HomeMy WebLinkAbout1968-06-13 Permit, New Residence#2065APPIKATION FOi BUIUNNG PERNUT
AND camnan of occuPANa
VUAM or ORONO, MMNISOTA
DIRfaiONSt
SPACfS NUMREKO 1 THRU 13 MUST K PIllED IN
■tfORt RERMIT IS ISSUED (Plooio Print or Typo)
1. SfTE7n>DRESS
PERMIT NUMRER
2. DATE
3. LEGAL DESCRIPTION
PLAT NUMRER PARCEL NUMRER OO
4. OWNER
5. ARCHITECT
(Nanw) (Addroti) ^ ^
Q. n__, U/dL^t/
(Nomo) (Addroti) ^ ' (y
(T«l. No.)
(Tol. No.)
4. RUILOER (Addroity (Ttl. No.)
Hr7j^A^ - 3- __
7. TYPE OP WORK yV
NEW CONSTRUCTION ALPMATIONS □ ' ADDITION □ FINISH AHIC □
FINISH EASEMENT □ PORCH □ GARAGE □ REROOF □ RESIDE □ MISC..
R. SIZE OF STRUCTURE
(HolfhO
11. COMPLETION DATE
14. TYPE OF CONSTRUCTION
17. FRONT YARD
FT.
9. NO. OF STORIES
13. PROPERTY DIMENSIONS
WIDTH DEPTH
15. PROPERTY AREA
SO. FT.
1R. REAR YARD
FT.
10. ESTIMATED COST
13. NO. OF FAMIUES (If Applicoblo)
14. LOT AREA PER FAMILY
SO. FT.
19. SIDE YARDS
(1) FT (2)__FT. ET. 0 m2) ___FT
20. FLOOR AREA APPORTIONMENTuse.AREA
SO. FT.
SQ. FT.
AGGREGATE FLOOR AREA
__ SQ. FT.
SQ. FT.
ACKNOWLEDGMENT AND SIGNATURE:
PERMIT PEE ^ 0
PLAN CHECK FEE
PENALTY PEE (
TOTAL PEE S O C
ZONIP4G DISTRICT
7^(>.t>
FIRE ZONE
J-i.
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
OFFSTREET PARKING
SPACES REO.
SPACES ON PLAN
LOADING lERTHS
NUMBER REO.
NUMBER PROVIDED
SIZE OP EACH
NUMRER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS □
PIUNG LOGS □
PLANS A SPECS. □ SETS
SURVEY □ COPIES
PROPOSED GRADE FOUNDATION
IN RELATION TO CURR OR CROWN
OF STREETt
CERTIFICATE OP OCCUPANCY ISSUED
DATE RY
accordance with the ordinance of the Village of Orono, the State of Afinnesota,
and nthngs of the Bnildine Department y\ // /
SICNATURB 0 APPROVBO
Vr
VIUAGI OP ORONO BUILDING PERMIT
owMK t)'
AOOtns ^63 Cq^r^ 4:LtPSo.e^
mom NO. l\JoL
niRPOsi OP BuaoiNO
m MJILMR i/lryi // /ADDRHS
PHONE NO,H'13-
2065
Sm. No.Poreol Block AcMition or Subdivision
LAND DESCRIPnON f BUUDINO LOCATION
Sizo of Lot Dis. From Rood
Lond Sq. Ft. Dit. Sidos
Elovotion Dis. Bock
Droinogo
VENTILATION AND LIGHT
Percentoge of Floor Area Vent. ^
Percentage of Light to Floor Area
UNTEU
Size Span
LocationCONSTRUCTION
Fromo ^ Brick, Solid
Stucco Brick Vonoor
Slono Comont Block
WEU TYPE
Construction
Location ^
SEPTIC TANKS OR MUNICIPAL HOOKUP □ \
Size
Distance From Well 4, ^
Construction
POOTINOS
Depth *?“ Least Depth ^
Width Below Grade K^
POUNDATION-ConstrucHon ^ Q Size ^DRAINNELD
Depth Distance From Well
Width Distance From Lot Lines
Length
BASBMRNT
Ground Drainage 0^ ^ ' Floor
Beoring Posts 6 ^ ^ Size Spacing
Beams (^SLfO Size Span/j^PLUMBING FIXTURES
Garbage Disposal ^ Dish Wosher /
Sinks / - A>»* t?Je Shower /
Loundry / Toilet///
Both Tub / Lavatory / / /
CHMWm NO. OF FIMPIACB^U .
No. 1 P}<r\at
Foundotion ^
H#iohl AImivg Roof 0^.
Smoke Pipe—Distonee From Joists f u c. T' Je.^e d. JfC XifcROOM -
Sub Flooring 'A- J ^ .
Joists Size Spon
Spocing f{a" 0 C - ^ Bridging 3
Bearing Lf •'
i^lu ^ a /rfr-/*
----------^^--------a----------------/■ ^
ifL -v\ 4. / } 0 - (r^STUDOINOS RAPTRS CEUNO JOISTS
Size ^ Size to Size A^
Spocing/,^" Spacing /(?'' Spocing ' '
Plotes jp Spon /zf' Longest Spon l<4
Bracing
fcrCf J / >6^ 4*^
3 />/r ... -fo xT-... - L C..
Rxm ^
Bosement — No. 1 ' Size X Stairway /
1st Floor — No. '^’Size Stoirwoy
nm*m ^ ^ L 0------------------------^------------------------------
Bldg. % ' /3"^Pli&ib. $ Sevroge $__________
1N*UIATI0N-C..i.n,|:; G.Site Examination $ Wall $ Total $-------------
PLUMBER.
ADORESSl
WELL DRILLER
ADDRESS
SEWER CONTRACTOR.
ADDRESS-------------------
'^pprovod.
OWMR OR AWmORIlID AWNT