HomeMy WebLinkAbout1972-09-22 Permit, Demo 4 Cabins #27221i
APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: PERMIT NO
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN "] AI ()
BEFORE PERMIT IS ISSUED (Please Print or Type) N
22
1 SITE ADDRESa �' 2 fTE
3 LEGAL DESCRIPTION !� L
PLAT NUMBER A— / 16 C PARCEL NUMBER
4 OWNER (Name) ,'v�/1 /' �/1(Address) (Tel No I
5 ARCHITECT (Name) ,/ (Kddress) (Tel No I
6 BUILDER (Name) (Address) (Tel No I
7 TYPE OF W ./�
8. SIZE OF STRUCTURE 9 NO OF STORIES 10. ESTIMATED COST
(Height) (W.dth) (Deptl.)
11 COMPLETION DATE 12 PROPERTY DIMENSIONS 13. NO OF FAMILIES (if Applicable)
14 TYPE OF CONSTRUCTION 15 PROPERTY AREA f 16 LOST AREA PER FAMILY
_ SO F7 SO FT — ----
17 FRONT YARD 16 REAR YARD 119 SIDE YARDS
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.
L � 1
SIGNATURE APPRO � D
PERMIT FEE n
STATE FEE J O
PENALTY FEE q�
TOTAL FEE J C/
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
FRAMING�_-
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY