HomeMy WebLinkAbout1972-06-05 Permit, New Residence #2662APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES Nl1M8ERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type)
PERMIT NO
N G 2662
1 SITE ADDRESS
- A4
7 DATE
-f
3X;EGL DESCR TION/�J PLAT
NUMBER PARCEL NUMBER V 3 C
4. OWNER (Name)
7')',�W
(Address) ITeI. No
S ARCHITECT INamel
(Add,ess) (Tel No l
o BUILDER INamel
IAddressl (Tel No.I
7 TYPE OF WORE
PA I
!. SIZE OF STRU TUBE
IHeightl (Width) IDepthl
9. NO. OF STORIES
/
10. ESTJMI�TED COST
/a, �/-
v D
11, COMPLETION DATE
12. PROPERTY DIMENSIONS
0 NO. OF FAMILIES IN Applicable)
11. TYPE OF CONSTRUCTION
15 PROPERTY AREA
SO FT
16. LOST AREA PER FAMILY
ISO. FT
17. FRONT YARD
18 REAR YARD
19. SIDE YARDS
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon ail 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.
CA,
SIGNATURE APPROVEO
PERMIT FEE •5-O
STATE FEE �• tl
PENALTY FEE
TOTAL FEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
n
FOOTING
C->L J-
FRAMING -"• q
/0 r8•� l
a• �4& l
2� Lp
FINAL D Cc-4
• � 5 11 �
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY