HomeMy WebLinkAbout1972-07-07 Permit, New Residence #2679AMATION FOR BUILDING PERM
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type)
1 SITE ADDR
/
3 GAL OESCRIPTI
PLAT NUMBER l•
1. OWNE�
(
rife--'Na)
e 0% In a-
5 ARCHITECT
(Name)
6 BUILDER
(Namel
�o01)�P'7-,1
-Ar'•
7. TYPE OF WORK
J '
PERMIT NO
N° 2679
2 DATE
7- •7 - 7 v
QA&A.RCEL NUMBER
(Address)
ITeI. Not
(Address)
(Tel No.I
lA—ddress)
' '"v&
,tn (Tel No 1
't7j/u",
!. SIZE OF STRUCTURE 9. NO OF STORIES
(Height) (Width) I th) O
t/
ill. COMPLETION DATE 12. f ROPERTY DIMENSIONS
11_ TYPE OF CONSTRUCTION 15. PROPERTY AREA
_ SO FT
17. FRONT YARD 1 18 REAR YARD
10. ESTIMATEU COST
ge9 4000
13 NO, OF FAMILIES (1f Applicable)
16. LOST AREA PER FAMILY
SO FT
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,
nd rulings of the Building Department.
SIGNATURE APPROVED
PERMIT FEE /v "
STATE FEE (.� • C- i�
PENALTY FEE / C
TOTAL FEE
ZONING DISTRICT
Ca / lam'
FIRE ZONE A
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
VST R UC T I ON
'DOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE �- �/,.�� BY .