HomeMy WebLinkAbout1972-05-10 Permit, New Residence #2648APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED I THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type)
1 SITE %%/�s'J
DDRESSCi l- "i
3. LEGAL DESC
r LAT NUMBER
A. p *j (Name)
/(-t 1'."T 4"
5. ARCHITECI (Name)
6 BU.LDER
PERMIT NO
N° 2648
2 DATE
S-72
Y( PARCEL NUMBER
IF Mress) I (Tel No I
ITO. No.)
7IAessl ITeI. N,1
/,1B /. II/ W %%-!
7. TYPE OF WOR
S. SIZE OF STRUCTURE 9. NO, OF STORIES
(Haight) (Width) (Depth)
11. COMPLETION DATE 12. PR PERTY DIMENSIONS
14. CfTPE OF CONSTRUCTION 15. PROPERTY AREA
I SO FT
17. FRONT YARD 118 REAR YARD
/ze �rc
10 ESTIMATED COST
13. NO Ot FAMILIES (I! Applicable)
_OST AREA PER FAMILY
FT
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.
SIGNATURE APPRO D
PERMIT FEE / " /.
STATE FEE � • it o
PENALTY FEE TOTAL FEE 1 / 6 S in
ZONING DISTRIC n
FIRE ZONE L
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION ^
FOOTING r �y O N
M �
FRAMING U 4
,
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE By
O� I