Building Notification Form

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THIS IS FOR INLAND ZONES ONLY-SHORELAND NEEDS SITE PLAN APPLICATION
Complete and Return all copies to: the Code Enforcement Officer
PO Box 56, Islesford, ME 04646

I. Location Street
N S
E W side of __________________________________ From Tax Maps
Map - Lot
_____________
II. Type of Improvement
__ Renovation
__ New Building
__ Addition
__ Repair
__ Wrecking
__ Foundation only
__ Other:
III. Total Cost of Improvements (materials & labor) $___________
IV. Proposed Use
Residential
__ one family
__ garage
__ other: (specify) Non-Residential
Describe in detail proposed use:

V. Details of New Work (all dimensions in feet)
Type of Water Supply
__ private
__ individual
__ shared Type of Sewage Disposal
__ septic system
__ cesspool
__ other:
plumb. permit or DEP lic. # Heating Fuel
__ oil
__ electric
__ gas
__ other: Cooking Fuel
__ oil
__ electric
__ gas
__ other:
Dim. of new building ___ x ___, of new addition ___ x ___, No. stories ____
Foundation (type) __________ thickness __________ cellar __________
Type of frame wood______ style roof __________ roofing __________
If garage __ __ attached __ separate dimensions ___ x ___, No. Stories ___
If dwelling __ No. rooms to be finished ___ Baths ___ Sq. Ft. floor area ___
Fireplaces: __ no __ yes # ____ Woodstoves: __ no __ yes # ____
General description of work (interior, exterior, finish, etc.)

Note:
All housing construction should provide access for emergency vehicles.
VI. Identification Address Zip Tel. No.
Owner:

Contractor:

Electrician:

Architect:

The owner of this building and the undersigned agree to conform to all
applicable laws of the Town of Cranberry Isles.

VII. Site Plan
Illustrate the following information about your lot and the proposed use of the lot on a scale drawing or by a site plan prepared by a surveyor, architect, or engineer (use of graph paper as in the diagram to the right is recommended):
Lot dimensions
Names of abutting property owners, name and location of abutting rights of way, public and private, and abutting water body.
- Show location of proposed construction in relation to shoreline. Label distance in feet.
- Show location of proposed construction in relation to all lot lines. Label distances in feet.
- Show location of proposed construction in relation to existing buildings. Label distances in feet.
- If the proposed construction is an addition to an existing structure, also show location of the existing structure to all lot lines and to the shore. Label distances in feet.
Location of sewage disposal system and water supply.
Areas to be cleared, if applicable.
Areas of cut, fill, grading, or other earth moving activity, if applicable.
Attach a copy of Plumbing Permit.
Attach a copy of official decisions (or note pending applications) of other Federal, State, or local agencies regarding the use of this property (Site Location Permit, Minimum Lot Size waiver, Subdivision approval, Great Ponds Permit, etc.)
On a separate sheet, attach any supplemental information, or explain any points you feel need clarification.
To the best of my knowledge, all information submitted on this application is true and correct. All proposed uses will be in conformance with the application and the __________________________________ (zoning ordinance.)
Signature __________________________________ Date _______________
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(For official use only - maintain as a permanent record)
Date Received _______________ Fee Paid ____________________
Date of Action on Application _________ Approved _____ Denied _____
If application denied, reason for denial _______________________________
_____________________________________________________________
If approved, the following conditions and safeguards were prescribed: ________
_____________________________________________________________
Code Enforcement Officer (if applicable) ______________________________
Signed & Dated _________________________________________________

Site or Plot Plan -- for applicant use
Please show proposed construction with dimensions to all lot lines.

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FOR OFFICIAL USE
VIII. Zoning __
District __ Front Yards __
Use __ Side Yards __
Notes __ Rear Yards __
Inspection Notes __