HomeMy WebLinkAbout1973-03-02 Permit, New Residence #2775APPlKATiON FOR BUILDING PERMIT
AND CERTIFKAn OF OCCUPANQ
VUlAOf OF ORONO, MINNiSOTA
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
the action herein requested, that all statements herein are true
and that all work herein mentioned ^iII be done in accordance with
the ordinance of the VILLAGE OF ORONO. the State of Minnesota,
and rulings of the Building Department.
»ERMIT FEE^ t P <0PERMIT FEE________________
STATE FEE /P * O ^
o o
^ I M I c
DIRECTIONS:
SPACES NUMBERED t THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Ploa»t Print or Typt)
PERMIT NO. -
N9 2775
"n. n.... Q- es 2. DATE
3. JLES^^SCRIPTION
It PLAT NUMBER PARCEL NUMBER C C
4. OWNER (Nim*)(Addrost)(Tel No.)
_______<Jgj.
$. ARCHITECT (Namt|(Address)(Tel. No.)
S. BUILDER (Nam*>
ICJ
(Address)(Tel. No.)
7. TYPEOFWORI/ ^
S. iHZE OF STRUCTURE
(Htidtii
9. NO. OF STORIES
t-~ Uf o.
10. ESTIMATED COST
o o o
11. COMPLETION DATE 12. PROPERTY DIMENSIONS
»
13. NO. OF FAMILIES (If Applicable)
14. TVPUJP CONSTRUCTION
flTA /n
IS. PROPERTY AREA IS. LOST AREA PER FAMILY
SO. FT SO. FT
17. FRONT YARD
^o'
18. REAR YARD 19. SIDE YARDS
TOTAL FFF s. P
ZONING OISTRW /b
FIRE ZONE
AGGREGATE F
FLOOR AREA RATIO
MATERI Ak^mE WITH
in 'h'S
OFFSTREET PARKING
CONSTRUCTION
FOOTING f<9~o -
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
V-A,
V •*!t
DATE
Bitaei