Laserfiche WebLink
Shoreland District MCWD Permit Average Lakeshore Setback g�uff � <br /> Met? <br /> Permit Number: '� _ ❑ Yes 0 No N/A � Yes <br /> Yes 0 No 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 /> Yes ❑ No 0 Yes No <br /> 1 2 03 4 5 �^� '� . YPe S):tXJ�a��' Type(s)' <br /> � <br /> Fees to be Char ed YES NO <br /> Permit � <br /> Plan Review <br /> State Surcharge � <br /> Investigation Fee <br /> SAC- Number of SAC Units <br /> Other(specify) `� <br /> Square Footage $ per Square Foota e <br /> Basement � X � �' _ $ �L��5�,,'� . <br /> l <br /> 1 S� Floor c� X O 0• Z - $ � 3 � 1 <br /> 2nd Floo� � Z�t`� X Do • - $ Z. <br /> Garage �J/e �,C 7�,��" IOG� X 3 �JC'(P = $ � �7��� <br /> Estimated Construction Value: �_ �7�' � ! �O / <br /> 7 ` <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 q Water Connection <br /> � Framing � Other(specify) 0 Masonry `�Sewer Connection <br /> ,�Waterproofing/Drain tile �.Mfg. �� Lawn Irrigation <br /> �Foundation Waterproofing 0 Other(specify) ❑ Landscaping <br /> �(Framing <br /> � Insulation <br /> As-Built Survey <br /> �,Final <br /> 0 Lathe Required State Permits <br /> ❑ Other(specify) <br /> Well Electrical <br /> REMARKS (in-house): <br /> OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED: <br /> �See Builder Acknowledgement Form <br /> Prior to r w money an as-built s cover calculations must be submitted and approved. <br /> Updated: May 2016 <br /> z:\forms\plan review checklist 5-2016.docx <br />