HomeMy WebLinkAbout2017-01325 (adv. plan review) PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
Address: �CJ"J C06C a CA V- Permit No.:Description of of work: Date Rec'd:
Septic review by: Date Approved:
Zoning review by: Date Approved:
Building review by: Date Approved:
Grading review by: Date Approved:
Zoning District: Zoning File M
Resolution? Yes Reso M Reso Date: Signed: Yes No Resolution/ NA
Zoning: Lot Area: SF/AC Width: Structural Coverage: SF %
Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?):
Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed
Proposed Setbacks:
Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland
Side Side
Buildin Hei ht Anal sis: v S�v �`•�'« f �SS
'RS
Distance Between First Floor and defined Top of Roof*(See"building height" p r
definition):
(a) ��
First Floor Elevation from building plans): (b) 1p(0•b
Highest Existing ground level (per survey) or 10' above lowest ground level, (c) p'�2
whichever is lower: J
Difference between b and (c)*: (d) 3• LD
DEFINED HEIGHT
*If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) 23•b
*If highest existingadjacent rade is below FFE-Height is a + d
Shoreland District MCWD Permit Average Lakeshore Setback Bluff
Met?
0 Yes 0 No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No
0 N/A—see attached Setback:
Stormwater Quality Existing Proposed
Overlay District Tier Hardcover Hardcover Variance Required CUP Required
circle one % ands % and s
0 Yes 0 No 0 Yes 0 No
1 2 3 4 5 Type(s): Type(s):
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx
Fees to be Charged YES NO
Permit
Plan Review
State Surcharge
Investigation Fee
SAC—Number of SAC Units
Other(specify)
Square Footage $ per Square Footage
Basement X = $
1s' Floor X = $
2nd Floor X = $
Garage X = $
Estimated Construction Value: $
Orono Inspections Required Work Requiring Separate Permits
❑ Footing ❑ Site ❑ Plumbing ❑ Grading/Filling
❑ Poured Wall ❑ Silt Fence/Erosion Control ❑ Mechanical ❑ Fire
❑ Foundation Survey ❑ Hardcover Removal ❑ Fireplace ❑ Water Connection
❑ Framing ❑ Other(specify) ❑ Masonry ❑ Sewer Connection
❑ Waterproofing/Drain tile ❑ Mfg. ❑ Lawn Irrigation
❑ Foundation Waterproofing ❑ Other(specify) ❑ Landscaping
❑ Framing ❑ Septic
❑ Insulation
❑ As-Built Survey
❑ Final
❑ Lathe Required State Permits
❑ Other(specify)
❑ Well ❑ Electrical
REMARKS (in-house):
OFFICIAL REMARKS -TO BE NOTED ON PERMIT AND INITIALLED:
❑ See Builder Acknowledgement Form
❑ Prior to release of escrow money an as-built survey and hardcover calculations must be submitted and approved.
Updated: June 2017
z:\forms\plan review checklist 06-2017.docx