Inspections - 4032 Shoreline Drive - 9/22/2022 r
-' CITY OF SPRING PARK C`^�Y
BUILDING PERMIT APPLICATION v RI•�;,, i o. r o `''_�'Building Permit Application Requirments: Date Received: I�KA G
1 . Application to be filled out & signed Date Approved:
2. Mechanical Permit Application 8c Calculation filled out
3. Energy Calculations filled out Permit No.:
4. Furnish a Certificate of Survey - See Attached
5. Furnish 3 Sets of Construction Plans Fees To Be Charged:
a. 1 set for City Files
b. 1 set for builder to use on site Permit $ 9 ct
c. 1 set for city Building Inspector State Surcharge Z, o
Construction Plans should include: Plan Review 01419E`t
1. First floor plan
2. Footing & foundation plan SAC Charge
3. Elevations of all sides Availability Chrg
4. Wall sections & cross sections
5. Details - stairs & any special connections TOTAL $
ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED
THE APPLICANT IS: (Circle One) OWNER or CONTRACTOR
JOB SITE ADDRESS `{�30 S t,,o l„u C '3 k j .
NAME OF OWNER 110:50N �o rir S �r2o�. HOME PHONE`121-(a 1 y Y WORK PHONE 41 "q 8 '7('
?.0.6yA .3-4 (. n
MAILING ADDRESS CITY SP 2 �
``111 A e ZIP
/ �� v��R• p9c �
CONTRACTOR Cay L6�"4 c " `"�.° PHON �1�2�� 2° MOBILEP HONE S 3g '39 2z
MAILING ADDRESS RO CITY 1J �A tiro ZIP Jl3 g
STATE LICENSE NO. ��efb
. k R e N t T f C /ENGINEE � �' SQL� � r�P, N PHONE
MAILING ADDRESS y 2c1 'ger �o''N�s CITY ZIP
LA
NAME REGISTRATION NO.
TYPE OF WORK: New Addition Accessory Structure Move Demo
Remodel/Alteration Renovate Land Alteration
PROPOSED WORK(Describe in Detail) �t�
17A e-, r4!�t'
ZONING DISTRICT
STORIES SQ. FEET OR EACH FLOOR NO. OF BEDROOMS GARAGE
STALLS ATT. ORDET. BLDG . SIZE L W HT
ESTIMATED CONSTRUCTION VALUATION (excluding land) $, L,goo'r
r
CITY OF SPRING PARK
BUILDING PERMIT APPLICATION
PAGE 2
HARDCOVER CALCULATION WORKSHEET
A. House Length X Width S.F.
X = S.F.
B. Garage X = S.F.
C. Driveway X = S.F.
X = S.F.
D. Sidewalk X = S.F.
X = S.F.
E. Patio/ X = S.F.
Deck
F. Other X = S.F.
X = S.F.
1. TOTAL HARDCOVER S.F.
2. TOTAL PROPERTY AREA S.F.
1 _ 2 X 100 = %
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 DATE
INSPECTION REQUIRED: WORK REQUIRING SEPERATE PERMITS
Footing before a pour Plumbing
Framing rough-in Mechanical
Insulation Well
Wallboard before Taping Grading &filling
FINAL before occupancy Sewer
Water
WORK BEYOND OR WITHOUT A REQUIRED
INSPECTION WILL BE SUBJECT TO PENALTY.
Electrical from State
24 HOUR NOTICE REQUIRED
473-7357
ZONING CERTIFICATION
I do hereby certify to the Orono Building Official that the following described work has been reviewed for compliance with
the Zoning Requirements of the City of Spring Park and will be approved for construction upon approval of the
construction plans by the Building Official.
Name Date
BUILDING CODE PLAN REVIEW
vltxName �' '"' Date t� -f _�
C �
f
Z 10 fi N
C �
I i c a ;
al
It
.pTy
41, Cn' Op y w
;j @�• 5' OD jv
iPs co Zs