HomeMy WebLinkAbout1973-07-16 Permit, New Residence #2841APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: PERMIT NO.
SPACES NUMBERED 1 THRU 13 MUST BE r,LLED IN Q 2841 A 4 1 'I
BEFORE PERMIT IS ISSUED (Please Print or Tvoel o
1
SITE ADDREP
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<a�L T- 14
DATE
3.
L AL 0 SCR TION
itd
PLAT NUMBER ^T' () PARCEL
NUMBER
4
OWNER
Name) (Address)
J� I,, --
(Tel. No 1
>`
5.
ARCHITECI
ame)(Address)
(Tel No.)
6
BUILDER
(Nam 1 1f ^ (Address)
(Tel No 1
7
TYPE OF WORK
AA
8.
SIZE OF STRUCTURE
9 NO OF STORIES
10. ESTIMATE p COST
(Hei¢hU (Width)
(Depth)
c, /v
11.
COMPLETION DATE
12 PROPERTY DIMENS.ONS
13. NO. OFFAMILIES (If Applicable)
14. TYPE OF CONSTRUCTION 15. PROPERTY AREA 1b LOST AREA PER FAMILY
I
SO FT SO. FT
�17 FRONT YARD 1 18 REAR YARD 119 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.
Z�1�"Co -
SIGNATURE AP E
PERMIT FEE // - "5 Cl
STATE FEE
TOTAL FEE
ZONING DISTRICT
7
FIRE ZONE L
AGGREGATE FLOOR ARP
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREETPARKING
CONSTRUCTION
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE
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