Laserfiche WebLink
Fees to be Charged YES NO ' <br /> Permit_ <br /> Plan Review � <br /> State'Surcharge , �/ <br /> Investigation Fee <br /> SAC-Number of:SAC'Units <br /> Sewer Connection <br /> Water Connection <br /> Park Fee <br /> =Site lnspection <br /> Other(specify) <br /> Miscellaneous Fees - . ;:_ <br /> Calcufated By: <br /> Square Footage � $ per Square Foota e � , <br /> Basement I X = $ <br /> 1�t Floor � X � _ � <br /> 2"d Floo� ° X = i $ <br /> Garage X = � <br /> 0 <br /> Estimated Construction Value: $ �j,S d0 Q` <br /> Orono Inspections Required Work Requiring Separate Permits Required State Permits <br /> ❑ Site ❑ Plumbing ❑ Grading / Filfing ❑ Well <br /> ❑ Hardcover Removal ❑ Mechanical ❑ Fire �Electrical <br /> Ja' Footing � ❑ Septic ❑ Water Connection !I <br /> ❑ Poured Wall ❑ Fireplace ❑ Sewer Connection <br /> ❑ Foundation Survey ❑ Masonry ❑ Lawn Irrigation <br /> ❑ Radon Rock Bed � ❑ Mfg. <br /> J�Framing i ❑ Other(specify) <br /> ❑ Insulation <br /> ❑ As-Built Survey <br /> �Final <br /> ❑ Other (specify) <br /> REMARKS (in-house): <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 /> ' ��Y I v2wr�c.t w►�,.s� (r�-�. h o c,��dQ�' -��a+� 2 6' w����, �. <br /> ��Cf �1' b�' C.0(-�-�-1 �� I , "f Yv►`'1 e�C�ti L�' VGAC�W Prc�1 ) <br /> � Plac�.. si(� -�'e,,-,c� Arc�c� ccfn.�h�c�c��, {� c�►1�o1 �✓a5�� ��Yt l ��r� u� <br /> (.I,� �r�c�<<�c� d►--• ��rv_e�- ,�1�- p�v�et o� c�x�r l�c4�, <br /> Updated: 09/11/2009 • wc�,�� m � P�,,.,•k, o,,,c�-� r v� d re��..1 �r i v� �c,•-��- <br /> z:\forms\plan review checklist.docx � I o� �� ,(r �� q���y�d, (�.�1,.� ��QM <br /> fUnc� �,t-r i(C�� - � <br /> E�R � ¢XvU.�e�ln {t� �1lk CX f�e-� rL�'S � <br />