Laserfiche WebLink
, PLAN REVIEW CHECKLIST FOR N W STRUCTURES / ADDITIONS <br /> Address: tc�"l �:1��7 v�+1W/� tU • I�cJ` 1 Permit No.: �1 �Qr �L- <br /> Description of work: iWl�U1� Date Rec'd: Q' Z'7'� / <br /> Septic review by: d'�/W�.1� '�" wa�"Y Date Approved: ` <br /> Zoning review by: Date Approved: '� •� � <br /> Building review by: v Date Approved: � <br /> Grading reviewby: ��b �/�. Date Approved: (l.�'��'� 7 <br /> Zoning District: ' v►.0 Zoning File#: --"' <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NA <br /> Zoning: Lot Area: 3 SF/AC Width: Structural Coverage: _ ��SF % <br /> Survey Submitted: �"Yes 0 No Date of Survey: Q•Z�' � ! Revised date(?): <br /> v <br /> Landscape plan submitted? � Yes Landscaper: � S�✓� � No/ None proposed <br /> Pro osed Setbacks: <br /> Front(La}� Rear(S et) (�N S E W ) ( N/fS� E W ) Other Buildings Wetland <br /> � Side ��de <br /> I ' I� 2 ' <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roof"(See"building heighY' �a� I��� <br /> .� definition : <br /> ,(� ' ,� First Floor Elevation from buildin lans : (b) ���,7 <br /> ��' .. <br /> l,. <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, ��� <br /> , :ji,� whichever is lower. �OZ� <br /> Difference befinreen b and c ": (d) j.� <br /> DEFINED HEIGHT <br /> *!f highest existing adjacent grade is above FFE-Height is(a)-(d): (e) ; ' <br /> "`If hi hest existin ad'acent rade is below FFE-Hei ht is a + d `'" "� ' �� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> �Yes 0 No Permit Number: "'� - 0 Yes � No /A � Yes �No <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> ��,���� 0 Yes No 0 Yes o <br /> 1 2 3 � 5 /� Type(s): Type(s): <br /> �x� -�.�� 2 s;� <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />