HomeMy WebLinkAbout1973-02-15 Application for Building PermitAPPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type)
1 SITE ADDRESS _
3 LEGAL DESCRIPTION
4 OWNER
t.�
5. ARCHITECI
6 BUILDER
7 TYPE OF WORK
8 SIZE OF STRUCTURE
(Height) (Width)
11 COMPLETION GATE
PERMIT NO
N�
2. DATE
PLAT NUMBER PARCEL NUMBER
(Name) (Address)
(Name)
(Name)
(Depth)
- �.
(Address)
(Address)
9. NO. 4W STORIES
12 PROPERTY DIMENSIONS
14 TYPE OF CONSTRUCTION 15 PROPERTY AREA
l SD FT - _ 117 FRONT YARD 18 REAR YARD
2766
( Tel Nu I
4173 _ � ) f�
(Tel. No
(Tel. No.
10. ESTIMATED COST
13. NO. OF FAMILIES (lf Applicable)
16 LOST AREA PER FAMILY
SO F T
19 SIDE YARDS
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the penalties of
law, for the purpose of inducing the ILLAGE OF ORONO 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 ORONO, the State of Minnesota,
and rulings of the Building Departmvnt
SIGNATURE APPROVED
PERMIT FEE Z,
I
STATE FEE � I
PENAL- TY FEE
TOTAL FEE t - O
1
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
F INAL
CERTIFICATE OF OCCUPANCY Igk*D
DATE
13Y