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Plan Review Checklist for New Structures`/ Additions <br /> Address/ PID/ Legal: / C.. SU C._,__) / / AJ Ir e,__._J Ti,Je <br /> Description of work: POO <br /> Septic review by: Date Approved: (c7-,02 --- !.:2 <br /> Zoning review by: .110.A2LL. it . IS Date Approved: g'ZZ'12- <br /> Building review by: I. Date Approved: _ ' 1 <br /> Grading review by: )r-*- Date Approved: vir1 <br /> Zoning File#: Resolution #: Resolution Date: <br /> Zoing District Fire Department Post Office School District <br /> RD I la_18 <br /> Zoning: Lot Area:52A 3 J I. Z SF/AC Width: Depth: <br /> Survey Submitted: es ❑ No Date of Survey:_ . "/2 <br /> Proposed Setbacks: b L-9 ' ( Z1. <br /> qQ9, <br /> Front(Lake) Rear(S ) ( N S E • ( N S E W ) Other Buildings 11U- u <br /> Side S - <br /> 14,3` (QC} 1 (61 ' 3s ' )26i <br /> /� <br /> Building Defined Height: NI-Pr Building Peak Height: IN A- #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 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 /> ❑ Yes 0 No 0 N/A / ❑ Yes T o <br /> 0 Yes o 0 Yes 0 No <N/A <br /> Permit Number: / Setback: <br /> Hardcover Zones Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes No <br /> 75-250' Type(s): Type(s): <br /> 250-500' <br /> 500-1000' <br /> REMARKS (in-house): <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />