Laserfiche WebLink
Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> � Yes � No Permit Number: � 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 /> � Yes � No � Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <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 Foota e $ per Square Footage <br /> Basement X = $ <br /> 1 St Floor X = $ <br /> 2nd FIOOr X = $ <br /> Garage X = $ <br /> Estimated Construction Value: $ <br /> Orono Inspections Required Work Requiring Separate Permits <br /> ❑ Footing � Site � Plumbing � Grading/Filling <br /> � Poured Wall � Silt Fence/Erosion Control 0 Mechanical � Fire <br /> 0 Foundation Survey 0 Hardcover Removal � Septic 0 Water Connection <br /> 0 Foundation Waterproofing 0 Other(specify) � Fireplace � Sewer Connection <br /> � Framing 0 Masonry � Lawn Irrigation <br /> ❑ Insulation 0 Mfg. � Landscaping <br /> � As-Built Survey � Other(specify) <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 release of escrow money an as-built survey and hardcover calculations must be submitted and approved. <br /> Updated: October 2015 <br /> �•\fnrmc\nlan ruvia�u rharklicf 1(1_9(1'15 rVnrv <br />