HomeMy WebLinkAbout1976-10-07 Permit, Fireplace #3394r •
APPliailON FOR BUILDING KRMIT
AND aRTIFiaTE OF OCCUPANa
VIUAOE OF ORONO, MINNESOTA
DIRECTIONS;
SPACES NUMBERED I THRU 13 MUST BE EILLEO IN
BEFORE PERMIT IS ISSUED (Please Print or Typel
I SITE ADDRESS
3^0
PER W 3394
2 DATE
/<?■ 7- 7cr
3 LEGAL DESCRIPTION
PLAT NUMBER 4~[f PARCEL NUMBER CO ^
4 OWNER INamel (Addr«tt)(Tel No )
5 ARCHITECl (Name)(Addrtfi)(Tel No I
6 BUILDER (Name I (Address)(Tel No I
€t-€
7 TYPE OFF Wj^K ^
tit
STRUCTURE ~r NO OF STORIES ^8 SIZE OF STRUCTI
(Hei^ll IWidthI lOeplM
n. COMPLETION DATE
14 TYPE OF CONSTRUCTION
17. FRONT YARD
12 PROPERTY DIMENSIONS
15 PROPERTY AREA
SO FT
18 REAR YARD
10. ESTIMATED COST
13. NO. OF FAMILIES (If Appltrable)
16 LOST AREA PER FAMILY
SQ FT
19 SIDE YARDS
acknowledgement and SIGNATURE:
The undersigned hereby represents upon ell of the penalties of
law. for the purpose of inducing the VILLAGE OF ORONO to take
the action herein requested, that all statements herein are true
and that all wort, herein mentioned will be done m accordance with
the ordinance of the VILLAGE OF ORONO, the State of Miraiesota,
PERMIT FEE ^ O
STATE FEE
PENALTY FEE
TOTAL FEE /a, !TC>
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTP«^ET PARKING
CONSTRUCTION
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DAT!
j
i