HomeMy WebLinkAbout1973-07-16 Permit, New Residence #2843APPLICATION FOR BUILDING PERMIT
AND CERTIFKATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
PER
2843
BEFORE PERMIT IS ISSUED (Please Print or Type)
1 SITE AD RESS 2. DATE
73
3. LEGAL DESC TION
PLAT NUMBER PARCEL NUMBER
1. OWNER •1 (Address) (Tel. No.I
!
S. ARCHITECT (Name) (Address) (Tel No)
6 BUILDER (Name (Address) (Tel. No.)
7 TYPE OF WORK
S. SIZE OF STRUCTURIE
9. NO. OF STORIES
10. ESTI ATED COST
IHeight) (Width) IDepth)
11. COMPLETION DATE
12 PROPERTY DIMENSIONS
13. NO. OF FAMILIES (It Applicable)
11 TYPE OF CONSTRUCTION 15. PROPERTY AREA 16 LOST AREA PER FAMILY
_ SO FT SO. FT
17. FRONT YARD 18. 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.
SIGNATURE ---
PERMIT FEE
•
STATE FEE
,
•/��
0
PENALTY FEE IJT�
TOTAL FEE
ZONING DISTRICT
/ l
FIRE ZONE CZ`�/�/7--�
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
�UATE._