HomeMy WebLinkAbout1977-02-02 Permit, New Residence #3456I, shaD
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APPIICATION FOR BUIIDING KRMIT
AND aniFKATE OF OCCUPANCY
YlllAOE OF ORONO, MINNESOTA
OINECTKMS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (PImm Print or Typ«)
1 SITE ADDRESS
PERMIT NO.
NO 3456
2. DATE
<a-A-n
3. LEGAL DESCRIPTION
PLAT NUMBER PARCEL NUMBER
4. OWNER (Nam«|
S ARCHITECT (Nam«|
|A(Mr«st)
(Address)
6. BUILDER (Nwne)(Address)
(Tel. Nn.)
(Tel. No.)
(Tel No )
7. TYPE OF
c/k!’ 1-“^
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the penalties of
law. for the purpose of inducing the VILLAGE OF ORONO to take
isTe 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 Department.
StONATURI
/ Sac- c-A —
r ^
PERMIT FEE
STATE FEE
PL CK 9S.S'o
V V V ve VM MM
- TOTAL FEE 3c33-i 0
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
%. SIZE OF STRUCTURE
(Hsi^t) (Width) (Ospth)
^/c 3^
9. NO OF STORIES
/
10 EyiMATEDCOST
^ oo 0
n. COMPLETION DATE 12. PROPERTY DIMENSIONS 13. NO. OF FAMILIES (If Applicable)
j
14 TYPE OF CONSTRUCTION 16. LOST AREA PER FAMILY
so FT SO FT.
17. FRON YARD 18. REAR YARD 19. SIDE YARDS
-Ml________
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY tSUED
DATE
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