Laserfiche WebLink
: � <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? Bluff <br /> � Yes 0 No Permit Number. � Yes 0 No � N/A � Ye No � <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one (% and sf % and sf <br /> � Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 Type(s): • Type(s): <br /> Fees to be Char ed YES NO <br /> Permit <br /> Plan Review //" <br /> State Surcharge � <br /> Investigation Fee �/` <br /> SAC—Number of SAC Units �' <br /> Other(specify) v <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1 St Floor X = $ <br /> 2nd Floor X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ ��(�/,��17 —/ <br /> .��. <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �,Footing 0 Site 0 Plumbing 0 Grading/Filling <br /> � Poured Wall 0 Silt Fence/Erosion Control �Mechanical 0 Fire <br /> � Foundation Survey 0 Hardcover Removal � Septic 0 Water Connection <br /> � Foundation Waterproofing 0 Other(specify) 0 Fireplace � Sewer Connection <br /> Framing 0 Masonry � Lawn Irrigation <br /> 0 Insulation � Mfg. � Landscaping <br /> � As-Built Survey � Other(specify) <br /> Final <br /> � Lathe Required State Permits <br /> � Other(specify) <br /> ❑ Well Electrica� <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> � See Builder Acknowledgement Form <br /> � Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> Updated: October 2015 <br /> r\fnrmclnlan ravic�u rharklicf 1 h_9M F rinrv <br />