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VILLAGE -)F ORONO BUILDING PERMIT APPLICATION <br />�J/ PURPOSE OF BUILDING <br />OWNER �� / 4� a --t �_ 4 BUILDER <br />ADDRESS 'i ' DRESS PERMIT N 2 1445 <br />PHONE NO. D �� NE NO. <br />Sec. No., Parcel Lot j Y Block Addition or Subdivision <br />L . 14 <br />LAND DESCRIPTION <br />BUILDING LOCATION <br />Size of Lot <br />Dis. From Road <br />Land Sq. Ft. <br />Dia. Sides <br />Elevation <br />Dis. Back <br />Drainage <br />CONSTRUCTION <br />Frame <br />Brick, Solid <br />Stucco <br />Brick Veneer <br />Stone <br />Cement Block <br />FOOTINGS <br />Depth <br />Least Depth <br />Width <br />Below Grade <br />FOUNDATION - Construction y-- <br />Size <br />BASEMENT <br />Ground Drainage <br />Floor <br />Bearing Posts <br />Size Spacing <br />Beams <br />Sze Span <br />CHIMNEYS <br />No. <br />ype <br />Foundation <br />Height Above Roof <br />Smoke Pipe—Distance From J is►s <br />FLOORS <br />Sub Flooring <br />Joists <br />Size Span <br />Spacing <br />Bridging <br />Bearing <br />STUDDINGS RAFTERS <br />CEILING JOISTS <br />Size 'I y `{ Size <br />Size i- Y Y <br />Spacing 16 Spacing <br />/i <br />Spacing 16 <br />/ <br />Plates AjX Span <br />Longest Span v <br />Bracing <br />EXITS <br />Basement — No.G <br />Size O Stairway <br />1st Floor — No. <br />Size Stairway <br />INSULATION — Ceiling <br />Walls <br />VENTILATION AND LIGHT <br />Percentage of Floor Area Vent. <br />Percentage of Light to Floor Area <br />LINTELS <br />Size e3- Span <br />Location <br />WELL TYPE <br />Construction <br />Location <br />SEPTIC TANKS <br />Size <br />Distance From Well <br />Construction <br />DRAINFIELD <br />Depth Distance From Well <br />Width Distance From lot Lines <br />Length <br />PLUMBING FIXTURES <br />/ Dish Washer <br />Sinks Shower <br />Laundry Toilet <br />Both Tub lavatory <br />I hereby agree that, in case permit is granted, all work <br />which shall be done and all materials which shall be used <br />shall comply with the plans and specifications submitted and <br />with all the ordinances of the Village of Orono applicable <br />thereto and shall includr all additional specifications as listed <br />below. <br />Signed <br />OWNER OII AUTHORIZED AGENT <br />Date <br />Bldg. S_ Plumb. s Sewage $ <br />o-� <br />Site Examination $_ Wells Total $ 6Z <br />PLUMBER WELL DR <br />ADDRESS ADDRESS <br />SEWER CONTRACTOR <br />ADDRESS <br />