HomeMy WebLinkAbout1977-08-11 Permit, New Residence #3596APPLICATION FOR BUILDING PERM
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: PERPERfN NO
SPACES NUMBERED I THRU 13 MUST BE FILLED IN 0 3596
BEFORE PERMIT IS ISSUED (Please Print or Type)
1 SITE ADDRESS 2 DATE
3 LEGAL DESCRIPTION
PLAT NUMBER S/ 3� PARCEL NUMBER QQ
l OWNER (Name) (Address) (Tel No.l
&Y /30 417Y
C��LLtcksQ�✓ R" * rovp mN avvy
5 ARCHITECT (Name) (Address) (Tel No l
6 BUILDER
(Name)
(Address)
(Tel No I
7 TYPE OFF WORK
RLS•
8 SIZE OF STRUCTURE
9. NO OF STORIES
10 TIMATED COST
(Height) (W.dth)
(Depth)
7 / �� • � b
i
11. COMPLETION DATE
12 PROPERTY DIMENSIONS
13. NO OF FAMILIES III Applicable)
14 TYPE OF CONSTRUCTION I15 PROPERTY AREA
UJI) F1ZA#KE_ SD FT
17. FRMIT YARD 18. REAR YARD
SO
AREA PER FAMILY
PLAM 6 _ 9 /, So
-5A c — 3 7S
PERMIT FEE
STATE FEE 'L • 5-0
SC'W EQU tn1 I t 2
PrN*tiY F E E
TOTAL FEE Q I? , O
ZONING DISTRICT
r- 1-t
AGGREGATE FLOOR AREA
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
FOOTING
T
DE YARDS 1
FRAMING
ACKNOWLEDGEMENT AND SIGNATURE:
The undersigned hereby represents upon all of the penalties of
law, for the purpose of inducing the VILLAGE OF UPONO to take
the action herein requested, that all statements herew are true
and that all work herein mentioned will be done in accordal.-e with
the ordinance of the VILLAGE OF ORONO, the State of Mlnn(-;,)ta,
and rulings of the Building Department.
SIGNATUR APPROVE
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY