Laserfiche WebLink
y <br /> j <br /> f ( <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> �Yes � No Permit Number: L� _�3 � Yes � No N/A � Ye No � <br /> � 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 /> ��,(p1�j�j �1 l,L�.;;,;�.`� � Yes o � Yes o <br /> 1 2 3 4 5 � � r Type(s): Type(s): <br /> 4��-�.� � � �-.-� �- <br /> � <br /> Fees to be Char ed YES NO <br /> Permit (/� <br /> Plan Review v- <br /> State Surcharge ��— <br /> Investigation Fee �/' <br /> SAC–Number of SAC Units 1/ <br /> Other(specify) �- <br /> Square Foota e $ per Square Foota e <br /> Basement X = $ <br /> �� 1 St Floor X = $ <br /> 2nd Floo� X = $ <br /> } <br /> � Garage X = $ <br /> � � � <br /> } Estimated Construction Value: �P , ��� <br /> Orono Inspections Required Work Requiring Separate Permits <br /> �Footing � Site Plumbing � Grading/Filling <br /> �[ Poured Wall Silt Fence/Erosion Control � Mechanical 0 Fire <br /> � � Foundation Survey � Hardcover Removal Fireplace Water Connection <br /> � <br /> � 0 Framing � Other(specify) � Masonry Sewer Connection <br /> Waterproofing/Drain tile �Jvlfg. 0 Lawn Irrigation <br /> Foundation Waterproofing � Other(specify) 0 Landscaping <br /> Framing <br /> Insulation <br /> As-Built Survey <br /> � Final <br /> '8( Lathe Required State Permits <br /> � Other(specify) <br /> W ell lectrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> 0 See Builder Acknowledgement Form <br /> Prior oney an as- ' latio e pprove . <br /> Updated: May 2016 <br /> z:\forms\plan review checklist 5-2016.docx <br />