HomeMy WebLinkAbout1977-07-28 Permit, New Residence #3582APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13MUST BE FILLED IN
BEFORE PERMIT IS isauFn MI.— P-4 — T-1
PERb11J2 3582
1 SITE ADDRESS
W
f�R v l Cvv
2. DATE
71-.28 - 77
3 LEGAL BDRIPTION
-7
Q Z
PLAT NUMBER S/22-Z
PARCEL NUMBER go 0 ()
4. GWNER I
N► Q �Nas
(Namel
(Address) (Tel. No.)
13cA c � oA r �e y�
la RR M
5. ARCHITECT
(Name)
(Andress) (Tel. No.)
9. BUILDER
(Name)
(Address) (Tel. No.)
I90
Hess Pf R s
7. TYPE OF WORK
l. SIZE OF STRUCTURE
9. NO. OF STORIES
10. ESTIMATED COST
41,161 11) (Widen)
1 th
11 ,5X0U
11. COMPLETION DATE
12. PROPERTY DIMENSIONS
13. NO, OF FAMILIES Ili Aphcoble)
12-r— T7
2 QC
�•. I,rc K 1.1llea I R%P-i ILM 15. FKUFtK1T ANEA 1 1e, LIAI AKtA r[N FAMILY
50. FT 90. FT.
17. FRONT YARD 19 REAR YARD 119. SIDE YARDS
o 17114 LAGIYI e—v' lv%t0v1
V► Irv► ti + is LLoLu E D ay-, [1
I)Efj C%EOC 1 E .S wt 0S 4 be Correc-iETj
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. _
SIGNATURE APPROVEI( /
PLAN C k — /578'.
.AC - 375
PERMIT FEE Ca 17,1
STATE FEE S"7, 10
PENALTY FEE 11110
TOTAL FEE _ 10 Z 7 . 00
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATK)
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
F INAL
CERTIFICATE OF Cti;CUPANCY ISSUED
DATE BY