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. � cr��Y oF o�orao � : <br /> ,� <br /> IIUILDING PERMIT APPLICATION <br /> IIUILDIt:G PL:RMIT AfPLIG?IOA REQUIRI:HL'17TS , . � <br /> - ' I <br /> Requiremente to ba handed in vith Duildinq Permit l�pplication: Conatzuction Plans ohould include: � <br /> 1. Huilding Pezmit Application - to be filled out 6 eigned. <br /> 2. Energy Calculutions - filled out. 1. Piret floor plan. <br /> 3. Purnis� Septic Report 6 Design. Z. Footing and foundation plan. <br /> 4. Purnish a Certificate oi Survey, includinq hardcover 3. Elevations (of all sides). • <br /> calculations and qreding and drainage plens ea required. �. Wall sections 6 croas sectione. <br /> 5. Furnish 2 aets of Con4truction Plans: 5. Details - etaire and nny special connectione. <br /> a) 1 eet for Ci�y to keep on file - - -- <br /> b) 1 aet for builder to use on eite <br /> _ THB ABOVB IQFQFt1MATI01�i KQST BS SUB9RITTED BEYORS PLAN RSVIEW IS D0E7B <br /> Work Beyond or without a required inspection will be subject to a penaltyl <br /> ZONING DISTRICT SITEAODRESS C- <br /> ��- I � PROPERTY BDENTIFICATION NO.(PID) <br /> FIRE DEPARTMENT / ,� ' LOT ��BLOCK�z SUBDIVISIO�� ^-�� � � �-i� <br /> C�- <br /> POST OFFICE OWNER (Name) (Address) (Phone) <br /> L , L , � � <br /> VAR. DATE ARCHITECT/ENGINEER- Must Certify Mutti-Family,Commercial& Industrial Construction Plans � <br /> 9-22��p (Firm) (Address) (Phone) <br /> COND.USE DATE �� T U S a � '-'Z�Z <br /> � BUILOER (Firm) (Address) (Phone) <br /> L07 AREA i�.2__ �� � <br /> �� -� �-s� Z�O� � l—��,J�('\ L � Z Z <br /> WIDT`� � OEPTH � � TyPE OF WORK New ddition Remodel � Renovate <br /> O�.�Te-�c� <br /> PROP05ED SETBACKS: � _ � - lS� S � S � ' � � <br /> FRONT R.SIDE f <br /> s �.`7 CONST.TYPE BUI�DING SIZE Estimated Const�uction Valuation <br /> REAR L.SIDE i W 00"O � /' ' �� j�� <br /> . 5� ZO '+" F��r-� L. 3 -Z W. Z(v � Z Ht. �` O��/ <br /> LAKE WETLANDS <br /> ���n�� � STORIES Q 1 3 PERMIT FEES <br /> ACCESS New Existing DWELL. SQ. FT. BLDG. PERNSIT ���•�� <br /> � <br /> UNITS STATE FEE �0• d <br /> AGENCY: C ty Cty State � �AR.STALLS NUMBER OF EDROOMS ��,•L� <br /> q�. Z b PLAN REVIEi�'V <br /> APPROVAL DATE(S) : i DET. SEPTIC SAC CHARGE <br /> • '���' APP. OATE <br /> HARDCOVER o i PROPOSED USE OCCUPANCY SEWER UNIT <br /> Existfng B: �g.8 �� � ���U�� �jQ��- CLASSIFICATiON <br /> PARK FEE <br /> Proposed 8: SZ•Z�� � ��'� � ��1-11�'�-`� / ,t ., _" <br /> PENALiY 7� <br /> GR�DING C�uNC�L <br /> �5taff App. Dat� <br /> }OCUP Apo. Date APP. OATE OTHER <br /> TOTAL DUE 3�6 � �� <br /> REMARKS: <br /> INSPECTION REOU�RED bvORK REQU�RING <br /> S[�ARATE PERMITS <br /> �.....,fOOtIN6 Defor�pow <br /> ❑......FwwiNc,o„o�-i� vLuun�wo.........................D <br /> 0......tNSULATION MECMANICAL.......................❑ Tho undersigned hereby makes application for a buildinq <br /> ❑......WALLOOARDDYforltopiep ermit for the work described, a rees to do 11 work in atrict <br /> ❑......FINAL Oslor�oC[uOonC/ WELL...............................❑ P g <br /> accordance with the orditta ces of t City Orono and ruling�, <br /> ❑......SITEINSVECTION �����••••••�•�•••••••••••••••�••••� of the State Building Cod �D' isio and ares that all <br /> WORK QEVOND OR WITHOUT A RE• �EWER..............................� facts and repzesentation st t rein true and cozrect. <br /> OUIRED INSVECTION WILL 8E SUB� WqTEp..............................❑ <br /> JECT TO PENAITY. /^ � <br /> 6RApINO�FILLIHO...............❑ /� Q/ <br /> INSPECTION$ MUST BE CALLED-IN �' ` Y � •• <br /> 24 MOURS IN ADVANGE. ��RE.••^•••^••.•,••�•••.••••••••'•a Dat�� S nat e <br />