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OWNER ly <br />^DDRESS 1 <br />PHONE NO. <br />VILLAGE OF ORONO BUILDING PERMIT APPLICATION <br />G <br />PURPOSE OF BUILDING, Q <br />BUILDER (.�"L.- . <br />Sec. No.f Parcel No. Lo' / Block / <br />�j 4'171n • -L0A <br />ADDRESS t+"c r - <br />'PHONE NO. �y y <br />Addiftn or Sul <br />LAND DESCRIPTION BUILDING LOCATION <br />Size of lot '-2- <br />Dis. From Road <br />Land Sq. Ft. <br />Dis. Sides <br />Elevation <br />Dis. Back <br />Drainage <br />CONSTRUCTION <br />r <br />Frame <br />Brick, Solid <br />Stucco <br />Brick Veneer <br />Stone <br />Cement Block <br />FOOTINGS <br />Depth g <br />Least Depth N 1 <br />Width 0 <br />Below Grade <br />FOUNDATION - Construction <br />Size <br />BASEMENT <br />Ground Drainage D 1/ <br />Floor <br />Bearing Posts // _. <br />�GLit. <br />Size Spacing <br />Beams <br />Size Span <br />CHIMNEYS <br />No. -�-. <br />Type <br />Foundation <br />Height Above Roof - <br />Smoke Pipe—Distance From Joists <br />FLOORS <br />Sub Flooring <br />Joists . i ,_.. , <br />Size 'l ! 'D Span <br />Spacing <br />Bridging ; �' ( V <br />Bearing <br />STUDDING$ RAFTERS <br />CEILING JOISTS <br />Size -1--1k `t Size '; <br />Size <br />Spacing 1 I. Spacing ! S <br />Spacing <br />Plates Span I L� <br />Longest Span <br />Bracing <br />EXITS <br />Basement — No. 1 Size 3 Stairway <br />1st Floor — No. Size Stairway <br />INSULATION — Ceiling Walls <br />PLUMBER-- <br />ADDRESS-- <br />SEWER <br />LUMBER_ADDRESS— SEWER CONTRACTS -- <br />ADDRESS <br />PERMIT N2 1310 <br />ion <br />!' <br />VENTILATION <br />Percentage of Floor Area Vent. <br />Percentage of Light to Floor Area <br />LINTELS <br />Size :-N, Y '1 Span [j <br />Location <br />WELL TYPE <br />Construction <br />Location <br />SEPTIC TANKS <br />Size 'I ' <br />Distance From Well ro ' <br />Construction <br />DRAINFIELD <br />Depth Distance From Well <br />Width Distance From I..)t Lines <br />Length <br />PLUMBING FIXTURES <br />Dish Washer <br />Sinks l Shower <br />Laundry I Toilet .3 <br />Bath Tub ')-- lavatory 3 <br />I hereby agree that, in case permit is granted, all work <br />whi,:!i 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 include all additional specifications as listed <br />below. <br />43 4 41 <br />Signed i ,6-e <br />Date x- _ ow1/[R <br />AUTHORIZED AGENT <br />Bldg. $— Plumb. S Sewage s <br />q c <br />Site Examinations Well S _ Total $4 <br />WELL DRILLER • t a L <br />ADDRESS I <br />