Laserfiche WebLink
, PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �,..`1� �C.�I 1�1 WV �� Permit No.:_ ���� � v1�� <br /> Description of work: �[ �(� Date Rec'd: _ �Z'�•�((,� <br /> Septic review by: , � �,l.vfG!/' � �/l/e�� Date Approved: rm-���-v <br /> Zonin review b r - �'"" - G <br /> 9 Y� Date Approved: � ` � <br /> Building review by: � I Date Approved: / <br /> Grading review by: �� � 'U� C � Date Approved: � `�� <br /> Zoning District: l�' 17 Zoning File#: <br />�Resolution? Yes Reso#:�� Reso Date:�� Signed: Yes No Resolution/NA <br /> l� <br /> Zoning: Lot Area: • �'J SF AC Width: Structural Coverage: ��l SF I 3•ri 7 % <br /> IZ�� �I�O ��t�a�: �} �" <br /> Survey Submitted: Yes 0 No Date of Survey: `1 '�'�U/ Revised date(�)� <br /> Landscape plan submitted? � Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: <br /> � � <br /> Front(L�� Rear( eet� ( N E W ) (� S E W ) Other Buildings Wetland <br /> .1 � ��de �-� Side <br /> � �� � � <br /> Buildinq Heiqht Analysis: <br /> Distance Between First Floor and defined Top of �a� � <br /> Roof See "buildin hei ht" definition : <br /> First Floor Elevation from buildin plans : (b) <br /> Highest Existing ground level (per survey) or 10' ��� <br /> above lowest round level, whichever is lower: <br /> Difference between b and c : (d) <br /> Defined Buildin Hei ht (a) -(d): �e� <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Per �t Number: 0 Yes 0 No N/A � Yes <br /> Yes 0 No No <br /> N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and s % and s <br /> L'�, upOp Z,s�.s�0� Yes No � Yes No <br /> � 2 3 4 5 yp (s): Type(s): <br /> �-r�s f 3'1�1.S'� <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />