HomeMy WebLinkAbout1977-07-12 Permit, New Residence #3568AMICATION FOR BUILDING M MR
SAC
37S
AND aR E IFICATE OF OCCUPANCY
a 4
VILLAGE OF ORONO, MINNUMA
PERMIT FEE 7
STATE FEE 6S
'oc c,s; 7?
PCO MLY FEE
DIRECTIOW PER NO. —
/
TOTAL FEE
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN 3568
zoNING DISTRICT
BEFORE PERMIT IS ISSUED (Pleeae Print or Typo)
I SITE ADDRESS 2. DATE
3 ! a rviuv 7- /a - 77
FIRE ZONE
3. LEGAL DESCRIPTION
AGGREGATE FLOOR AREA
/
PLAT NUMBER a� ;C ( /� / PARCEL NUMBER Dc
FLOOR AREA RATIO
4. OWNER (Nam) (Address) (Tel. No.l
;VA( /
MATERIAL FILE WITH
ems
S. ARCHITECT (Neura) f IAddressl (TN. No.)
OFFSTREET PARKING
S. BUILDER (No") (Address) (Tel. No.)
Agplel /a 47/- 96.r/
.(/f e
7. TYPE OF WORK
CONSTRUCTION
a. SIZE OF STRUCTURE f. NO. OF STORIES 10. ESTIMATED COST
FOOTING
(HeijM) IWidal) (Dep0l 30 V e
11. COMPLETIONDATE 12. PROPERTY DIMENSIONS 13. NO. OF FrAMILIES (If Applicablo)
N. TYPE OF CaATRUCTION 15. PROPERTY AREA 14. LOST AREA PER FAMILY
SO. FT 120. FT.
17. FRONT YARD 1e. REAR YARD tf. SIDE YARDS
FRAMING
F INAL
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
CERTIFICATE OF OCCUPANCY 1SSUEO
that all work herein mentioned will be done in accordance with
Fm durance of the VILLAGE OF ORONO, the State of Minnesota,
li the Building Department.
DATE BY
E PP D