HomeMy WebLinkAbout1973-02-15 Permit, New Residence #2765APPLICATION FOR BUILDING P!RMR
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
51;e- a/o
PERMIT FEE % % 610
STATE FEE 2L'. 20
PENALTY FEE /'
TOTAL FEE A 3 �U
DIRECTICIIS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or TWO
PERMIT NO.
N 0 2765
ZONING DIS ICT 1
_ /C ,
1 SITE ADDRESS
oa al
2. DATE
FIRE ZONE
3.l LE L DESCRIP /) /
L.O PLAT NUMBER is 6 PARCEL NUMBER (. (.,
AGGREGATE FLOOR AREA
FLOOR AREA RATK)
♦. OWNER (Name) (Address) (Tel. No.)
iAti d
MATERIAL FILE WITH
S. ARCHITECT INsme) (Addressl (Tel. No.)
Aox
OFFSTREET PARKING
G. BUILDER (Name) (Address) (Tel, No.)
7. PE OF WORK
CONSTRUCTION
FOOTING a
FRAMING Jl..
FINAL
C
I
a. SIZE OF STRUCTURE ,1�
n�NI IJ w Y ,1
9. NOOF STORIES
10. EESSTIMA,T/ED%11COST
/ L' 7 v 1
11�IH
ETIOIN DATE
12. PROPERTY DIMENSIONS
13. NO dFFAMILIES (11 AppliceDle)
U TYPI OF CONSTRUtTION
15. PROPERTY AREA A
/
90. FT i L) -5 AG
16. LOST AREA PER FAMILY
90, FT.
17. FRONT YARD
10. REAR YARD
19. SIDE YARDS
0�
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 CERTIFICATE OF OCCUPANCY ISSUED
the action herein requested, that all statements herein are true
and that all work herein mentioned will be done in accordance with
the or nsnce of the VILLAGE OF ORONO, the State of Minnesota,
and fings of the Building Departme
DATE �-7� BY J
SIGNATURE I A/ OVED