HomeMy WebLinkAbout1977-05-09 Permit, New Residence #3511APPLICATION FOR BUILDNiIG PERMIT
AID CERTIFICATE OF OCCUPANCY
SA c
PERMIT FEE �•
VILLAGE OF ORONO, MINNESOTA
STATE FEE d�• n
P&.eK.
PIMRt" FEE
DNIECTHM
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TOTAL FEE T�' o 0
PERMIT N0.
S NUMBERED 1 THRU 13 MAT
VACEUS T BE FILLED IN N o 3 511
ZONING
WPM PERT S lalKUED IPlosao Print or Too)
DISTRICT
1. SITE ADORES 2. DATE
FIRE ZONE
.� 9--7
3. LEGAL DESCRIPTION
AGGREGATE FLOOR AREA
PLAT NUMBER PARCEL MUMMER 49 Tp o �,t 6 o n /
FLOOR AREA RATIO
4. OWNER IMon/1 (Addr..$) (Tel. No.l
MATERIAL FILE WITH
S. AIICHITEC11 IMrnal (Address) ITN. No.)
OffSTREET PARKING
s. 11MOER INarnel (Addresal (TN. No.)
•
—'
7. TYPE OF WON ,
CONSTRUCTION
FOOTING
I. SIZE OF STRUCTURE
I1Ie10A) (wWal Wapiti)
e. NO. OF STORIES
10. ESTIMATED COST
11. COM►LETCN DATE
12. PROPERTY DIMENSIONS
13. MD. OF FAMILIES (I ApphcaMla)
N. TYPE OF CONSTRUCTION
15. PROPERTY AREA
Is. LOST AREA PER FAMILY
20. FT
20. FT.
17. FRONT YARD
18. REAR YARD
It. SIDE YARDS
FRAMING
FINAL
L 7
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the penalties of
law, for the purpose of inducing the VILLAGE OF ORM to talc* 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 ordinance of the VILLAGE ORONO, the State of Minnesota,
and rulings of the Buildin Op m*nt.
(<0�j "L&-
� ,/' l N , V ..+G . DATE EY
APPROVED