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CITY OF UPON <br />3L IT-D-1 NG =PLIC TION <br />IhVILDING IEk.4IT APPLICATION kF.UU1RE':E'iT5 <br />ET-quirt-r-ents to be handed in with Puilding Permit Application: <br />1) Building Permit Application - to be filled out & signed <br />2) Mechanical Pennit Application & Calculation filled out <br />3) Energy Calculations - filled out <br />4) Furnish Septic Report & Design <br />S) Furnish a Certificate of Survey <br />6) Furnish g sets of Construction Plans: <br />a) 1 set for City to keep on file <br />b) 1 set for builder to use on site <br />CITY USE ONLY_ <br />R U1LDINC PEkMIT <br />N 0. DATE_ <br />+I 20NING DISTRICT <br />E IRE ZONE <br />VAR DATE <br />COIID (fiE DATE <br />LOT APEA <br />WIDTH DEPTH <br />PROPOSE D SETBACKS <br />F �. R. <br />NEAR J L SIDE <br />l�_ AlinLAKE WETLANDS <br />ACCESS <br />NEW EXISTING <br />AGENCY-APPROV. DATE <br />jCITY ---- <br />e COUNTY -- <br />PERMIT FE <br />BLDG PERMIT _ <br />STATE FEE _ <br />PLAN REVIEW _ <br />PENALTY <br />PARK FEE _ <br />SACCHARGE _ <br />TOTAL DUE <br />Construction Plans should include <br />a) First floor plan <br />b) Footin& 6 foundation plan <br />c) Elevations (of all sides) <br />d) Wall sections b cross sections <br />e) Details - stairs and any special connections <br />THE ABOVE INFORMATION MUST BE SUBMITTED BEFORE PLAN REVIEW IS DONE <br />Work beyonl or without a regaired inspection will be subject to a penalty <br />rt-vU••_kANf _PA&—s's.3- f,_!� _.. — <br />r. <br />LEGAL DISCR TION PROP. ID = KI LOT BLOCK i SUBDIVISION <br />WNER (Name) (Address) Ph <br />H -°��� <br />crI-5Tfn;1 ��w�� h4✓,� ��t', <br />ARCHIWT/ENGINEER — Must Certify Multi -Family, Commercial & Industrial Construction Plans <br />E R T. N I 11 'Oc` 41 T� _� 'S --2 7t-5— <br />(Firm) (Address) (Phone) <br />744 <br />1, 7S *� . it 7 kA/ <br />ILDER (Firm) (Adds) (Phone) / <br />s�.C�, (..aye r �vi'►'Ac� ii; :. rl E.•r 7 �{-; 3(fiA/ <br />TYPE OF WORK Ne ' AdAion'-E' `K memodely r Renovate <br />CONST. TYPE <br />tr& IM'e, <br />BLDG. SIZE <br />L. W. 30 Ht. <br />EST. CONST. VALUATION <br />RESIDENTIAL <br />STORIES B 1 2 3 <br />BDRMS/FLR <br />REMARKS: 1 (�. �%^J (� O J <br />DWELL. <br />UNITS <br />GAR. STALLS <br />ATT. <br />DIET. <br />SEPTIC <br />APP. DATE <br />DOCK <br />NON-RESID. <br />PROPOSED USE <br />OCC. <br />1— CLASS. <br />00 STORIES COUNCIL <br />APP. DATE <br />INSPECTION REQUIRED <br />WORK REQUIRING <br />SEPARATE PERMITS <br />F DOTING w1•.. Pww <br />TRAMING •wq/i •. <br />INSULATION <br />PLUMaIMb <br />WALLa0AR0 IN'— TP-ry <br />MECHANICAL_ <br />PINALb.0 w—­ <br />WELL — <br />ST P11C <br />WORK of VON& ON WITHOUT A RE <br />Sl WEN <br />CLIME IN S/EC1IOM WILL aE EUa <br />1ECT 10 PENALTY <br />WATEH — <br />INYlCT1oNNOURE 4777761 <br />GRACING aEII LING__ <br />CALL / 17 A M INS/ 1 E P.M <br />CALL 1 4►M INS► NEAT DAY <br />ELECTRICAL IK Sww <br />The undersigned hereby makes application for a building <br />permit for the work described, agrees to do all work in strict <br />accordance with the ordinances of the City of Orono and rulings <br />of the State Building Code Division, and declares that all <br />facts and representations stated herein are and correct. <br />Date ignature <br />