Laserfiche WebLink
APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: PER Tr1�p <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN 3 516 <br />BEFORE PERMIT IS ISSUED (Please Print or Type) <br />1 SITE ADDRESS 2 DATE <br />SO ~l /�/ -� /3- 7 7 <br />3. LEGAL DESCRIPTION /BL <br />PLAT NUMBER PARCEL NUMBER <br />4. OWNER I (Name) l (Address) (Tel. No I <br />5. ARCHITECT (Name) (Address) <br />i. BUILDER (Name) (Address) <br />7. TYPE Of WOR <br />i <br />S. SIZE OI STRUCTURE 9. NO. OF STORIES <br />(Haight) (WiaM) (Depth) / <br />1. COMPLETION DATE 12. PROPERTY DIMENSIONS <br />14. TYPE OF CONSTRUCTION 15 PROPERTY AREA <br />9D.FT <br />17. FRONT YARD 10 REAR YARD <br />- 0?00 /QO <br />(Tel. No.) <br />ITe1. No) <br />10. ESTIMATED COST <br />13. NO Of FAMILIES (If Applicable) <br />16. LOST AREA PER FAMILY <br />SO. FT. <br />19. SIDE YARDS <br />rOWiRI! <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />The undersigned hereby represents upon all of the penalties of <br />law, for the purpose of inducing the VILLAGE OF ORONO to take <br />the action herein requested, that all statements herein are true <br />and that all work herein mentioned will be done in accordance with <br />the ordinance of the VILLAGE OF ORONO, the State of Minnesota, <br />and rulings of the Building Department. <br />SIGNATURE uaunven <br />iIue -;75-- <br />PERMIT FEE <br />q� sa <br />STATE FEE <br />O&l (?/< <br />P6&6":F* FEE <br />TOTAL FEE <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA <br />FLOOR AREA RATIO <br />MATERIAL FILE WITH <br />OFFSTREET PARKING <br />CONSTRUCTION <br />FOOTING <br />FRAMING <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />