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Plan Review <br /> �lChecklist for New Structures / Additions <br /> . <br /> Address/ PID/ Legal: iiX Vv eSi- branCfl Rei <br /> Description of work: Zvro (,IJ Gr i-- ��j / <br /> Septic review by: ,i _so, \ Date Approved: _-•5 .2-2- I <br /> Zoning review by: 'LO. mi.1 Date Approved: L-3 2-7 /2---- <br /> Building <br /> Building review by: A (0 Date Approved: - -- ( 2— <br /> Grading review by: Pr Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area: 1,1 b SF/e) Width: Depth: <br /> Survey Submitted: ❑ Yeso Date of Survey: <br /> Proposed Setbacks: py usd o t 5 u r v / Old 5-2:1-11 <br /> Front pfei Rear( at-; ( N S E ( N S �E' W ) Other Buildings Wetland <br /> Side Sidi' <br /> i55 ' V 11c' 162- ' a ' q-ct`f 153' <br /> z, c 0 <br /> Bul ding Defl ed Height: (I Pc Building Peak Height: NA" #of Stories Ok?: ❑ 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 nd uppermost point on a_reurfd or other arch-type <br /> or other arch-type roof roof - <br /> SUBTRACT half the distance between jhe-h ghest window and SUBTRACT half the distance between the highest window <br /> highest roof peak of a pifched 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: SF <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> � <br /> LI Yes 1:1 No N/A �� 1:1 Yes 1:1 No <br /> CIT Yes No 1:1 Yes El No N/A <br /> Permit Number: .la Setback: <br /> Hardcover Zones Existing Proposed Variance Req�uir CUP Required <br /> 0-75' /' ❑ Yes A No 1:1Yes No <br /> 75-250' Type(s): Type(s): <br /> 250-500' • <br /> 7 <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />