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Plan Review Checklist for New Structures / Additions <br /> Address/ PID / Legal: tic'c) �l t l_A k0( <br /> Description of work: A(012) O --f-hi(l U( <br /> Septic review by: Lit- Date Approved: 5" - ') <br /> Zoning review by: Mini AL !. I . Date Approved: •--5- Z <br /> Building review by: II t ---- Date Approved: G - I y - I Z. <br /> ^_I <br /> Grading review by: ..le <br /> VQ-- ' <br /> Date Approved: W 13-(2-- <br /> Zoning File#: ! J iA' Resolution #: Ni k" Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area: /2.31S-00 t 2,5SF/AC Width: 2.41 Depth: 7� <br /> Survey Submitted: „t7K'es 0 No Date of Survey: // -2--- <br /> Proposed Setbacks: CC) -.(0 -1 Z-- <br /> Front e) Rear( et) ( N S tE 1 W ) ( N S E �W ) Other Buildings Wetland <br /> Sire Side <br /> • <br /> l (N).1 ' 24-3 ' C 9 [00 r coo' )401,0,c__„ / &) <br /> / Acc qt.a 4. <br /> Building Defined Height: /(o Building Peak Height:/c5 ,..1-- #of Stories Ok?: j�YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: / <br /> START WITH the distance between the basement floor/crawl START the distance between the slab and the highest <br /> space floor and the highest roof peak, the top of WITH roof peak, the top of the cornice of a flat roof, <br /> the cornice of a flat roof,the deck line of a the deck line of a mansard roof, or the <br /> mansard roof, or the uppermost point on a round uppermost point on a round or other arch-type <br /> or other arch-type roof roof <br /> SUBTRACT half the distance between the highest window and SUBTRACT half the distance between the highest window <br /> highest roof peak of a pitched roof and highest roof peak of a pitched roof <br /> SUBTRACT the distance between the basement floor/crawl ADD the distance between the slab and the highest <br /> space floor and the highest existing grade within existing grade within the foundation <br /> the foundation or 10 feet,whichever is less. EQUALS Defined building height <br /> EQUALS Defined building height <br /> Lot Coverage: NA— — 04 ti .O'tS cyo <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> 0 Yes 0 No /A ❑ Yes o <br /> 0 Yes No ❑ Yes 0 No /A <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' / 0 Yes ❑❑ 0 Yes o <br /> 75-250' i/ Type(s): Type(s): <br /> 250-500' /---- <br /> 500-1000' / <br /> REMARKS (in-house): O� 3 - J� r� iD forrucON-5 <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />