HomeMy WebLinkAbout1976-03-22 Permit, New Residence #3212APPLICATION FOR BUILDING PERFAff
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: PER I�
SPACES NUMBERED 1 THRU 12 MUST BE FILLED IN � U 3212
BEFORE PERMIT IS ISSUED [Please PrhM or Type) s
1 SITE ADDRESS 2. DATE
>I. LEGAL DESCRIPTION go,
PLAT NUMBER 4IaaAs PARCEL NUMBER 9/OvO D
4. OWNER INsme) _ (Address) (Tel. No.l
S. ARCHITECT (Nahne) lAdd►ess) (Vol. No.)
S. BUILDER Inane► (Address) 1?ei. No.l
e.�
7. TYPE OF WORKA u �_
- � 4
a. SIZE OF STRUCTURE
{. NO. OF STORIES
10. ESTIMATED COST
11"644) Width) (De01hl
r
46
11. COMPLETION DATE
12. PROPERTY DIMENSIONS
13. NO. FAMILIES III Apphcs
N. TYPE CONSTRUCTION
/5. PROPERTY AREA
1{. LOST AREA PER FAMILY
`Q-"
$O. F7
SD. FT.
17. FRONT YARD
1{. REAR YARD
19. SIDE YARDS
r
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 VILLAG ORONO, the State of Minnesota,
and r 4mft of the 0v ment.
AP/ROVED
S mw iZ�/ 42,5-. ma
SY(c 3So, e7o
PERMIT FEE �75",
STATE FEE drys+• tic
Pug) cf<'
.SKA6U%FEE a /. S�
TOTAL FEE "61 Sn
ZONING DISTRICT
FIRE ZONE
AwI.EGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY