HomeMy WebLinkAbout1973-12-28 Permit, New Residence #2911APPLICATION FOR BUILDING PERMIT
AND CERTIFICATE OF OCCUPANCY
VILLAGE OF ORONO, MINNESOTA
DIRECTIONS:
SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN
BEFORE PERMIT IS 1cmirn IPI—. P.— — T.. 1
PERMIT NO
NO ?911
1
SITE ADDRESS
v
2. DATE 3
17
3.
LEGAL SCRIPTION
PLAT NUMBER PARCEL NUMBER L lJ
1,
OWNER
( el to IAddressl
(Tel. No.)
5.
ARCHITECT
INsme) (Address)
(Tel. No.)
6
BUILDER
( 1 (Address)
7a 7oQ
(Tel. No.)
7
TYPE OF WORK
8
SIZE OF STRUCTURE
IH.:ydi (W,dth)
(Depth)
9. NO OF STORIES
/
10. ESTIMATED COST
11.
COMPLETION DATE
12. PROPERTY DIMENSIONS
13. NO OF FAMILIES (H Applicable)
1 17 FRONT YARD
Ip rHUrtHIT AHtA
16. REAR YARD
w L- AHtA 1'tH FAMILY
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 sta'iements 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.
1
SIGNATURE / APPR D
PERMIT FEE /C) /' -
7hT'FEE J• D
i
ALTY FEE �� U 0
TOTAL FEE
ZONING DISTRICT
FIRE ZONE
AGGREGATE FL(IOR�I1?5
FLOOR AREA RA//TII--Off-- ��
MATERIAL FILE WITH
OFFSTREET PARKING
CONSTRUCTION
1�
FOOTING —A "-L
FRAMING —
FINAL
CERTIFICATE OF OCCUPANCY ISSUED
DATE BY