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VILLAGE OF ORONO BUILDING PERMIT APPLICATION <br />PURPOSE OF BUILDING <br />OWNER fes/ 7-7- N14 r !�, I c� BUILDER E✓ c1 iV <br />ADDRESS ADDRESSES .��� &,-f Z PERMIT N2 1107 <br />PHONE NO. I S �/ PHONE NO. j— S -3/,c C !{ ` L - a 15 <br />Sec. No. Parcel No. Lot Block Addition or Subdivision <br />LAND DESCRIPTION <br />BUILDING LOCATION <br />Size of lot <br />Dis. From Road <br />Land Sq. Ft. <br />Dis. Sides <br />Elevation <br />Dis. Back <br />BASEMENT <br />Drainage <br />CONSTRUCTION <br />Floor <br />Frame <br />Brick, Solid <br />Stucco <br />Brick Veneer <br />Stone <br />Cement Block <br />FOOTINGS <br />Depth <br />Least Depth G / <br />( T <br />Width f'",; <br />- <br />Below Grade <br />FOUNDATION Construction G <br />Size <br />BASEMENT <br />Ground Drainage <br />Floor <br />Bearing Posts <br />Size Spacing <br />Beam: <br />Size Span <br />CHIMNEYS <br />No. 2 <br />Type <br />Foundation _ <br />Height Above Roof <br />Smoke Pipe—Distance From Joists <br />FLOORS <br />Sub Flooring P S <br />Joists F <br />i <br />Size'.'.) Span / <br />Spacing 1 <br />Bridging G <br />Bearing <br />STUDDINGS RAFTERS <br />CEILING JOISTS <br />Size 7_ k z/ Size ,!. k <br />Size - <br />Spacing :' " Spacing <br />Spacing <br />Plates i) Span <br />Longest Span <br />Bracing <br />EXITS <br />Basement — No. Size <br />Stairway <br />1st Floor — No. r, Size'. <br />a y Stairway <br />INSULATION — CeilingLj h , <br />Walls .. <br />VENTILATION AND LIGHT <br />Percentage of Floor Area Vent. <br />Percentage of Light to Floor Area <br />LINTELS <br />Size % °" J Span <br />Location <br />WELL TYPE <br />Construction <br />X11 �v/3• <br />Location S �J <br />SEPTIC TANKS <br />Size <br />Distance From Well-�- <br />Construction <br />DRAINFIELD <br />Depth Distance From Well <br />Width <br />� � Distance From Lot lines �` �• <br />Length <br />PLUMBING FIXTURES <br />Dish Washer t <br />Sinks Shower f <br />Laundry Toilet '3 <br />Both Tub Lavatory 3 <br />I hereby agree that, in case permit is granted, all work <br />which shall be done and al! materials which shall be used <br />sha;1 comply with the plans and specifications submitted and <br />with all the ordinances of the Village of Orono applicable <br />thereto and shall include all additional specifications as listed <br />below. <br />1 <br />Signed � " 7 <br />Date <br />�/ .. / i / OWNEN OR AUORIZED AGENT <br />��� (i <br />TN <br />T_T <br />Bldg. $ w 1 4-d Plumb. $ •3 a Sewage ;&— <br />Site Examination S Well S Total <br />PLUMBER 4 L_ _____ _ WELL DRILLER 110 tic 4 , I o,( der ?So ry _ <br />ADDRESS _ <br />SEWER CONTRACTOR <br />ADDRFSS <br />ADDRESS <br />