HomeMy WebLinkAbout1976-01-16 Permit, New Residence #3191APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
OIR EC —:OHS:
SPACES NUMGERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED IPlease Print or Type)
1 SITE ADDRESS
D,-�-
/
3. LEGAL DESCRIPTION
PLAT NUMBER
4. OWNER (Name))
_ 4
5 ARCHITECT (Name)
6. BUILDER INime1
PERMIT NO
W 3191
2. DATE
i -
J [ )PARCEL NUMBER �O
(Address) (Tel. No.l
YL
(Add, ass) (Tel No.l
(Address) (Tel No.)
7. TYPE OF WORK
8. SIZE OF STRUCTURE
9
NO, OF STORIES
IHeiyit) (Width) (Depth)
11. COMPLETION DATE
12.
PROPERTY DIMENI
14 TYPE OF CONSTRUCTION
15
PROPERTY AREA
SO, F T
17. FRONT YARD
I 1S
REAR YARD
Qti_
10 ESTIMATED COST
/0 9,
13 NO OF FAMILIES II(Appl., able)
16 LOST AREA PER FAMILY
SO FT.
19. SIDE YARDS
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the penalties of
law, for the purpose of inducing the VILLAGE OF ORnNO 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 r APPROVED
C
G-�
./.-- oL .l5 4, So
PERMIT FEE &h to)r
STATE FEE T/ •� r0 O
FEE
TOTAL FEE _fZ
I ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA �n
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING
F INAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY