HomeMy WebLinkAbout1972-07-06 Application for Building Permit, Septic SystemAPPMATION FOR RUILDIN rERMR
AND WTOCATE OF OCCUPANCY
VILLAW OF ORONO, MINNESOTA
l (RECTIOPIS: -- — - 'PERMIT NUMBER
SPACES NUMBERED 1 TNRU 13 MUST BE FII LED ;N
BtPORE PERMIT IS 1 WED 1►I•o� P -I o, Tr
z DATI1
3 LEGAL DE SC I►TION
PLAT NUMBER PARCEL NYMSE11
t. OWNER �(Nw) IAN7�
#--I)
S ARCHITRCT (NR1wn) (ANHHR)
B. SUBDER _ (Ne,II�I Add,n„
T. TTPE 01 WORK A C
_ /
NEW CONSTRUCTION Y ALTEf ATIONS ❑
FINISH BASEMENT PORCH :7 GARAGE
S. $1n Of SnE►`C�ITM p�y�J • NO OF STORIES
Ir
— --' (Tel. NRJ
ITd. BM.1
Tot No
ADDITION „ FINISH ATTIC 0
REROOF RESIDE MISC _
10 ESTIMATED COST
II COMPLETION DATE 17 PROPERTY DIMENSIONS 13 NO OF FAMILIES III AppLioblo'
WIDTH DEPTH
It TYPE Of CONSTWCTION 13 PROPERTY AREA 1e LOT AREA ►ER FAMILY
SO FT SO. FT.
1P. MOW TAM 16 REAR TAM 19. SIDE YAM
FT (1) ET Ii) FT ft 1 . 3 FT
:A 110011 AMA APPOITKWWNT
LOS, AREA
FT
FT
JOZ
__XEl_ _i Kl,[,i�(Q It,")�_ - ,_ _._ _ Se. FT.
AOOK"n FLOOR AREA so FT
ACKN0WLEOGNIENT AND SIG\A'1'1 RVU
The undersigned herchs• npn-ccnh 111xr1l .111 of the lxrwitic-% of lieu, for NFe
prrpFse of inducing the Village: of Orono to file the action hercio n''yyucsted. that
all statements hefem arc trot ind that all work herein mcutiowl still he dooc hl
Aclor(Lance with the ordinance of file Village of Orolto. the State of \Iinlle-Not.I,
u r Ilinlh o the il<linY� 1)clxutnlcnt.
fiGNATUR11 APP11011RD
PERMIT FEE
PIAN CHECK FEE
PENALTY FEE
TOTAL PEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
OFFSTRIET PARKING
SPACES REO
SPACES ON PLAN
LOADING BERTHS
NUMBER REO,
NUMBER PROVIDED _
SIZE Of EACH
N11MSl11OF000WMAMTS04 SEATS
OCCLTPAWS _^ .
seAn
MATERIAL PILED WITH APPLICATION
BOIL vase z!
PILING LOGS 0
PLANS B SPECS. O SETS
SURVEY 0 COPIES
PROPOSED GRADE FOUNDA•1ON
IN RELATION TO CURB OR CROWN
OF STREET:
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY