HomeMy WebLinkAbout1972-10-02 Permit, New Residence #2734APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE. OF ORONO, MINNESOTA
DIRECTIONS:
"-.d— .
PERMIT NO
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN2734
Q
NO OF STORIES
BEFORE PERMIT IS ISSUED (Please Print or Type)
(D IN
it/ - O
1 SITE DRESS
2 DATE
PROPERTY DIMENSIONS
14 TYPE OF CONSTRUCTION
W
PROPERTY AREA
3 LEGAL DESCRIPTION
17. FRONT YARD
1 18
PLAT NUMBER
PARCEL NUMBER
4 OWNER Am—me�I
(Address)
(Tel No 1
5 ARCHIT'r_T I e)
(Address)
(Tel No I
6 BUILDER
Address)�--�(//j�
Yinne)
�
(Tel No I
7 TYPE OF WORK
10. ESTIMATED COST
Pr? on
13. NO OF FAMILIES (If Applicable)
16 },QST AREA PER FAMILY
SO FT
19 SIDE YARDS
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 a'I 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
SIGNATURE APPROVED l
PERMIT FEE
STATE FEE
PENALTY FEE
TOTAL FEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING 1h(
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DAT
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8 SIZE OF STRUCTURE
9,
NO OF STORIES
(Haighl) IW�dth
(D IN
it/ - O
11 COMPLETION DATE
11
PROPERTY DIMENSIONS
14 TYPE OF CONSTRUCTION
15
PROPERTY AREA
SO FT
17. FRONT YARD
1 18
_
REAR YARD
10. ESTIMATED COST
Pr? on
13. NO OF FAMILIES (If Applicable)
16 },QST AREA PER FAMILY
SO FT
19 SIDE YARDS
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 a'I 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
SIGNATURE APPROVED l
PERMIT FEE
STATE FEE
PENALTY FEE
TOTAL FEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING 1h(
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DAT