HomeMy WebLinkAbout1973-01-30 Permit, New Residence #2763APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
PERMIT NO.
SPACES NUMBiRED 1 THRU 13 MUST BE FILLED IN
N 2763
BEFORE PERMIT IS ISSUED IPlease Print or Type)
1 SITE ADDRESS %
an �a ►�a�, (/
2. DATE
r p -- 3
3. LEGAL OESC TION
P / t
/C"
Q�yf a� PLAT NUMBER •y ARCEL NUMBER
4. OWNER (Addressl (Tel. No.I
/Nernel
-11,
S. ARCHITECT (Name{ (Address) (Tel. No.)
6 BUILDER (Name) (Address) (Tel. No.)
7 TYPE OF WORK
6. SIZE OF STRUCTURE
9. NO. OF STORIES
10. ESTIMATED COST
I/4n0q IWC 1 (Depth-
/
11. COMPLETION DATE
12 PROPERTY DIMENSIONS
13. NO. OF FAMILIES Ilf Applic lel
14 TYPE OF CONSTRUCTION
15 PROPERTY AREA
16 LOST AREA PER FAMILY
90, FT
SO. FT.
17. FRONT YARD
16. REAR YARD
19 SIDE YARDS
I1 0 -n c l� C
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the oenalties 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 APP*OViD
PERMIT FEE
TATE FEE _
FEE
TOTAL FEE
ZONING DISTRICT l
FIRE ZONE J
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FIL IT/N_ n
il � X" "�
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
i
DATE r" !. Ry j!