HomeMy WebLinkAbout1975-07-30 Permit, New Residence #3109APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS: PERMIT NO
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN N
BEFORE PERMIT IS ISSUED (Please Print nr Type) ' • G 3109
1 SITE A D E /( p 2. DAT4E `7
3 JLEGAL DESCRIPTION
/ C' PLAT NUMBER � � Z 9 PARCEL NUMBER 3 V V 0
4 OWNER (Name) (Address) (Tel No.I
0/
5 ARCHITECT g (Name) lAddress) (Tel No 1
6 BUILDER (Name) (Address) (Tel No 1
�E.✓er(�.y,,12 a.5 c f)
c Cl
PERMIT FEE 'gyp 0
SjA�T EF E E r r l- C)
(/rPEiG✓i1r7E C) C)
TOTAL FEE --
7 TYPE OF WORK
-
8. SIZE OF STRUCTURE
(Height) (WI (Depth
ill
9 NO OF STORIES
10
ESTIMATED COST
s-
COMPLETION DATE
12. P OPERTY DIMENSIONS
13.
16
SO
NO. OF FAMILIES (II Arphcable)
LOST AREA PE. AMILY
FT
14 TYPE OF CONSTRUCTION
15. PROPERTY AREA
SO FT
17. FRONT YARD
18 REAR YARD
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 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.
f jat 6- eetv
SIGNATURE APPROVED
ZONING DISTRICT
FIRE ZONE
AGGREGATE FLOOR AREA
4. ,AREA RATIO `DD
MATERIAL FILE WITF;
OFFSTREET PARKING
CONSTRUCT
FOOTING
FRAMING
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY