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VILLAGE OF ORONO BUILDING PERMIT APPLICATION <br />PURPOSE OF BUILDING <br />OWNER fja, BUILDER <br />ADDRESS 16 07 ADDRESS -(6^ *ERMIT N2 1299 <br />1 i PHONE NO. y -7 3, S 7 H 2 PHONE NO. <br />1111 Sec. No. Pprce _K6 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 />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 i-d <br />Below Grade <br />FOUNDATION - Construction <br />.; Size <br />BASEMENT <br />Ground Drainage I <br />Floor <br />Bearing Posts <br />Size <br />Spacing <br />Beams <br />Size <br />Span <br />CHIMNEYS <br />No. <br />Type <br />Foundation <br />Height Above Roof <br />Smoke Pipe —Distance From Joists <br />FLOORS <br />Sub Flooring P j y $C_d j-:.< <br />Joists -y y I 0 _ Size Span <br />Spacing 116 Bridging i <br />Bearing Pa�i <br />STUDDINGS RAFTERS <br />CEILING JOISTS <br />Size ^— '( 4 <br />Size <br />Size <br />Spacing <br />Spacing <br />% 6 <br />Spacing <br />Plates y �y <br />Span <br />71 <br />Longest Span ' G <br />Bracing <br />EXITS <br />Basement — No. <br />Size <br />Stairway <br />1st Floor — No. <br />Size <br />Stairway E• <br />IN"ULATION — Ceiling <br />Walls <br />PLUMBER Li" <br />ADDRESS —______— <br />SEWER CONTRACTO <br />ADDRESS_ <br />VENTILATION AND LIGHT <br />Percentage of Floor Area Vent. r <br />Percentage of Light to Floor A; ea <br />LINTELS <br />Size i-i l y %, Span 1 d <br />Location <br />WELL TYPE <br />Construction <br />Location <br />SEPTIC TANKS <br />n ti' a o � --P <br />Size '1- <br />Distance From Well i <br />Construction <br />DRAINFIEL + <br />Depth 4/ Distance From Well I <br />Width 7► Distance From Lot Lines <br />Length ZS c, <br />PLUMBING FIXT )RES <br />Dish Washer <br />Sinks Shower <br />Laundry Toilet <br />Bath Tub Lavatory <br />I hereby agree that, in case t�prmit is granted, a;l work <br />which shall be done and all material. which shall be used <br />shall comply with the plans and specificciio,.- submitted and <br />.with uli the ordinances of the Village of Orono, applicable <br />thereto and shall include all additional specifications as listed <br />below. <br />�!; /moo ► Te7 <br />Y <br />Signed_t.G_. G!'r ✓G LotPf_"�,->.- Q1 c� <br />y� — OWNER OR AUTN � GEN�,- - �� <br />Date <br />Bldg. a_____— Plumb. S _ Sewage <br />Site Examination a Well $ Total � Ltd <br />WELL DRILLER <br />ADDRESS_ _ __-_-- <br />