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CITY OF URONO - BQILDING PffitMIT APPLICATION <br /> Total Fee: $ ��' � � Date Received: <br /> Date Approved: <br /> Permit#: �-3 Project#: <br /> Building Permit Application Requirements: <br /> 1. Building permit application - to be filled out completely and signed <br /> 2 . 2 sets of construction plans to include the following: <br /> a) Floor plans ; <br /> b) Footing and foundation plan; <br /> c) Elevations (of all sides) ; <br /> d) Wall sections and cross sections; <br /> e) Details - stairs and any special connections. <br /> 3. Certificate of survey with location of existing and proposed <br /> structures including hardcover calculations and grading and drainage <br /> plans as required. <br /> 4. Energy calculations - form provided. <br /> 5 . Septic report and design if required. <br /> ABOVE INFORMATION MDST B$ SIIBMITTSD IN FQLL BEP'ORB PLAN REVIEW WILL BE STARTED <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: �$�%: ����'(�/C.�i�L�l�G- ��� V��`- ZIP: ����� <br /> PROPERTY IDENTIFICATION NO. : 2D '- 1 ��- �� Z� Dc�v� <br /> C�7t�-�.�� (work) �Y�S-�y�� <br /> NAME OF OWNER: � [.� �/I�i(,,��Gl,�'� PHONE: (home) <br /> 1�AILING ADDRESS: � i CITY: ZIP: ���� <br /> � <br /> CONTRACTOR: PHONE: �7�-��.�,� <br /> MAILING ADDRESS: ,j,�/.,5� ��� 1�GV CITY: � ZIP: �.��31 <br /> ARCHITECT: /�-'/� PHONE: �i'v�,,�- <br /> T <br /> MAILING ADDRESS: CITY: ` ZIP: �-- <br /> TYPE OF WORR: New Addition Accessory tructure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSBD USE (describe in detail) : ��ij2�9',/,(11 � <br /> ��,� " <br /> STORI$S: SQ. F$ET OF $ACH FLOOR: <br /> NO. OF B�ROOMS: GARAGE STALLS: ATT. DET. <br /> , <br /> $STIMATED CONSTRDCTION VALIIATION (excluding land) : $ ��f1�' " <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that 2 <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in acco ance with the a proved p1an. <br /> APPLICANT'S SIGNATURE: l/` DATE: � 2�-�g� <br /> (Please f 1 o he reverse side of this form) <br />