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Plan Review Checklist for New Structures / Additions <br /> Address/ PID/ Legal: / O /5-5- tJi I I t3c..,.; V;p(i <br /> Description of work: (-puAC 0ec.4 --o D TI/V c.6 <br /> Septic review <br /> p by: /1/14-14- Date Approved: /O-2 7-D <br /> Zoning review by: N// Date Approved: <br /> Building review by: �/(6��—_ Date Approved: to 'Z) - c c <br /> Grading review by: / 11/4 Date Approved: <br /> Zoning File#: Resolution#: Resolution Date: <br /> oning District Fire Department Post Office School District <br /> Zoning: Lot ea: SF/AC Width: Depth: <br /> Survey Submitted: byes 0 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 /> `'N <br /> Building Defined Height: B i1iding Peak Height: #of Stories Ok?: 0 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/crawlSTART 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 rgtinduppermost 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 basemenffloor/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 f/ICWD Permit Received Average Lakeshore Setback Bluff <br /> Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 Yes 0 No — 0 Yes 0 No 0 N/A — <br /> Permit Number: Setback: <br /> Hardcover Zon•s Existing Proposed Variance Required CUP Required <br /> 0-75' 0 Yes 0 No 0 Yes 0 No <br /> 75-2,0' Type(s): Type(s): <br /> 2 0-500' <br /> 00-1000' <br /> R• ARKS (in-house): 1(10 GM <br /> Updated: 09/11/2009 <br /> z:\forms\plan review checklist.docx <br />