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. . CITY OF ORUN� � � � a v�� � , <br /> Q �-- , 2 <br /> BUILDING PERMIT APPLICATION '•1 ; � � 4 � y <br /> � <br /> SUILDING PI3RMIT APPLICATIOP REQOIREMENT3 <br /> Requiremente to be handed in with Building Permit Aoplication: Construction P1 ns ahould include: � <br /> 1. Buiiding Permit Application - to be filled out 6 signed. ' <br /> 2. Enerqy Calculations - filled out. 1. First floor plan. � <br /> 3. Furnish Septic Report 6 Design. Z. Footing and foundation plan. <br /> 4. Furnish s Certificate of Survey, includinq hardcover 3. Elevations (of all sides). <br /> calculations and qradinq and drainage plans as required. 4• Wall sections s croas sections. <br /> S. Furnish 2 seta of Conatructlon Plans: 5. Details - stairs and any special connections. <br /> a) 1 set foz City to keep on file <br /> b) 1 aet for builder to uae on eite , <br /> 7'HS AHOVB IEdPORl�I3►TYOt� MOST BE SIfBF[I7TSD SHFORE PLAN RS1aIBf� IS DO1dS <br /> Work Beyond or without a required inspection will be subject to a penaltyj <br /> ZONIN DISTRICT { SITE ADDR�SS � K ►�� <br /> S PROPERTY ID TIFICATION NO.( ID) <br /> FIRE DEPARTMENT `pT ��'����9 BLOCK — SUBDIVISION "' <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> i��� �S� �, od w,��d ��d �,��,� Y�G -.Z4b'9 <br /> VAR.DATE ARCh11TECT/ENGiNEER- Must Certify Multi-Fami�y,CommerCial& Ind trial Construction Plans <br /> (Firm) (Address) (Phone) <br /> COND.USE DATE N/� <br /> BUILDER (Firm) (Address) (Phone) <br /> 1.0T AREA <br /> S2 ���o ; �1 P s i l–�n vJ�c �h � Y �� -��t� <br /> WIDTH DEPTH NpE OF WORK New ddition emodei Renovate <br /> PROPOSED SETBACKS: �(� revit,�rl�s - <br /> FRONT R.SIDE <br /> CONST.TYPE BUIIDING SIZE Estimated Construction Valuation <br /> REAR L. SIDE L,/aod <br /> Y �• S� � W 3v � Ht. �8, Uao <br /> LAKE WETLANDS STORIES B Q 2 3 PERMIT FEES <br /> ACCESS <br /> New Existing pWELL. S�� F T� BLDG. PERMIT �Jf�ic-�-`'=— <br /> UNITS .� STATE FEE ` �� _ <br /> AGENCY: City Cty State GAR.STALLS NUM�ER OF BEDROOMS 3� Z5 <br /> ATT. '�"�✓o P�AN REVIEW <br /> i nET. SEPTIC SAC CHARGE <br /> APPROVI�L DATE(S) : Q APP. DATE <br /> HARDCOVER PROPOSED USE OCCUPANCY SEWER UNIT <br /> CLASSIFICATION <br /> Existing �: S(/XSOH/-�� ����iH� PARKFEE <br /> Proposed 8: ; [� <br /> GRADING PENALTY � �"1 ��� <br /> ❑Staff App. Date I, COUNCIL <br /> ❑CUP Apo. Date APP. DATE OTHER <br /> � 1 d '11 I'�r+,�� ;e✓�W /� �1P�./ O�Qc�C 0� I tt TOTAL DUE/ ,�� ��4 <br /> REMARKS: �� � S'� <br /> �� �O�Y ��0.t�v1,cr.v�T f l ua v 31 T� i h hax� e� T r Y on�l.t zl � 1�1J#/�ff /1 P�./ <br /> nIu►�k�i �H i-�X�r�o S r �AC� rJ�d bAJt�v,,,'� S�/�;rJ !�P n2�o��� <br /> -'�}-�— <br /> INSPECTION fiEOUIRED WORI<REOUIfiING <br /> SEPARATE PERM�TS <br /> ❑......FOOTING betore pOur <br /> ❑......FRAMING rouph-In PLUMBING.........................❑ <br /> ❑......INSUlAT10N MECMANICAL.......................❑ The undersigned hereby makes application for a building <br /> ❑......WALL80ARDDeto�ltaDinp ermit for the work described, agrees to do all work in strict <br /> ❑......FINAL Defore occuDoncv WELL...............................❑ P <br /> accordance with the ordinances of the City of Orono and ruling; <br /> ❑......SITEINSPECTION sevric..............................� of the State Building Code ' 'sion, and declares that all <br /> WOFK BEYOND OR WIThiOUT A{iE• SEWEp..............................� facts and representatio SLdt. h r ' are true and COILC'Ct.. <br /> OUIRED INSPECTION WILL BE SUB� wATEH..............................❑ <br /> JECT TO PENALTY. <br /> iNSPECTIONS MUST BE CALIED�IN GRAOIN68 FILUNO...............❑ ���y /� <br /> 24 HOURS IN ADVANCE. ���E................._..............❑ � <br /> Date ' nature <br />