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Mar �0� 2010 9: 21RM TOP hOTCH BUILDERS 9524310575 p. 2 <br /> N�r-01-201`0 OB:20�n Fro�-CITY OF ORONO +06224A4616 T•128 P.002/002 F-T16 <br /> . 2cpfz <br /> STRUCTUR� INFORMATION: <br /> 1. tructure Dimansions 1.8trueture Dimensions(continusd) 2,Type of Construction ' <br /> �.Lo�gth(ft.)= � NumDer oi bad�oorns� ❑Wood/Frorr�e <br /> ❑M�sonry <br /> b.Widlh(ft,)■ Z� Numbsr�i garwge stalls; Metsl <br /> Atteched= g Pole Hldp. <br /> Ateas in cqu�,r�oet Detaohed � ❑ ��F <br /> O On•s'ae Prefub <br /> e.Basemmt= ❑Off-ske Prelr�b <br /> d. 1"Story = ❑Othar(please specif�: <br /> e.2nd Story: <br /> �. 'g Story � <br /> g.Total Area■ <br /> �,Pf_�_,_�ti+r,k: Gtk �t ,P�+� � ��y �c �,�,�i i�� �p�o�i�.ed. c�r4�ti.4C �a�r�- <br /> REQUIRED 3UBMITtALS: � �11 � ��vf ro eGf. � � ,3 .f�,�,�� <br /> All of the information rnust be subm�tted in order for our a Ilcetion t0 be proce�es�; y , <br /> ' Not ��l� /1'Ll�1'l– 7'�,P Nd <br /> • Enal�ed Ilcsbie <br /> O Pe►mit ic�rtfon ' _Z, <br /> Pro osed Buildin Plans � <br /> 0 MN 5t te Ener Code Celeul�tions and Mechanical Code R,equirement— s Form <br /> Sunre meetin aU r uirements � <br /> S ormwotsr Pollution Prevention Plen � <br /> ❑ Htrdcover Calculallon s '—"`" <br /> 0 8e tic S stem Site Evaluation Ro rt � <br /> 0 Ar.c�ss Permit " <br /> Wat snd 8uf(er Im rovernent Plan � <br /> �! n (naered Plans ior Retainin Wella 4 feel or abovo � <br /> ❑ P'i0f1 Review Fee ' <br /> 0 01her "" <br /> APPLICANT ACKNOWL�DGEMENT: <br /> � Agrees to provide all informetiun required or requsstsd by Ihe Building Department; <br /> • Agrees to pay the C(ty of O►ono tor�ngi�earing aonsultant review costs In exaess ef��OD; <br /> • Cerlifies that ths information supptiied is true and c:o�rect to tne best of hlslher knowledpe. The applicanf recogni=es chat they <br /> ere aolely rasponsiblo for aubmittlnp a completa applicalion baing�ware that upon faiiure tu do so,Ino slaff has no ahemative <br /> but lo rejecllt unUl R la complote; <br /> � Acknowledaes the Escrow Apreement ia completed and signod; <br /> • 6ome or ell o�the informatlon thal you are asked to provide on thi� application is olasslfi�s� by Steie law as eld�er prlvate or <br /> canfidantial, Private daEa is information which penerally cannot be glven to the publit bui ce,•i he giver.ta the subject e(the dat�. <br /> Confidential deta ia lniermetlon wl�Ich gonvr�qy cannot be piven to sither Ihe public o�the s�.ibjeet ot the data, Our purpose and <br /> Intended i,se of thie infarmatlnn �a to annualy update our reoords and r�corda of otha� govf:mmental apenae�raquired by law, <br /> If you refuae to supply che informat�on,th•appGcation may net be lesued. <br /> ApPlicinNs Signature: Dele: � �r I�D�v <br /> Lsst Updatad: 9I29I20D8 <br /> • 18 - <br />