 ���� Permit Fee: $25.00
CITY OF Of20N0
CITY OF ORONO - TENT PERMIT
(All tent permits must be approvec�by the Fire Chie�
Tent Information:
�
Date of Event:� � ' � ��' Size of Tent(s): �� ��- �j � 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 DrawinQ of where the tent will be located on the property along with this application.
Owner Information:
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Site Address: �� �--�-� ��%' �����c �� u
Owner: -.-J ��C � � ���Tn��� '�t�a lingrAddress: -���`��'
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City: t ��� y�7���'"�%'� ,� /',�'1 ,.� Zip: �� "� C( (
Home Phone: � � �- ` `I 7 � � �Z-�,5 Alternate Phone: ��`J �-- � �2-� " ?G�`�
Contractor/Applicant Information:
Contractor/App.: :`-f � Contact Person: �..� �Z �G+��G�n'I�G� ��
Address: S c� �D � �-��(,�r� ���✓: City: �l L�q r �b� �Q Zip: �� �` Y-3
Phone: ��� "��1�a-3 �� �-y l� Alternate Phone: �_� >�o
Fax: ` a
�2- ` I / Z `" .5/ �� Email: � t,�3 ar�,af r�r,�c�I—�c.,p�.�� � �
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1 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 Minnesota Fire Codes;and I understand this is only an application for a
permit and work is not to start without a permit.
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Ap ' ants Signature/Date
Permit Approved By: Date Approved:
(T�t Pemtit OS/04/l 1)
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, . , IMPORTANT DOCUMENT
Cert�cate of�'Ctme �sistance
ISSUED BY Date of Shipment
05/20/13
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Registration Number � � �
F140.01 ��',`�NDU TRIE INC. Sales Order#
15146833
EVANSVILLE, INDIANA 47725
MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRI6ED HEREIN
This is to certify that the materials described are inherently flame retardant and were supplied to:
APRES INC PARTY TENT RENTAL
DBA APRES PARTY RENTAL
7625 CAHILL RD
EDINA, MN 55439
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Certification is hereby made that:
The articles described on this Certificate have been treated with a flame-retardant approved
chemical and that the application of said chemical was done in conformance with California Fire
Marshall Code. All fabric has been tested and passes NFPA 701-04, ULC 109.
Serial# 8157010C(1)
Description of item certified: CENTURY MIDDLE 60WX20 SNYDER
WHITE W/SUPER CLEAN WEBBING
Flame Retardant Process Used Will Not Be Removed By
Washing And Is Effective For The Life Of The Fabric
SNYDER MFG NEW PHILADELPHIA.OH
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Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC
City of Orono
2750 Kelley Parkway
Orono MN 55356 952-249-4600
Receipt No: 3.018057 May 2, 2017
Janet Rardon
Previous Balance: .00
License/Admin Permits
3080 North Shore Dr & 75.00
Tent
101-32180
Other Business License/Permit
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Total: 75.00
_______________
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Check
Check No: 8566 75.00
Payor:
Janet Rardon
Total Applied: 75.00
� ---------------
Change Tendered: .00
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05/02/2017 03:33PM