Laserfiche WebLink
6 <br /> a' <br /> � Average Lakeshore Setback <br /> ` Shoreland District MCWD Permit Met? Bluff <br /> � � Yes � No Permit Number. �� .5(,�� 0 Yes � No �,�/A � Ye No ! ` °` <br /> � �� <br /> `' �` � N/A-see attached Setback: <br /> �� <br /> � <br /> f Stormwater Quality Existing Proposed <br /> ` Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and sf % and sf <br /> � ��' t�j.a�r1 � Yes ,_�"1�lQ_ � Yes ' ''No <br /> 1 � 2 i 3 4 5 Type(s): Type(s): <br /> �, . � z, -- � ���=�S� <br /> 'u <br /> � Fees to be Char eci YES NO <br /> � Permit 0/" <br /> Plan Review <br /> � <br /> State Surcharge <br /> ; Investigation Fee <br /> SAC- Number of SA� Units �, -�,.,`=� <br /> � Other(specify) <br /> � <br /> Square Foota e $ per Square Footage <br /> � Basement X = $ <br /> r; <br /> � <br /> �' 1 St Floor X = $ <br /> r <br /> ;' 2nd Floor' X = $ <br /> � <br /> � Garage X = $ <br /> � <br /> ` Estimated Construction Value: $ �, �� � <br /> , <br /> r <br /> � <br /> Orono Inspections Required Work Requiring Separate Permits <br /> ;' <br /> � �'Footing � Site �Plumbing � Grading/Filling <br /> : �'Poured Wall �Silt Fence/Erosion Control �'Mechanical 0 Fire <br /> �. ��,Foundation Survey � Hardcover Removal 0 Septic ��Water Connection <br /> � Foundation Waterproofing � Other(specify) Fireplace �Sewer Connection � <br /> � Framing �0 Masonry 0 Lawn Irrigation i <br /> A �`Insulation �Mfg. � Landscaping <br /> � <br /> ,;L3°-�.4�s-Built Survey � Other(specify) <br /> � � Final <br /> Lathe Required State Permits <br /> 0 Other(specify) <br /> �; 0 Well Electrical <br /> �' � <br /> REMARKS (in-house): <br /> � <br /> � <br /> i'h' OFFICIAL RENfARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> ��See Builder Acknowledgement Form <br /> t 0 Prior to releas�.of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> � - _ .. <br /> i <br /> �. <br /> �. <br /> �' <br /> G Updated: October 2015 <br /> �•\fnrmc\nlan ravia�ni nc�rklict 9(1_9l19F�inrv <br />