HomeMy WebLinkAbout10-31-1986 Building Permit Application Pg 2 of 2CITY Ol' ORONO
BUILDING PERMIT APPLICATION
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DUIU31KC PUIWIT APPLiCATioa ri:quiulmi :kt 3
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Requirement* to bo hamlcil in with Duilding Pernit Applicationi
!• Building Permit Application - to be filled out ft cigned
Energy Calculationa - filled out.
Purnish Septic Report ft Decign.
Purniab a Certificate of Survey^ including hardcover
calculotiona and grading and drainage plana ao required
Purnish 2 sets of Construction Plans;
s) 1 sot for City to keep on file
b) 1 act for builder to uso on site
TOB AliOVB lOTOTJIATXON MUST UB SOBMITTCD DEPORB PLM REVIEW IS DOSB
Work Beyond or without a required inspection will be subject to a penalty |
Conatruction Plana ohoulcf include;
Pirot floor plan.
Footing and foundation plan.
Elevations (of all cidca).
Wall cQCtions ft cross occtiona.
5. Details - stairs and any opcclal connections.
ZONING DISTRICT
/SlS-IB
FIRE DEPARTMENT . ^
POST OFFICE ..
VAft DATE
CX)NO. USE DATE ___
LOTAREA 2^
WIDTH , DEPTH ^ t ,
PROPOSED SETBACKS:
REAR , LSlOE ,
.so.o Sr:o'^-
LAKE V/ETLANDS
ACCESaC
AGEKCYi Cty State
APPROVAL DATE(S):
H ardcover , *
Existing ft * A //l
PropoBcd \x/\J t\
GRADING S
»Sta££ App./Dato 1
□CUP Apo.
SITE ADDRESS.
PROPERTY IDENTIFICATION NO. {p1d)
LOT »_JL——BLOCK___t_____
/
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OWNER (Name)
L Cim‘) /P i y 'o hot c. (\
(Address)(Phone)
ARCHITECT/ENGINEER - Must Cortlly Multi-Family. Commofcial ft Industrial Construction Plans
(Firm) (Address) (Phone)
Afc‘. r/|/fc
BUILDER f (Firm) (Address) (Phone)
TYPE OF WORK
-IV ^
Addition Remodel-'Renovate
CONST. TYPE BUILDING SIZE
L W.
DWELL
UNITS
GAR. STALLS
ATT.
DET.
STORIES B
SQ. FT.
NUMBER OF BEDROOMS
SEPTIC
APP. DATE
PROPOSED USE OCCUPANCY
CLASSIFICATION
COUNCIL
APP. DATE
REMARKS:.
Estimated Construction Voluation
]RS<O0O
BLDG. PERMIT
STATE FEE
PLAN REVIEW
SAC CHARGE
SEWER UNIT
PARK FEE
PENALTY
OTHER
PERMIT FEES
63vP.^
7/.
drO
‘¥7<T ^
TOTAL DUE j S9^~Ei . ^
INSPECTION nEOUIREO
□ .....................rOOTtUQ ftof pouf
□ .....................rnAMiMO fouo*»*ia
O..........INSUIATION
□ .....................WAUeOADO bofer# Uplno
□ ..........................rtNAU StfOfO OC€UPAOC/
□ .....................Site INSPtCTIOII
WORK OeVOND OH WITHOUT A
OUmCO INSPECTION WILL OE SUU
JECT TO PtNALTY.
INSPECTIONS MUST OE CALLED IN
24 nouns IN ADVANCE.
iVORK REOUIRINQ
SEPARATE PERMITS
PLUMIKNO....................................D
MECMANtCAL.................................□
WUL............................................D
ctpTic..........................................n
ttwtn..............................□
WATER...........................................D
ORAOmO a MILINO......................D
pmt.................................O
The underoigned hereby makoo opplicatlon for o building
permit for the work dcocribcd, agrees to do oil work in strict
accordance with the ordlnoncco of the City of Orono nnd ruling
of the Stotc Duilding Code Oivisiorir ond declares that all
facts ond rcprcccntatiggs stated I)frein ore true and correctfacts and rcprcccntntions stated m:
Date/Signature
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