HomeMy WebLinkAbout1975-10-21 Permit, New Residence #3163APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT Is 14miFn 11101 - P—M — T,. 1
PERMIT NO
N9
c n 71
PERMIT FEE
1.
TOTAL FEE (' ,� ' •,
3163 ZONING DISTRICT
1
SITE ADDRESS
2 DATE
;{
te
0
3
LEGAL DESCRIPTION
PLAT NUMBER
ih4
C' PARCEL NUMBER
4.
OWNER
(Hamel
(Addreess) (Tel No.)
1'11 X /' /
5
ARCHITECT
(Nerve)
(Address) (Tel. No)
6
BUILDER
(Name)
(Address) (Tel No I
re
rf e1�
7.
TYPE OF WORK
T
a.
SIZE OF STRUCTURE
9.
NO OF STORIES
10. ESTIMATED ^.OST
IH.��II (Wi )
IDsp )
Ill.
COMPLETION DATE
12,
PROPERTY DIMENSIONS
13. NO. OF FAMILIES (If Applicsblel
�•. rrc tA. I Itm 75. F"WtHIT AHLA " wa' Anew rtH 1AMILY
S0. FT SO. FT.
17. FRONT YARD 116. REAR YARD 119 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. j
SIGNATURE APPROVED
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY