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CITY Ol' ORONO <br />BUILDING PERMIT APPLICATION <br />PSSIgK <br />ocri6&iR >‘!ni <br />DUIU31KC PUIWIT APPLiCATioa ri:quiulmi :kt 3 <br />2. <br />3. <br />4. <br />5. <br />1. <br />2. <br />3. <br />4. <br />Requirement* to bo hamlcil in with Duilding Pernit Applicationi <br />!• Building Permit Application - to be filled out ft cigned <br />Energy Calculationa - filled out. <br />Purnish Septic Report ft Decign. <br />Purniab a Certificate of Survey^ including hardcover <br />calculotiona and grading and drainage plana ao required <br />Purnish 2 sets of Construction Plans; <br />s) 1 sot for City to keep on file <br />b) 1 act for builder to uso on site <br />TOB AliOVB lOTOTJIATXON MUST UB SOBMITTCD DEPORB PLM REVIEW IS DOSB <br />Work Beyond or without a required inspection will be subject to a penalty | <br />Conatruction Plana ohoulcf include; <br />Pirot floor plan. <br />Footing and foundation plan. <br />Elevations (of all cidca). <br />Wall cQCtions ft cross occtiona. <br />5. Details - stairs and any opcclal connections. <br />ZONING DISTRICT <br />/SlS-IB <br />FIRE DEPARTMENT . ^ <br />POST OFFICE .. <br />VAft DATE <br />CX)NO. USE DATE ___ <br />LOTAREA 2^ <br />WIDTH , DEPTH ^ t , <br />PROPOSED SETBACKS: <br />REAR , LSlOE , <br />.so.o Sr:o'^- <br />LAKE V/ETLANDS <br />ACCESaC <br />AGEKCYi Cty State <br />APPROVAL DATE(S): <br />H ardcover , * <br />Existing ft * A //l <br />PropoBcd \x/\J t\ <br />GRADING S <br />»Sta££ App./Dato 1 <br />□CUP Apo. <br />SITE ADDRESS. <br />PROPERTY IDENTIFICATION NO. {p1d) <br />LOT »_JL——BLOCK___t_____ <br />/ <br />, gupnn^^^ii'lM <br />OWNER (Name) <br />L Cim‘) /P i y 'o hot c. (\ <br />(Address)(Phone) <br />ARCHITECT/ENGINEER - Must Cortlly Multi-Family. Commofcial ft Industrial Construction Plans <br />(Firm) (Address) (Phone) <br />Afc‘. r/|/fc <br />BUILDER f (Firm) (Address) (Phone) <br />TYPE OF WORK <br />-IV ^ <br />Addition Remodel-'Renovate <br />CONST. TYPE BUILDING SIZE <br />L W. <br />DWELL <br />UNITS <br />GAR. STALLS <br />ATT. <br />DET. <br />STORIES B <br />SQ. FT. <br />NUMBER OF BEDROOMS <br />SEPTIC <br />APP. DATE <br />PROPOSED USE OCCUPANCY <br />CLASSIFICATION <br />COUNCIL <br />APP. DATE <br />REMARKS:. <br />Estimated Construction Voluation <br />]RS<O0O <br />BLDG. PERMIT <br />STATE FEE <br />PLAN REVIEW <br />SAC CHARGE <br />SEWER UNIT <br />PARK FEE <br />PENALTY <br />OTHER <br />PERMIT FEES <br />63vP.^ <br />7/. <br />drO <br />‘¥7<T ^ <br />TOTAL DUE j S9^~Ei . ^ <br />INSPECTION nEOUIREO <br />□ .....................rOOTtUQ ftof pouf <br />□ .....................rnAMiMO fouo*»*ia <br />O..........INSUIATION <br />□ .....................WAUeOADO bofer# Uplno <br />□ ..........................rtNAU StfOfO OC€UPAOC/ <br />□ .....................Site INSPtCTIOII <br />WORK OeVOND OH WITHOUT A <br />OUmCO INSPECTION WILL OE SUU <br />JECT TO PtNALTY. <br />INSPECTIONS MUST OE CALLED IN <br />24 nouns IN ADVANCE. <br />iVORK REOUIRINQ <br />SEPARATE PERMITS <br />PLUMIKNO....................................D <br />MECMANtCAL.................................□ <br />WUL............................................D <br />ctpTic..........................................n <br />ttwtn..............................□ <br />WATER...........................................D <br />ORAOmO a MILINO......................D <br />pmt.................................O <br />The underoigned hereby makoo opplicatlon for o building <br />permit for the work dcocribcd, agrees to do oil work in strict <br />accordance with the ordlnoncco of the City of Orono nnd ruling <br />of the Stotc Duilding Code Oivisiorir ond declares that all <br />facts ond rcprcccntatiggs stated I)frein ore true and correctfacts and rcprcccntntions stated m: <br />Date/Signature <br />■