HomeMy WebLinkAbout1973-04-20 Permit, New Residence #2792w
APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: 1
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN PER2792
BEFORE PERMIT IS ISSUED (Please Frin) or TVDe)
1
SITE ADDRESS /}
a-/. c.c-t
2 DAT �7
C)
3
EGAL DiSCRIPTION 1 J
�l
A_/n/�
J PLAT NUMBER "'�r� PARCEL NUMBER
/ "
4
OWNER (Name) (Address)
(Tel. No.)
5
ARCHITECT (Name) ddress)
ITel. No l
6
BUILDER (Name) (Address)
(Tel No.)
i'
7
TYPE OF WORK
/( J-61.
8,
ill
SIZE OF STRUCTURE
9. NO OF STORIES
10 ESTIMATED COST
(Heightl (Width) IDepth)
COMPLETION DATE
12. PROPERTY DIMENSIONS
13, NO OF FAMILIES (If Apph,able)
14. TYPE OF CONSTRUCTION 15 PROPERTY AREA lb. LUST AREA PER FAJILY
SO FT SO FT '
17. FRONT YARD 118 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 hereir, 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 ruhnos of the Building Department.
SIGNATURE � � APPROVED
PERMIT FEE �JJ �•
.TATE FEE
'fil E: J
gnu L �1
TOTAL FEE —r� 7 " 5
ZONING DISTRICT
FIRE ZONE �' X
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
Iq
MATERIA F LE WITH
,dg,4 -- ,Ar_ 7�
OFFSTREET PARKING
CONSTRUCTION
FOOTING _ 7.3
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY