HomeMy WebLinkAbout1972-10-12 Permit, New Residence #2741APflKATION FOR BUILDING PERNUT
AND OimFICAn OF OCCUPANa
VUAat OF ORONO, MINNISOTA
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the penalties of
law. for the pun>ose 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.
PERMIT FEE
STATE FEE_ _ _ _* O ^
OIRECTIONi:
SPACES NUM0ERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (PI«*m Print or TyptI
PERMIT NO.
N9 . 2741
' "'â– mncDu! Va 2. DATE
/ZJ - - 7 7.^
3. LEGAL DESdillPI^
A e?/AIT iU^/ number HSh O
4. OWNER IN miio) j (Addroos)
! ry\
/ (Tol. No.)
5. ARCHITECT ^Cm#)(AddTMs)(Tol. No.)
a. BUILDER (N wim)(AddroM)(Ttl. No.)
7. TYPE OF WO^
S. SIZE OF STRUCTURE
(Hoipit) (WiiNh) (Ooplh)
S. NO. DFSTDRIES
/- k/ - 0,
10. ESI^TEDCOST
Isfooo
11. COMPLETION DATE 12. PROPERTY DIMENSIONS 13. NO. OF FAMILIES (If Applicabit)
14. TYPE OF CONSTRUCTION IS. PROPERTY AREA
SO. FT
14. LOST AREA PER FAMILY
SO. FT.
17. FRONT YARD IS. REAR YARD 19. SIDE YARDS
PENALTY FEE.
TOTAL FEE_
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING.
FRAMING.
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE