HomeMy WebLinkAbout1975-11-03 Permit, New Residence #3159APPLICATION FOR BUILDING PERM
AND CERTIFKATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: PERMIT NO
SPACES MLOMERED 1 THRU 13 MUST BE FILLED IN N V 315 9
BEFORE PERMIT IS ISSUFn IPI.... P—t — T-1
1
SITE ADDREIS
2 T
7
LEGAL OESC IP TION
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PLAT NUMBER C PARCEL M1A6lER O
4
S
OWNER
ARCHITECT (Name)
I (Address) /'� 1 ITN No)
C /1.ti%�4+✓ 1 d� - JS�
(Address) ITN No)
6
BUILDER (Nemo)
(Address) ITN. No)
7
TYPE OF WORK
4�
a.
SIZE OF STRUCTURE
9 NO OF STORIES
10 ESTIMATED COST
(Ne1yM ) 1 W
(Depth)all(Depth)K
11
C061PLETION DATE
12 P ROERTY DIMENSIONS
13. NO OF FAMILIES (if Applicable)
r. 1 r►e V► I.\Aei I RVI. I KJW 115 YRU I:RTT AREA 1/. 1-w1 ARtA eER FAMIL Y�
SO FT SO FT
17 FRONT YARD III REAR YARD 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 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
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SIGNATURE APPROVED
k V"' ads Lea 'e
SA-,(!, 3�S'olo
PERMIT FEE iI/ A �D _
5�yILr TE FEE
TOTAL FEE •-�
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
/a o0
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY