Laserfiche WebLink
Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> ❑ Yes � No Permit Number: 0 Yes 0 No 0 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 � No � Yes O No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> - Fees to be Char ed YES NO <br /> Permit j/" <br /> Plan Review V- <br /> State Surcharge fj-� <br /> Investigation Fee �_ <br /> SAC—Number of SAC Units V- <br /> Other(specify) (/' <br /> Square Footage $ per Square Footage <br /> Basement X = $ <br /> 1 S' Floor X = $ <br /> 2nd FIOOr X = $ <br /> � Garage X = $ <br /> � ' <br /> C /"��'v--��-� <br /> Estimated Construction Value: $ > .�L'�� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> � Footing � Site 0 Plumbing � Grading/Filling <br /> 0 Poured Wall 0 Silt Fence/Erosion Control 0 Mechanical ❑ Fire <br /> ❑ Foundation Survey � Hardcover Removal � Septic � Water Connection <br /> � Foundation Waterproofing ❑ Other(specify) 0 Fireplace � Sewer Connection <br /> �Framing � Masonry 0 Lawn Irrigation <br /> Insulation 0 Mfg. ❑ Landscaping <br /> ❑ As-Built Survey � Other(specify) <br /> �Final <br /> ❑ Lathe Required State Permits <br /> ❑ Other(specify) <br /> � Well 0 Electrical <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 /> ��\fnrmc\nlan rcvia�ni rhorklict 1h_9MF rinrr <br />