Laserfiche WebLink
� PI,�N 6�EViE11V GFfECF(LlST FOR �VEIM STRtJCTURES / 14DD[TIONS <br /> Address: ��� �d�� �"C�'� Permit No.: ��.� ' �(�7�',�' <br /> Description of work: e �� �-- (��o�����(�� Date Rec'd: �''��'�� <br /> Septic review by: _� �-� Date Approved: '�'� <br /> Zoning review by: , ; Date Approved: I b' �� '� <br /> Building review by: Date Approved: �,�•�� '�� <br /> .;�'-'' / <br /> Grading review by: �6'� 9� Date Approved: /`��'/�—�%jS <br /> Zoning District: ��`o� ��"�- Zoning File#: Reso#: Reso Date: <br /> �, <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: ,' '' ��..;•" SF �%.� ?.�� % <br /> Survey Submitted: �'es � No Date of Survey: Q'�� • 6� Revised date(?): f(�'tZ'�� <br /> ;. Proposed Setbacks: <br /> , 0 ,��`� � <br /> F nt (Lake�S ar(Street�� �i ��- S E W � ( N ' S ; E W � Other Buildings Wetland <br /> ''��� Side �-�ride <br /> \Y.�.I��F L�t'�.1/ �..��1-c I� <br /> Defined Height: Peak Fleight: FFE: FFE minus 6 feet= (Existing Contour; <br /> � Perimeter(linear feet) = 5Q% = L.F. below grade #of Stories <br /> .p. <br /> FOR A BUILDING WITH A BASENiEtdT OR CRA`�!L SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the <br /> the highest point of the roof. roof. <br /> ` If you have a._ -" If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR H!aPED ROOF(no (no windows): Subtract half <br /> windows): Subtract half the distance the distance between the <br /> betw,e�n the highest point of the roof highest point of the roof to <br /> to2tie low point of the corresponding the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> �. (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> point of the roof <br /> mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> ' SUBTRACTION Subhact the distance between the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> � EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> �" GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District f�iCWD Permit Average Lakeshore Setback B�u� <br /> Met? <br /> �f Yes � No Permit Number: Yes ❑ No O N/A � Yes No <br /> / N/A—see attached Setback: <br /> Stormwater Quality Existing Hardcover Prop�sed <br /> Overlay Distric4 (%and sf� �ardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> �� � Yes No Q Yes No <br /> 1 2 3 4 5 •� Type(s): Type(s): <br /> Updated: January 2015 ,. � �, <br /> z:\forms\plan review checklist 2015.docx �°. � f�I <br /> �.��.� ��' � � �`� l�'��`� <br />