HomeMy WebLinkAbout1976-06-07 Permit, New Residence #3282APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IV
BEFORE PERMIT IS ISSUED (Pler.e Print or Type)
1 SITE ADDRESS
3 LEGAL DESCRIPTION
/f'/ (/ `/</ / PLAT NUMBER
• OWNER /IN1n II
? t
5 ARCHITEC', INamel
6 BUILDER Name)
7 TYPE Oi: WORK
---- PERIN 3282 2V
2 DATE (�
PARCEL NUMBER
(Address) (Tel. No.)
479-/7l/
(Address) ITO No)
(Address) (Tel. No 1
9 SIZE OF STRUCTURE
NO OF STORIES
10.
ESTIMATED COST
IHe.y,ll Iwldtnl loeptbl
19.
✓� ['�[ �
it COMPLETION DA -E
12
PROPERTY DIMENSIONS
13
NO OF FAMILIES III Applicable)
14 TYPE OF CONSTRUCTION
15
PROPERTY AREA
116
LOST AREA PER FAMILY
SO. FT
SO.
FT.
17 FRONT YARD
19.
_ _
REAR YARD
19.
SIDE YARDS
�0
90
70 /30
ACKNOWLEDGEMENT AND SIGI'%TUBE:
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
SIGNATURE A/►ROVED
SAe 35--e7, UU
00
PERMIT FEE /33 OO
STATE FEE ' AO
.CL /N r'/< co o
OGd1Ai�3c FEE
TOTAL FEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE By