1991-003445 - after-the-fact - Laserfiche WebLink

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'(`aC1Q.c.- it/2 /qt CITY OF ORONO BUILDING PERMIT APPLICATION - q 3S-g / Total Fee: $6)1,60 Date Received: //- 3D Date Approved: Permit#:31l15 Project#: Building Permit Application Requirements: 1. Building permit application - to be filled out completely and signed 2. 2 sets of construction plans to include the following: a) Floor plans; b) Footing and foundation plan; c) Elevations (of all sides) ; d) Wall sections and cross sections; e) Details - stairs and any special connections. 3. Certificate of survey with location of existing and proposed structures including hardcover calculations and grading and drainage plans as required. 4. Energy calculations - form provided. 5. Septic report and design if required. ABOVE INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED THE APPLICANT IS: (circle one) WNEi r CONTRACTOR JOB SITE ADDRESS: ki75 K)mr4-y, &.ore /ri i)L_ ZI : f cod n (work) NAME OF OWNER: C Q pj I 11 JPrSn/U PHONE: (home) -�Q(.07 MAILING ADDRESS: £0 SS A), S-hnre Drive_ CITY: Choy)D l k) ZIP: 55-a 64 CONTRACTOR: /5017-e/ PHONE: MAILING ADDRESS: CITY: ZIP: ARCHITECT: PHONE: MAILING ADDRESS: CITY: ZIP: TYPE OF WORK: New Addition Accessory tructure Move Demo Remodel/Alteration Renovate Land Alteration PROPOSED USE (describe in detail) : /l D !/ & _ / X 1 - 4DeJ ! 1 r= U n f Lticz//LOc.c-t STORIES: embl ' SQ. FEET OF EACH FLOOR: f tj0Q NO. OF BEDROOMS: .21 GARAGE STALLS: ATT.,„? DET. ESTIMATED CONSTRUCTION VALUATION (excusing land) : $ _5Ot °= I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE• 07/t...„6„10, - DATE: // -9 - g g (Please fill o• .r 'e reverse side of this form)