HomeMy WebLinkAbout1977-01-24 Permit, New Residence #3451AMICATION FOR BUILDING PERMR
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTION&
SPACES NUMBERED 1 THRU 13 MUaT BE FILLED IN
BEFORE PERMIT
PERMIT NO.
N O 3451
IS I1MJF0 Imm" Print or T )
1 SITE ADDRESS
3075
2. DATE
/- 2 4- 7 7
3. LEGAL DESCRIPTION �-
PLAT NAWMER PARCEL NMBER
4. OWNER INmwl IAddross) (Tel. No.)
it /
S_ ARCHITECT INwW (Add•ees) ITsI. No.)
0. OUILDER INsnis) IAddrsssl (Tsl. No.)
7. TYPE OF WORK
e. SIZE OF STRUCTURE S. NO. OF STORIES 10. ESTIMATED COST
(Hei"I IWidaq IOe)tN1
cz
II. COMPLETION DATE
12. PROPERTY DIMENSION
13. NO. Of FAMILIES (H Applicable)
'7
/` ( 7
14. TYPE OF CONINTRUCTION
1S. PROPERTY AREA
1E. LOST AREA PER FAMILY
SO. FT
SO. FT.
17. FRONT YARD
It REAR YARn
19. SIDE YARDS
6"7'
4 7
3a /ro
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
ordinance of the VILLAGE OF ORONO, the State of Minnesota,
lings o WWI Department.
i
f1OlIA ROr
// ;4 /dl/ /2. 76
�'& 3 75
PERMIT FEE 31 7 ;
STATE FEE
FEE r
TOTAL FEE 9�G
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITK
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
FINIAL
CERTIFICATE OF OCCUPANCY 11UED
DATE By
A01 11Z.14
CITY OF ORCNO PERMIT APPLICATION
• CITY USE ONLY
BUILDING PEINT
No. Date 1- 9. J�L
Ptg
Inspection
Insul
Final 00
speci�—
ORAL PERMITS
DM No. Date Ins.
Plmbg. e76e 3- T 4• Z �
�+V + IP AAIPJ + „r
F res_igp_
Well x { -7 81 AQ-Lir
Water
Meter
Septic X47L D ;jr
Sewer
Mech .
,-CNING Dist.
Area SefSaCKS
Variance
Card. Use
Lot Comb.
PLAN REVIEW OCMMV1�' / - 4 - 7'?
Dater A .Ake.. t_e
A� IOU- 146 l 1 04 Pr.... Gra f.
� r M*WI44k,
Permit Fee 3 1
Plan Review Fee 159
State Surrccharge p
SAC CharI" At H
Total Due a I A...,
PROJECT Lot —of —B MM �11U1tiW Now 07,E
Owner 'PIWC- TftVLo fL.
Address UY MOOT" � M I W N
Phone
Builder DMJtO N ITL 2*xo
Address _ l q Q t F'46f W% -;j-r, 4*,
Phone 411 -q 651
PRINCIPAL ST W O ft$L
0
Bsmt: Fin Area p Unfin Area 7—
Hain Flr: Width_ Depth 3Z AreaJj_��
aid Flr: Width�b_ Depth 3 Z Area Z r OMso
ACCESSORY STRUCIURE TYPE oc wit
Width #S-.SL Depth Area
Est. Completion Date 6 - - 07 p` 89
Est. Construction Value�3 -U'e 0�
Lot Width t 1 Depth Area Z. A'
Lakeshore: Yes No
Wetlands: Yes No__x_
Prop.,
Front GZ Fear Z*1
✓ S
Side ?. -% O Lake
APPLICANT MUST MNUT Wrl1l THIS FORN:
2 COPIES OF PLANS DRAM TO SCALE, A CERTIFICATE OF
SURVEY OF THE LOP, AND THE PLAN REVIEW FEE.
-The undersigned hereby makes application for a build-
ing permit for the work described, agrees to do all
work in strict accordance with the ordinances of the
City of Orono and rulings of the State Building Code
Division, and declares that all facts and represen-
tations stat herein are true and correct.
SfgWature
Aft 4W tj-_77
Piu� - wda11-I- iWA ��