HomeMy WebLinkAbout1972-12-12 Building Permit, New Residence #2756APPIKATION FOR BUILDING PERNUT
AND aUTIFKATE OF OCCUPANa
VIUAOE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED |PI«ast Print or Type)
1 SITE ADORE
'Ss'O X^/O.
""“N? 2756
2. DATE
'13- '1^
3 LEGAL DESCRIPTION
PLAT NUMBER PARCEL NUMBER
4 OWNER (Name), /fi.(Address)(Tel No )
5. ARCHITECl (Name)(Address)(Tel. No.)
6 BUILDER (Name)(Address)
7. TYPE OF WORK
cJeA-
(Tel. No.)
8. SIZE OF STRUCTURE
(Height) / (Width)/ (C)m$i)
11. COMPLETION DATE
14. TYP^;TJF CONSTRUCTION
(d/LCLATASi, ■
17. FRONT YARD
9. NO OF STORIES
¥12 PROPERTY DIMENSION!// a.
15 PROPERTY AREA
SO FT
18. REAR YARD
10. ESTIMATED COSTtiLDO O
13. NO. OF FAMILIES (If Applicable)
/
16. LOST AREA PER FAMILY
SO FT
19. SIDE YARDS
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the penalties of
law, for the purpose of inducing the VILLAGE OF OFtONO to take
the action herein requested, that all statements herein are true
and that all work herein mentioned will be done in accordance with
the ordinance of the VILLAGE OF OROMO, the State of Minnesota,
and rulings of the Building Department.
■^,LlUiu
SIGNATURE APPROVED
PERMIT FEE /‘lo -s'
STATE FEE M-o ^
PENALTY FEE
TOTAL FEE__
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING /y. XO -
FRAMING
FINAL
X- /S-73
CERTIFICATE OF OCCUPANCY ISSUED
DATE