|
Fees to be Char ed YES NO
<br /> Permi�.. _� . ;;
<br /> ., � � � , , ,�:�
<br /> _ . , , ,. ..�
<br /> Plan Review �/
<br /> �•�7lo�c��a��� r ' ���:'^ t - �r:.
<br /> _. . _. .. -� ._.. , ,. _ _..._. :. ..-.�_ .. ,.._. .,,
<br /> ,. ....._.... _ . ......-.. _... .
<br /> Investigation Fee
<br /> :�A�C .�N�ur.�ber�o��AC��t��its� _ � r � , x "r';.
<br /> ._ . . , ,� . . _. . . ., � __ ..... . � ,,._
<br /> - -
<br /> Sewer Connection
<br /> �!I(atef�on�e;ctiorr <, - ; � �} �� ;; � � � � , w , <-��
<br /> ...am� ,-�, �r. _��_ _.En. , ,E,.,.-�'>,�,
<br /> Park Fee
<br /> .'�ite�l�$pect�on° ' : �, �,•r 3 �� ,3 , ��, ��
<br /> .�
<br /> .� r.. .,.._.. . ._ .,_,. ,�.�..� ,......
<br /> - ��- -, --. ..
<br /> ,., , ..,.. :. .
<br /> Other(specify)
<br /> :�N�sce�la�neous�Fees-� t�.._a.�- ' � - " '
<br /> 3 . � ..._. .Y . .� .,:. .:.
<br /> _ ..s _ . .. . . ,. ._ .._ _ .
<br /> Calculated By:
<br /> S uare Foota e $ er S uare Foota e
<br /> Basement X = $
<br /> 1�Floor X = $
<br /> 2nd Floo� X = $
<br /> Garage X = $
<br /> Estimated Construction Value: $ S y,dd� oa
<br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits
<br /> 0 Site ' 0 Plumbing 0 Grading/Filling � Well
<br /> � Hardcover Removal 0 Mechanical � Fire �'Electrical
<br /> Footing 0 Septic 0 Water Connection
<br /> � Poured Wall � Fireplace � Sewer Connection �
<br /> 0 Foundation Survey 0 Masonry � Lawn Irrigation
<br /> 0 Radon Rock Bed 0 Mfg.
<br /> 0 Framing � Other(specify)
<br /> 0 ulation
<br /> As-Built Survey �
<br /> 0 I
<br /> � Other(specify)
<br /> REMARKS (in-house): � 5�i1�G�'�'�'� ��D1N �4ZUw� 1'V�,(/t��' � ��/Vl��csl
<br /> �'� .� •
<br /> Other Review: Reviewed by: Date Approved:
<br /> Access:Existing: � YES � NO New: � YES � NO
<br /> REMARKS(TO BE NOTED ON PERMIT AND INITIALLED BY PERSON PULLING PERMIT)
<br /> V1�IM�
<br /> __�� Pvol w���- � F���t c�sp�ee� wn`oY �d, � v.
<br /> Updated: 09/11/2009
<br /> z:�forms\plan review checklist.doac
<br />
|