HomeMy WebLinkAbout1977-03-23 Permit, New Residence #3478APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: PERMIT NO
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN n
BEFORE PERMIT IS ISSUED (Please Print or Type) 8
1 SITE ADDRESS _ 2 DATE
0
3 LEGAL DESCRIPTION
PLAT NUMBER q O`7 / PARCEL NUMBER r650e`
1 OWNER INamel��� (Address) (Tel No.)
/ �'j��.,
5 ARCHITECT IName) (Address) (Tel No l
6 BUILDER (Name) (Address) )Tei Nc 1
7 TYPE OF WORK
/;
IS SIZE OF STRUCTURE 9 NO OF STORIES 10 ESTIMATED COST
(Height) (W,dth) (Depth)
xoj� 4ff 13 �NCJ
11. COMPLE1ION DATE 12 PROPERTY DIMENSIONS 13. NO. OFf FAMILIES pf Appl.,able)
114 TYPE OF CONSTRUCTION PROPERTY AREA 16 LOST AREA PER FAMILY
--LSO FT 50 FT
17. FRONT YARDF
REAR YARD 19. Slot. -ARDS
I / 5 C-� - /DO 4o p `c
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 will be done in accordance with
the ordinance of the VILLAGE OF ORONO, the State of Minnesota,
and rulings of the Building Department.
�SIATUIRE /, pROy
� iso
Sl� 375
PERMIT FEE 4((. I/
STATE FEE
;&" � C/
79 r o
+Y FEE
}�
cyO
TOTAL FEE _ 49Q /;—
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY