HomeMy WebLinkAbout1976-09-17 Permit, New Residence #3377%
I
APPIICATION FOR BUILDING PERMIT
AND aRTIFiaTE OF OCCUPANQ
VILLAGE OE ORONO, MINNESOTA
SAC
JIKEC.
SPACES rAJMSEREO 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Pleas* Print or Type)
1 SITE ADDRESS
3 LEGAL DESCRIPTION
PER W 3377
PERMIT FEE
STATE FEE
PL CK
Y FEE
TOTAL FEE C.tD<'-Oo
ZONING DISTRICT
2 DATE
f- /?- 7^
4. OWNER (N«m«)
PLAT NUMBER ^ ^ PARCEL NUMBER ^
L _(Addresf)(Tel No )
5. ARCHITECT (Name)(Addrett)(Tel No )
6. BUILDER^ (Name) yf /Address)(Tel No )
7 TYPE OF f
«. SIZE 0# STRUCTURE 9. NO. OF
(Hei^O (Width) (Depth)
____SS._^
11. COMPLETION DATE
14 TYPE OF CONSTRUCTION
17 FRONT Yard
s^-ff
OF STORIES
12 PROPERTY DIMENSIONS
15 PROPERTY AREA
SO FT
ia REAR YARD
10. ESTIMATED COST
13. NO. OF FAMILIES (If Applicable)
FIRE ZONE
AGGREGATE FL(X)R AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET P:a RICING
CONSTRUCTION
FOOTING
16 LOST AREA PER FAMILY
SO FT
19 SIDE YARuS
ACKNOWLEDGEMENT AND SIGNATURE
The undersigned hereby represents upon alt 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 Minnesota.
FRAMING
FINAL
ia
•-’c
■’pi
CERTIFICATE OF OCCLtf>ANCY ISSUED
DATE