HomeMy WebLinkAboutdenied bldg permit application �
Building Permit Application #`�
Total Fee: $ Date Reo v�:
Entered By: Perm�t#.�'�
Reason(s) for denial: ,C.�// H aitS
CITY OF ORONO -BUILDING PER s ppi.j['�e TTnN �.�•► s,�d_��.n
All information must be submitted in full before pla��view w'��1�„S�c}�ate:_��,/�G
(please print all information) `i"�—
THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR
JOB SITE ADDRESS: �� v�7 /(0�/'r� �^� �l`c P ZIP:
0
WiU this be a Pnrade of Homes,Remodelers Showcase Home or other Display Home?
. ❑Yes �NO If yes,a special event permit is required with Police Department and City Council approval
60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates
su�cient on-site parking is available. Non permined events will not be allowed.
NAMEOFOWNER ��c� 1 �r�,eTT PHONE: (home) �!Z -�8,,3-r/���74
, / (w�ic)76�-75�1/za�x�' r2 6 Z
MAILING ADDRESS: I��7 N'e�-�. �m�/' CITY: ZIP:
CONTRACTOR: �,�,,a��_�� /��n,s� PHONE:�/Z-�%l'�5`�
CONTACT PERSON: . MOBILE/PAGER �/Z-g�9-�7 c�,�
MAILING ADDRESS: 9 .¢..,,���/s �1��. CITY: ��,� �� ZIP:�-�s3�y
STATE LICENSE: #,�o y���l� EXPIRATION DATE• 3/3��'
.�
ARCHITECT/ENGINEER: PHONE:
MAII.ING ADDRESS: CTTY: ZIp;
NAME: REGISTRATION: #
TYPE OF WORK: New Home Addition �;� Accessory Structure
Move Home RemodeUAl tion(ie: Sidin g,Windows)
Any earth movement may require MCWD review and permits!
PROPOSED WORK(describe in detai�: 2$'�3Z ' L�f�-a C��� , �r
STORIES: I SQ.FEET OF EACH FLOOR: �� b
NO.OF BEDROOMS:�_ GARAGE STALLS: ATTACHED Z. DETACHED
ESTIMATED CONSTRUCTION VALUATION(eulnding land}: S ��3�5��
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;
that the work will be in conforn�ance with the ordinances and codes of the City and with the State Building
Code;that I understand this is not a pernut d work is not to sta�t without a permit;and that the work will be
in accordanc�with the appmved plan./
APPLICANT'S SIGNATURE: -` b �- DATE: � /� p
• 31
� �CT�ECK Ok'F i.IST FOR xSSUANCE OF�'E�'VIITS
` FOR OFFICE USE ONLY� � .
A.pDRE�S ORLEGAL: ,AI(1�� ��� .
PID:
77ESCRIl'`I'SO�T OF'WORK: i�.
_-----��V BY: ^-------____�--------------pATE---------------- ..�- Qe. � l�(
Z4YING �2E . . DATE APPROVED,
�UII�DING REVIEtiY BY: -�-----------------------=---------------------------------
�'EES TO BE CHARGE]J:^ ^ � Misc. Fees Calculated By:
P���T Yes No
PLAN REVTEtiY �� Yes No SE�YER C�NNECI'ION
tiVA'I�RCONNECTION
STATE SURCHARGE YeS No p�g�{ gEE
INVESTIGATION FEE Ye5 No STT'EINSPEC'�'ION
SAC Yes �
ber of SAC�Units OTHER (specify) .
--Num ------------------------------—----------------------------------------------------------------------- �
Zp�IG C�CK LIST Zoaing District: — _ •
;
� Post Office: School District: • �
Fire DeparcmeQr. �
L,ot Area: Sq.ft. _ Acres � Widch Depth i
j.(o Date of 5urvey: Z+00`� " ��^�(R^ �r�n
Survey Submicted:� Z'es_l� �vt bY �'I��J
Proposed Setbacks': gl��Side: ' � s�� �'�i°�'�
Froa[(Lake): s c�c,e s �0 32� '
Rear(Street): _ Left Side: 3S' reQ��c�
A3;acent Stn�ch�res: `Vetl�nd:
Building Hei�t: DeE. Hgt. peal`H°�'
Lot Covera?e: � P'� �� L �'
g Council Approval Date:
Grading: Scaff Approval Date: Y�
Szptic: Staff Approvai Date: �ti �Y� �-`�
Zp�� F�e: �__ Resolutioo: n______ Resolution Date:
Shorzland District: �;Cove2�e:
Av�. Setbacb_: E!uF�SetSack:
E�stiag Proposed
Ha�ecovec: G-7�' -
75-250' -
250-S��J' -- ha�rizcve.r es�lGS
� 5u0-iCC�' dc.v.rt_ b� b��lci,n.r l
no r,2� c��ta�
,' ' /��...- A�.�.�j•'��:
, ' _Jc; .�.._.
�??�CCO`;eC ti Z:"�^.C2 Ft?=il:'.i2�: ,2> >,n ... O: �..v:_-.- —
F.ElL'�R.�S �.L�ho��e):
BUII�DING REVIEtiy CHECK LIST
�C� � CONSTRUCTION TYPE:
Sq Footage $ Per Sq Ftg
Basement . ,. X = � .
lst Floor � � � _ � � ,
2nd Flaor x = .
Garaoe x _ .
x _
TOTAL
Estimated Construction Vatue: $
Inspections Required: tiYo�k Requiring Separate Permits:
5 i.te Plumbing Fire
Hardcover Removal Mechanical Water Coonectio❑
Footing � Septic 5ewer Coanectio❑ �
� Framing Fireplace Lawn Irriga[ion
� I�utaiior� (Masonry) Other
tiVall Board (Mfg,) WeII (State Permit)
F�� Grading/Fi11inQ Electrica( (S[ate PeRnit)
C[her
R.ENIARKS (IN HOUSE): '. -- --
-----------------------------------------------------------------------------------------------------------------
REVIE�V $X OTF3ERS: �A�;
Access: Existing New �
Access Approval: Late gy; �
RE`�IARKS (TO EE NOTED QN PF,R1�tTT): -------
�