HomeMy WebLinkAbout1976-07-21 Permit, New Residence #3323APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
OMECTIOIIS: PER T
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 3323
BEFORE PERMIT IS ISSUED IPlesse Print or Tvoel
1
SITE ADDRESS
2 DATE
/ 1
��11
-Ave-
%
d
! /
3.
LEGAL DESCRIPTION
PLAT NUMBER 4,7510 PARCEL NUMBER
4.
OWNER (Namq
(Address) ITel No.)
j
=4nnle I"
S
ARCHITECT (Name)
IAddrese.) (Tel No.l
a
BUILDER (Name)
(Address) (Tel No.)
5
7.
TYPE OF WON
I.
SIZE OF TRUCTURE
S NO. OF STORIES
10. ESTIMATED COST
(He80t) IW.dlh)
IDepel)
/D A*
q
11.
COMPLETION DATE
12 PROPERTY DIMENSIONS
13. NO, FAMILIES III Applycable)
la. TYPE OF COIa5TRUUTRJN 115, PROPERTY AREA
�o. �w� nnc� rcn rwwn��
17. FRONT YARD I to REAR YARD 119. SIDE YARDS
I Or
ACKNOWLEDGEMENT AND SIGNATURE -
The undersigned hereby represents upon all of the penalties if
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 /LI the Building Department.
/ �1 <
SIGNATURE VROV
SA'C Sormo
PERMIT FEE /,,;- !, O A
STATE FEE AO' eel
Pc Cf<
PAI M11C F E E
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 BY