Laserfiche WebLink
APPLICATION FOR BUILDING PERMIT <br />AND CERTIFICATE OF OCCUPANCY <br />VILLAGE OF ORONO, MINNESOTA <br />DIRECTIONS: PERMIT NO <br />SPACES NUMBERED 1 THRU 13 MUST BE FILLED IN N <br />BEFORE PERMIT IS ISSUED (Please Print nr Type) ' • G 3109 <br />1 SITE A D E /( p 2. DAT4E `7 <br />3 JLEGAL DESCRIPTION <br />/ C' PLAT NUMBER � � Z 9 PARCEL NUMBER 3 V V 0 <br />4 OWNER (Name) (Address) (Tel No.I <br />0/ <br />5 ARCHITECT g (Name) lAddress) (Tel No 1 <br />6 BUILDER (Name) (Address) (Tel No 1 <br />�E.✓er(�.y,,12 a.5 c f) <br />c Cl <br />PERMIT FEE 'gyp 0 <br />SjA�T EF E E r r l- C) <br />(/rPEiG✓i1r7E C) C) <br />TOTAL FEE -- <br />7 TYPE OF WORK <br />- <br />8. SIZE OF STRUCTURE <br />(Height) (WI (Depth <br />ill <br />9 NO OF STORIES <br />10 <br />ESTIMATED COST <br />s- <br />COMPLETION DATE <br />12. P OPERTY DIMENSIONS <br />13. <br />16 <br />SO <br />NO. OF FAMILIES (II Arphcable) <br />LOST AREA PE. AMILY <br />FT <br />14 TYPE OF CONSTRUCTION <br />15. PROPERTY AREA <br />SO FT <br />17. FRONT YARD <br />18 REAR YARD <br />19 <br />SIDE YARDS <br />ACKNOWLEDGEMENT AND SIGNATURE: <br />The undersigned hereby represents upon all of the penalties of <br />law, for the purpose of inducing the VILLAGE OF ORONO to take <br />the action herein requested, that all statements herein are true <br />and that all work herein mentioned will be done in accordance with <br />the ordinance of the VILLAGE OF ORONO, the State of Minnesota, <br />and rulings of the Building Department. <br />f jat 6- eetv <br />SIGNATURE APPROVED <br />ZONING DISTRICT <br />FIRE ZONE <br />AGGREGATE FLOOR AREA <br />4. ,AREA RATIO `DD <br />MATERIAL FILE WITF; <br />OFFSTREET PARKING <br />CONSTRUCT <br />FOOTING <br />FRAMING <br />FINAL <br />CERTIFICATE OF OCCUPANCY ISSUED <br />DATE BY <br />