HomeMy WebLinkAbout1977-05-13 Permit, New Residence #3517AMICATION FOR BUILDING PERMIT
AND CERTIFKATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS 155t1Fn IPI.... P..., - T-I
PERMIT NO
N ° 3517
1
SITE ADDRESS
4
2.
DATE
--17- 2
J.
LEGAL DESCRIPTIdN
r
PLAT NUMBER PARCEL ER
1.
OWNER
(Name) (Address)
(Tel No.)
4,61
5.
ARCHITECT
(Name) (Address)
(Te. No I
6
BUILDER
(Name) ^ (Address)
ITei No.)
7
TYPE OF/I VMK
a.
SIZE OF STRUCTURE'
9. NO OF STORIES 10
ESTIMATED COST
(Height) (Width)
(Depth) / /1
/ 1 , Jew
`
11.
COMPLETION DATE
12 PROPERTY DIMENSIONS
13.
NO OFF MIL IES III Applicable)
IP FRONT YARD
ID. I'MUr[N IT AN[A
SO FT
16. REAR YARD
e 7
- - AREA rt" rAMILT
SO FT _
19. SIDE YARDS
30 'w
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 Minl,esota,
and rulings of the Building Department. /
- - /V,
1 ,
1114ATURE L APPROVED
PCRM!T FEE
S',ATE FEE
104 0t<
OVN*A.L* FEE oe% (%
TOTAL FEE 41 oc
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR ARFA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCT
FOOTING
FRAMING
FINAL
ON
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY