HomeMy WebLinkAbout1973-09-22 Permit, New Residence #2872APPliaTiON FOR BUILDING PERMIT
AND aRTIFKATE OF OCCUPANa
VIUAOE OF ORONO, MINNESOTA
OIHECTIONS;
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Pleas* Print or Type)
1 SITE ADDRESS
PERMIT NO.
N9 2872
Ak
PERMIT FEE • h nn
STATE FEE
vS/VC-
Al, oo
£i-7S' c ®
TOTAL FEE
20NING DISTRICT
2. DATE
<;Y/t rx-i- 22
3 LEG^ DESCRIPTION'Tr V PLAT NUMBER
4. OWNER
Rod
(Name)
PARCEL NUMBER 3>?)OCi
(Address)(TeL No.)
5 ARCHITECT
T/?A<iy
(Name) f”(Address)(Tel. No.)
$ BUILDER (Name)(Address) (Tel. No.)
D»-v 1?oi£i?ig/^ 1?JL. 9-73i'S-n
7. TYPE OF WORK
A/ £.00' /-t-o M r2
8. SIZE OF STRUCTURE
(Hei^l) (Width) (Dep^)
11. COMPLETION DATE
PA'd a/
14. TYPE OF CONSTRUCTIONoi^oi^
17. FRONT YARD
9. NO OF STORIES
L
12. PROPERTY DIMENSIONS
15 PROPERTY AREA
SO FT
18. REAR YARD
!3 5^
10. ESTIMATED COST
13. NO. OF FAMILIES (If Applicable)
/
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FCXDTING \0
16 LOST AREA PER FAMILY
SO FT
19. SIDE YARDS
lo'— ty
CUX,yY\-2LA.L y'
lf\K
ACKNOWLEDGEMENT AND SIGNATURE
The undersigned hereby represents upon a!I 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 work herein mentioned will be done in accordance with
the ordinance of the VILLAGE OF ORONO, the State of Minns ota,
and rulings of the Building Department.
SIGNATURE
FRAMING
FINAL
7.‘5
CERTIFICATE OF OCCUPANCY ISSUED
e-
DATE A
■. f. ■
1
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