HomeMy WebLinkAbout1972-09-18 Permit, New Residence #2718AMICATION FOR BUILDING PERM
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type)
1 SITE ADDRESS
DESCRIP
PERMIT NO.
N° 2718
2. DATE
G - / 1 `7 -L
Lam!
1�IBER PARCEL NUMBER
�J Q
WNER (Name)
% (Address)
ITeI. No.)
`b
r
D o o-r1RCHITECT
(Name)
(Address)
(Tel. No I
UILDER _ (Name)
'/ (Address)
(TeI. No.)
�1 in
a
I--,�.
7
1 VPE OF WORK
6,
SIZE OF STRUCTURE
9. NO OF STORIES
1*ESTIMATED
COST
(Height) Iwift
iI
C7 [2
it.
COMPLETION DATE
12. OPERTY DIMENSIONS
13, NO^ FAMILIES (If Appl�cablel
I
114. TYPE OF CONSTRUCTION I155 PFROPERTY AREA I
1166 LOST AREA PER FAMILY
FT
17. FRONT YARD 118 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.
i
SIGNATURE ►PRO
PERMIT FEE Z IJ:T-A W. 'V
STATE FEE
PENALTY FEE _ h_
TOTAL FEE /� v
ZONING DISTRICT
FIRE ZONE LL
AGGREGATE FLOG A
FLOOR AREA RATIO
MATERIAL FILE WITH
OFFSTREtT PARKING
CONSTRUCTION
IV
FOOTING 3 t4 2. O « +' ' ✓,
FRAMING O Lj
cJA,Jj /Q e��Or
FINAL
CERTIFICATE OF OCCUPANCY ISS
DATE _ BY