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41 <br /> Plan Review Checklist for New Structures / Additions <br /> X Address/ PID / Legal: `r5-0 (�/,/(o vv Vi L----t-Al-- <br /> Description of work: 6 e-<_ - _.. -04 vt-C- <br /> Septic review by: 4,14,_ Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: *///hir' Date Approved: 6 -u - I I <br /> Grading review by: �T Date Approved: 6,- 2.o - ) <br /> Zoning File#: Resolution#: Resolution Date: <br /> Zoning District Fire Department Post Office School District <br /> Zoning: Lot Area: SF/AC Width: Depth: <br /> Survey Submitted: D Yes D No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Defined Height: Building Peak Height: #of Stories Ok?: D 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: SF % <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Bluff <br /> D Yes D No D N/A D Yes D No <br /> D Yes D No D Yes D No D N/A <br /> Permit Number: Setback: <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' D Yes D No D Yes D No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): nfv ('lIi'INO e <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />