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HomeMy WebLinkAbout2017-00877 - tent 1 i CITY OF ORONO * 2017 - 00877 * 2750 KELLEY PARKWAY DATE ISSUED: 08/03/2017 ORONO,MN 55356- (952)249-4600 FAX: 952)249-4616 ADDRESS : 4496 NORTH SHORE DR PIN : 07-117-23-31-0008 LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI : LOT 000 BLOCK 000 PERMIT TYPE : ACCESSORY STRUCTURE-TEMPORARY PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : TENT ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES NOTE: DATE(S)TENT(S)WILL BE UP:AUGUST 12,2017 SIZE OF TENT(S): APPLICANT TENT-TEMPORARY 25.00 BYFUGLIEN,DUSTIN Payment(s) TOTAL 25.00 4496 NORTH SHORE DR CREDIT CARD 7321 25.00 MOUND,MN 55364- OWNER BYFUGLIEN,DUSTIN 4496 NORTH SHORE DR MOUND,MN 55364- 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 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 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. Applicant Permitee Signature Date I s ed By Signature Date cilyatomm ©s Y� P.O.Bna66 2710f�tayFmdrney r�(M)2S4W Pay(=)?A9F4t 77 w�r MY OF ORONO-TENT PERAW (AM AWPers)ttt4 mwt be a rmved by the Pyre Mei MEN illa Date of Event "' 1 aim ofTangs): NumberofTo,Wa): Does flue tent have Sides? No Yee Please bxkide ax Oa reNW dompoWfor tent(s)AAWaStgj ee' pft��ateat+w�heteAraled oe�fre�e�atweg wtt{t this appkcaatfon. Sita Addm: FdA Owwr, C&.t�.L.��.��.� 13 4 Addmsa: 4M &t hrfd'p-DC, Ck: zip: 4. C,o�ac6ad&m.:�lk ?ells TC+ �paTcaf atpamn: Amour. Loe f I MCC*apply Eor s permit and uim osier*"so l AM is ooeogia6o end time the%U&Ta to in 1 17 ovaSo�aae wlth'Bb oidimeeegafthet�ty►ofQnoao and tie iFne CaleP,andI mi4�sdtii►�am�yan applia>�A4 Bos a Af IIZ pemdt u�d�uoslc ke mt to sleet aI�ovd speca� ..--•- --�� 1 2,6 13r. DataApp '� 1 t City of Orono i Y P.O.Box 66 2750 Kelley ParkwayCrj ,MN 55323 Phone:(952)24946001ac(952)2494616 �. �'�, G1 p,,aww.ei.orono.mn.us �'` - :::�?.:� -<}�.�;';�€,-.`•,,F:;..r �; CITY OF ORONO - TENT PERMIT (All tent permits must be approved by the Fire Chief) 1 l Date of Event-Av r l fi` 17,2,01?Size of Tent(s): 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 DDrawbw of where the tent will be bated on the gronerty along with this application. Site Address: y 47,01 ly©1-t L S�Ojle 11 Owner: E�A,-r k%-?& WbJ end. �n fi Mailing` Address: �/ �6 r9 S haPe C, City U Zip: ,7� 7 Home Phone: 4/66 Alternate Phone: n T4 Contractor/App.: a ��I14-c&4�`"� �P Contaet Person: W r )) � Address: j�C� l C.. teal cic leo City: / n ff).?f.0.1h 0o1 al zip: S 3-/3 Phone: �S2 /X2133 5"? Alternate Phone: Fax Email: Cti box k Q Ql prey S PC <OV''` ; 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 ordinancos of the City of Orono and dre Mr Fire Codes:andI understand this is oniyan application fore permit and work is not to start without a permit. A cants S' re/Date Permit Approved By: Date Approved: I I r a o. iy ti'm �n Y d ruit I v .au +a 44 m Z, Ian. _ � F ✓// ,,� `pry �' y � �,,,, ��' a,� trio- 77.o k { S y. o - = 1 ii it � moi;•. , ii; ?tr w e�% • IMPORTANT DOCUMENT Cert�a,j�icate of 27lame ftsistance ISSUED BY Date of Shipment 5/18/2015 Registration Number PCH0R F-140.01 INDUSTRIES INC. Sales Order# SO-616370 EVANSVILLE,INDIANA 47725 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described are inherently flame retardant and were supplied to: 643490 APRES INC PARTY TENT RENTAL DBA APRES PARTY RENTAL 7625 CAHILL RD EDINA MN 55439 USA 4• �ti0� ��pq O 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, ULC 109. Serial# 8108975(2) Description of item certified: CENTURY MATE EXPANDABLE MIDDLE 40W X 20 SNYDER WHITE VINYL Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric SNYDER MANUFACTURING INC,PHILADELPHIA PA Name of Applicator of Flame Resistant Finish Signed: ANCHOR INDUSTRIES INC