HomeMy WebLinkAbout1969-05-08 Application for Building Permit, Lot Rearrangement1 V If.” »
APPIKATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANQ
VIUAOE OF ORONO, MINNESOTA
DIRECTIONS;
SPACES NUMBERED 1 THRU IS MUST BE FI'.LED IN
BEFORE PERMIT IS ISSUED (Ploos* Print or Typo)
PERMIT NUMBER
PERMIT FEE
PUN CHECK FEE
PENALTY FEE
TOTAL FEE
ZONING DISTRICT
3. lEOAl DESCRIPTION
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4. OWNER (Nomo)
r PARCEL N
(Addftii)w.f ^ O (T«l. No.)
5. ARCHITECT ^omo)
"^JiLyn es
rv (Addr«st)
6. iUILDiU (Nom«)
(Ttl. No.)
(Ar^oii)(Ttl. No.)
7. npi Of wowc
NIW CONSTtUCTION □ ALTiiATiONS □ ADDITION □ fINISH ATTIC □
fINISM lASIMENT □ fOPCM □ GAiAGI □ tlHOOf □ »E$IDI □ MISC____________
f. SIZE Of STRUCTUEE
(Hoifht) (Width)(Dopfh)
9. NO. Of STORIES 10. ESTIMATED COST
II. COMPLETION DATE 12. PROPERTY DIMENSIONS
WIDTH DEPTH
13. NO. Of fAMILIES (If Applicoblo)
fIRE ZONE
AGGREGATE FLOOR ARIA
FLOOR AREA RATIO
OFFSTREET PARKIN
SPACES REQ.
SPACES ON PUN
LOADING lERTHS
NUMBER REQ.
NUMBER PROVIDED
SIZE OF EACH
NUMBER Of OCCUPANTS OR SEATS
OCCUPANTS
SEATS
14. TYPE OF CONSTRUCTION IS. PROPERTY AREA
17. FRONT YARD
FT.
20. FLOOR
USE
APPORTIC.NMENT
W. FT.
IB. REAR YARD
16. LOI AREA PER FAMILY
SQ. FT.
FT.
19. SIDE YARDS
FT (2) FT. ET. (1 x 2) FT.
iJStaXt" h__TtjOf... j(__FT
.......
M f e/Jn so. FT.
SO. FT.
AGGRCGATf FLQOI AREA SO. FT.
ACKXOWLEDCMEXT AND SIGNATURE:
The undcrsijjiiciJ hcrcbv represents upon nU n( the pennlties of hiw, for the
purpose of inducing the Vilfjge of Orono to take the action herein rcaucsted, that
all statements herein arc fnic and that all work herein men'^ioned will be done in
aecftrdanee with the ordinance of the \'illage of Orono, the State of Minnesota,
and rulings of the Building Deparfmenf.
MATERIAL FILED WITH APPUCATION
SOIL TESTS □
PIUNC LOOS
PUNS A SPECS. □ SETS
SURVEY □ COPIES
PROPOSED GRADE FOUNDATION
IN REUTION TO CURB OR CROWN
OF STREET;
CER1IFICATE OF OCCUPANCY ISSUED
DATE