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VILLAGE OF ORONO <br />RESIDENTIAL AND COMMERCIAL BUILDINGS <br />PURPOSE OF BUILDING <br />OWNER )�'� �Q S v C^ S [/ % /-f GC L ff 'V 4 <br />ADDRESS / % d F "l a N ^ A'' S 1 <br />PHONE NO�F 7 G Z g <br />Sec. No. Parcel No. <br />Lo _ Bjk <br />LAND DESCRIPTION <br />B I DING LOCATION <br />Size of Lot <br />Dis. From Road <br />Land Sq. Ft. <br />Dis. 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 />FOOT AGS <br />Depth <br />Depth <br />Width --y <br />Below Grade <br />FOUNDATION <br />Construction ,; <br />Size <br />BASEMENT <br />Ground Drainage <br />Floor , <br />Bearing Posts S % Size / Spacing ! , <br />4 Beams 7 Size Span <br />CH04NEYS <br />No. _ <br />Type <br />Foundation `e N <br />Height Above Roof <br />Smoke Pipe — Distance From Joists <br />FLOORS <br />Sub Flooring r v� <br />Joists t I <br />Size -4 X ! d <br />Spacing 16 <br />Bridging G <br />Bearing <br />STUDDINGS RAFTERS CEILIING JOISTS <br />Size 'L Size l x Size <br />Spacing / j(' or Spacing / G Spacing <br />Plates Span <br />j, Longest Span <br />Bracing /q' N <br />EXITS <br />Basement — No. / i v <br />Size Stairway <br />1st Floor - No. <br />Size Stairway <br />INSULATION <br />Ceiling <br />Walls <br />BUILDER <br />ADDRESS <br />PHONE NO. PERMIT NO. <br />Addition or Subdivision <br />VENTILATION AND LIGHT <br />Percentage of Floor Area Vent. <br />Percentage of Light to Floor Area <br />LINTELS <br />Size a X J H Span ! , <br />Location (7 < C <br />WELL TYPE <br />Construction <br />Location <br />SEPTIC TANKS <br />Size I <br />Distance From Well w / <br />Construction Gf/ �( <br />DRAINFIELD <br />Depth / S-� A� Distance From Well J/ <br />Width v Distance From Lot Lines <br />Length <br />PLUMBING FIXTURES <br />Sinks Shower <br />Laundry r Toilet L <br />Bath Tub Lavatory <br />I hereby agree that in case permit is granted all work which <br />shall be done and all materials which shall be used shall com- <br />ply with the plans and specifications submitted and with all :he <br />ordinances of the Village of Orono applicable thereto. <br />NOTES: n/ ii !(i <br />Signed p J�--- <br />Receipt No._ a S _ _Date_ <br />Bldg. 'Plumb. Sewage $2 e" Total $? -I' <br />THE SEWAGE SYSTEM INSTALLED BY <br />NAME- . - <br />ADDRESS <br />