HomeMy WebLinkAbout1972-08-16 Permit, New Residence #2699APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: PERMIT N0.
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN N `2 2699
BEFORE PERMIT IS ISSUED (Please Print or Type)
1 SITE AD ESS 2. DATE
3. LEGAL DE RIPTION r� J
/ PLAT NUMBER LU p,ARCEaLLNUMBER
(Name) fff (Address) (Tel. No I
5 ARCHITECT 11*me)
6 BUILDER A (Nane)
(Address)
(Address)
lei
PERMIT FEE
STATE FEE
PENALTY FEE
TOTAL FEE
ZONING DISTRICj n
FIRE ZONE
AGGREGATE FLOOR ARE/[/ or I
O
FLOOR AREA RATIO
MATERIAL FILE WITH
(Tel. No) OFFSTREET PARKING
ITeI No I
7 TYPE OF WORK / / //
a SIZE OF STRUCTURE 9. NO OF STORIES 10. ESTIMATED COST
11. COMPLETION DATE 12. PROPERTY DIMENSIONS 13. NO O FAMILIES (if Apphcaole)
14 TYPE Of CONSTRUCTION 15. PROPERTY AREA 16 LOST AREA PER FAMILY
SO FT SO FT
17. FRONT YARD 16 REAR YARD 19. SIDE YARDS
9! 1 1 S W
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 accordan— with
the ordinance of the VILLAGE OF ORONO, the State of Minnesota,
and rulings of the Bulldlnq Department.
SIGNATURE APPROVED
FOOTING O `� .7` cl
FRAMING
FINAL/
i� 71
- i Y✓J' L of � L.i I l ( ,
CERTIFICATE OF OCCUPANCY ISSUED
Aa 44L-4�
DATE f �'�jer ,q