HomeMy WebLinkAbout1973-03-09 Permit, New Residence #2780APPLICATION FOR BUILDING PERMIT
AND CERTMUTE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT
IS ISSUED (Pleaw Priol or TV@)
V SITE AO
3. GAL DESC TKhN
PLAT NUMBER
4. OWNER s IMrI»I
S. ARCHITECT INnmwl
S. BUILDER INrI»I
PERIINT 2780
2. DATE
2..9-7zk
IO PARCEL NUMBER 2d Q
(Address) 1
(Address) IT91. hlo.l
(Address) (Tel. No.)
7. TYPE OF WOR
S. SIZE OF STRUCTURE S. NO. OF ST IES le. ESTIMATED COST
(Heij11) IWWIHI I 1
� o00
II. COMPLETION DATE 12. PROPERTf DIMENSIONS 113. NO. OF FAMILIES (If Appllcablel
14. TYPE OF CONSTRUCTION 115. PROPERTY AREA
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 heroin 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.
cmi' I�fL
SIGNATURE AP/ROVED
Y
Z 1
AmL. n %S O o
PERMIT FE _
STATE FEE a -e O
91S.-toe
TOTAL FEE --/40 0 . 5 10
ZONING DISTRICT T�
FIRE ZONE 7w'( AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKINIG
CONSTRUCTION �(
FOOTING ^ I,
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY IMAD
DATE �'3 �� BY /hY1 5