Laserfiche WebLink
I CITY OF ORCNO PERMIT APPLICATION <br />CITY USE ONLY APPLICATION INFORMATION <br />BUILD;NG PERMIT <br />No. Date- / <br />Inspections: <br />Ftg Frm <br />Insul WB <br />Final CO <br />SpeciT— <br />GENERAL PER4ITS <br />Type No. Date Insp. <br />Plmbg <br />Fixtures 3C <br />We114 <br />Water <br />Meter <br />1weSeptic OK 3.Z.77 `�` ` <br />Sewer <br />Nech. <br />ZWING Dist. •//j <br />Area OK t a • <br />Variance <br />Cond. Use <br />Permit Fee A? re <br />Plan Review Fee <br />State Surcharge 4p, <br />SAC urge %7,00 — <br />Total 'Due <br />N Z <br />PROJECT ADDRESS O 7 N" c)Acf <br />Lot 3 Bl _� Plat fX1A w,f r v�f ar <br />Owner c , « *' 6c c,rf .Ci <br />Address duo AG�e .I i e <br />Phone S-5- 9 - <br />Builder c rici_S /J !>�ckEti <br />Address '� c (' c>'c Eck <br />Phone -21.7 4- <br />PRINCIPAL STRUCTURE TYPE `�f''flME - Psj,✓C/f <br />Bsmt: Fin Area .ZaSo Unfin Area f� <br />Main Flr: Width Depth Area 790 <br />2nd Flr: Width Depth Area 76,000 <br />ACCESSORY STRUCTURE TYPE % 14ctlE <br />Width Depth Area fJ �U sirO <br />Est. Completion Date 7 <br />Est. Construction Value* <br />Lot Width Depth Area 01" 4naj -f- <br />Lakeshore: Yes No <br />Wetlands: Yes No <br />Prop,.Setbacks: Front /Sc Rear /0 0� <br />Side Lake <br />APPLICANT 14JST SUBMIT WITH THIS FORK: <br />2 COPIES OF PLANS DRAMN TO SCALE, A CERTIFICATE OF <br />SURVEY OF THE LOT, AND THE PLAN REVIEW FEE. <br />The undersigned hereby makes application for a build- <br />ing permit for the work described, agrees to do all <br />work in strict accordance with the ordinances of the <br />City of Orono and rulings of the State Building Code <br />Division, and declares that all facts and represen- <br />tations stated herein are true and correct. <br />Signature <br />•5_ lO <br />Date <br />