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VILLAGE OF ORONO <br />RESIDENTIAL AND COM ERCIAL BUILDINGS <br />PURPOSE OF BUILDING <br />OWNER & P1 QrJ ! f v Al <br />ADDRESS <br />PHONE NO. Zl l <br />Sec. No. Parcel No. <br />Lot Block <br />2. .3o•od <br />l�2 <br />LAND DESCRIPTION <br />BUUJ)ING LOCATION <br />Size of Lot <br />Dis. From Road <br />Land Sq. Ft. <br />Dix. Sides <br />Elevation <br />Dix. Back <br />Drainage <br />Frame ✓ <br />Brick, Solid <br />Stucco <br />Brick Veneer <br />Stone <br />Cement Block <br />FOOTINGS <br />Depth •s <br />Least Depth <br />Width eAC> <br />Below Grade <br />FOUNDATION <br />Construction cf__L <br />Size <br />BASED' <br />Ground Drainage <br />Floor <br />Bearing Poet Size <br />Spacing <br />Beams Size <br />Span <br />No. Type <br />Foundation <br />Height Above Roof <br />Smoke Pipe — Distance From Joints <br />Sub Flooring 7 ',-" <br />Joists �' Size % i_~y • / � <br />Spacing C Bridging S <br />Bearing ,!{/ / 3 . b <br />STUDDINGS RAFTERS CE[LUNG JOISTS <br />Size 2- �C t-�- Size s - ?� 'X Size ---- <br />Spacing G Spacing / C Spacing <br />Plates Span / 0 Longest Span <br />Bracing d 4- <br />IOU <br />Basement — No. Size Stairway <br />1st Floor — No. Size Stairway <br />INSULATION <br />Ceiling G lV <br />Walls F G <br />BUILDER <br />ADDRESS % iolf <br />PHONE NO. ](,) C_ 9 yG c/ 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 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 />Sinks / Shower <br />Laundry Toilet 'y <br />Bath Tub / Lavatory 2. <br />I hereby agree that in case permit is granted all work which <br />hall be done and all materials which shall be used shall com- <br />ply with the plans rind specifications submitted and with all the <br />ordinances of the Village of Orono applicable thereto. <br />NOTES: '5 &-t v f 9 j . / 0 , - - <br />/A 5w 14,1- <br />Signed — <br />Receipt Receipt No.2 -3 Date <br />Bldg. $L�_�'!'Plumb. $ Sewage $_____- Total $ �' <br />THE SEWAGE SYSTEM INSTALLED BY <br />NAME__------- ------ <br />ADDRESS---------- <br />--- <br />