HomeMy WebLinkAbout1971-11-08 Permit, New Residence #2605APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
PERMIT NO
SPACES NUMBERED I THRU 13 MUST BE FILLED IN
�i 0
BEFORE PERMIT IS ISSUED (Pies%@ Pant or Type)
L
1 SITE ADDpESS2
DATE
3EL DESCRIPTION _
�i
� PLA UMBER
,yyNER
M
PARCEL NUBER
(Name)___._
4 OWNER
(Address) (Tel. Nol
5 ARCHITECT (Name)
(Address) (Tel, No.)
6 BUILDER. IName) (Address) (Tel. No I
W� ---
7 TYPE OF WORK
�/lti/ l/L e_A_,
0 SIZE OF STRUCTURE 9 NO OF STORIES
(He.dH) (W�oI (Depth)
11 COMPLETION DATE 12 PROPERTY DIMENSIONS
14 TYPE 1 TRUCTION 15 PROPERTY AREA
t'4— SO F T t)C 4)
17 FRONT YARD 10 REAR YARD
10. ESTIMATED COST
�� 07 O C r
13. NO OF FAMILIES 111 Applicable)
16 LOST AREA PER FAMILY
SO FT
19 SIDE YARDS
r ! Cbrn ✓e' 4/
flit
I
ACKNOWLEDGEMENT AND SIGNATURE:
rhe undersigned hereby represents upon all of the penalties of
law, for the purpose of Inducing the VILLAGE OF ORONO to take
tte action herein requested, that all statements herein are true
and that all work r =r ell: ir-ntloned will be done in accordance with
the ordinance of the VILLAGE OF ORONO, the State of Minnesota,
and rulings of the Bulldlnq Department.
c �
SIGNATURE A►►ROVE '
r— '--1
OERMIT FEE //, J
STATE FEE /6 --
PENALTY
6PENALTY FEE
TOTAL FEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING a I o ai l TD
��- 4'o
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATF BY