HomeMy WebLinkAbout1972-03-03 Permit, New Residence #2628APPliariON FOR BUILDING PERNUT
AND aUTIFKATE OF OCCUPANQ
VIUAOE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Ple»s« Pnnl or Typo)
1 SITE ADDRESSDDRESS . ^
^^egal ^scr Tption ^Q
PERMIm 2628
PERMIT FEE
STATE FEE _
V ^ ■ 3/JT c
PENALTY FEE,
TOTAL FEE___r h O
ZONING DISTRICT
.^TE
^ -^''7'7
PLAT NUMBER PARCEL NUMBER
4. OWNER (Namol
€. 4 fl fOo / r
(Address)
S. ARCHITECT (Name)(Address)
(Tel No.)
(Tel. No.)
6. BUILDER (Njjne
Oa
(Address)(Tel No )
a vr\ ^
1. TYPE OF WORK^
Ke.6
8. SIZE OF STRUCTURE
(HeigM) (Tb
11. COMPLETION DATE
14. TYPE OF CONSTRUCTION
17. FRONT YARD
9. NO. OF STORIES
/- LU O
12. PROPERTY DIMENSIONS
15. PROPERTY AREA
SO FT
18 REAR YARD
10 E^IMATEDCOST
CO o
13. 1^ OF FAMILIES (If Applicable)
16. LOST AREA FiR 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,
and rulings of the Building Department.
SIGNATURE
uMj<'
£i o
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING.V 3- -■7-i
c &
A-
FRAMING / A4>C
A'ljo
P.
(
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE
APPROVED