HomeMy WebLinkAbout1976-05-27 Permit, Addition #3276APPLICATION FOR BUILDING PERM
AND CERTwan OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTION{: -
PERMIT NO,
SPACES NUTADERED 1 THRU 13 MUST BE FILLED IN
AI Q
N 3276
BEFORE PERMIT IS ISSUED (Please Print or Typal
1 SITE ADDRESS
2. DATE
a4O ! /c C
3. LEGAL DESCRIPTION
rr PLAT NUMBER 45�5 (� PARCEL NUMBER
b- 4101
♦ OWNER (Name) (Address) f (Tel. No.)
S. ARC C1 (Namel (Address) (Tel. No.)
6 BUILDER INN") lAddress) (Tel. No.)
7. TYPE OF "K
1g.SIZE
OF STRUCTURE
9. NO. OF STORIES
10. ES-IMATED COST
(Hint) IW.dth) (Depth)
11 COMPLETION DATE
12. PROPERTY DIMENSIONS
13. FAMILIES (If Appl.cablel
14. TYPE OF CONSTRUCTION 15 PROPERTY AREA 16 LOST AREA PER FAMILY
SO FT SO FT
17, FRONT YARD 18 REAR YARD 19 SIDE YARDS
d.s f
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the penalties of
law, fo- 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.
--{1--- L
91Gl/ATUIIE--� i APPROVED
fy i SO.vO
l 0.
PERMIT FEE
STATi FEE —3o
dL !G , A,
M1f/aWED F E E
• /,
TOTAL FEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATErIIAL FILE WITH
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY