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APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: PERMIT NUMBER <br />SPACES NUMBERED 1 THEM 11 MUST BE flllEO IN <br />BEFORE PERMIT IS ISSUED (Noose Print or Tree) <br />01 c <br />PLAT NUMBER r�`Q PARCEL NUMBER - <br />4. OWNER (NORM) (Address) (Tel. No.) <br />S. ARCHITECT (Hone) (Address .. No.) <br />(Tel. No.) <br />7. TYPE OF WORK <br />NEW CONSTRUCTION ❑ ALTERATIONS ❑ ADDITION O FINISH ATTIC ❑ <br />FINISH BASEMENT ❑ PORCH O GARAGE ❑ REROOF O RESIDE ❑ MISC. <br />-- -- --------- - <br />--- -- - -- <br />B. SIZE OF STRUCTURE 9. NO. OF 57021119 -- <br />10. ESTIMATED COST <br />(Height) (Wid1h) (Depth) <br />11. COMPLETION DATE 12. PROPERTY DIMENSIONS 13. NO. Of FAMILIES (1/ Applim") <br />14. TYPE OF CONSTRUCTION <br />13. PROPERTY AREA <br />111. <br />LOT AREA PER FAMILY <br />SQ. FT. <br />17. FRONT YARD <br />18. REAR YARD <br />19. SIDE YARDS <br />m <br />(1) FT (2) fT. ET. O 1t Z) FT. <br />20. FLOOR AREA APPORTIONMENT <br />-- ---_ <br />USE. AREA <br />:t7SO. FT. <br />-- - - ------ - <br />- _ . _ _ SQ. FT. <br />--------- - — - <br />$Q. FT. <br />AGGREGATE FLOOR AREA <br />FT <br />ACKNOWLEDG1fENT AND SIGNATURE: <br />The undersigned hereby represents upon all of the penalties of law, for the <br />purpose of inducing the Village of Orono to take the action herein requested, that <br />all statements herein arc true and that all work herein mentioned will be done in <br />accordance with the ordinance of the Village of Orono, the State of Minnesota, <br />and rulings of the l3uilding Dcpartincut. <br />-- <br />SIGNATURE APPROVED <br />PERMIT FEE — <br />PLAN CHECK FEE _ <br />PENALTY FEE _ <br />TOTAL FEE —_— <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />OFFSTREET P/ RKING <br />SPACES REQ. <br />SPACES ON PLAN _ <br />LOADING BERTHS <br />NUMBER REQ. __ <br />NUMBER PROVIDED <br />SIZE OF EACH _ <br />NUMBER OF OCCUPANTS OR SEATS <br />OCCUPANTS _ <br />SEATS <br />MATERIAL FILED WITH APPLICATION <br />SOIL TESTS ❑ <br />PILING LOGS ❑ <br />PLANS L SPECS. ❑ SETS <br />SURVEY ❑ CONES <br />IROPOSED GRADE FOUNDATION <br />N RELATION TO CURB OR CROWN <br />X STREET: <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />