Laserfiche WebLink
� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> � Address: �� ( � �� � � �► • Permit No.: 70�� —��`�'1 <br /> -� ' ' �, ' �J - �%l _ ,� r <br /> Description of work: _ -�__ ':� '� = " - . ;_ ,�C Date Rec'd: � ' � �� � <br /> .� <br /> Septic review by: ��� �� '���� Date Approved: 2 � <br /> Zoning review by: Date Approved: <br /> Building review by: i "� Date Approved: Z- � 6 <br /> Grading review by: Date Approved: <br /> Zoning District: l��'" Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution/NA <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: � Yes � No Date of Survey: Revised datel?): <br /> Landscape plan submitted? 0 Yes Landscaper: � No/ None proposed <br /> Pro osed Setbacks: <br /> t� l� <br /> Fr (Lake) R�Street� ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buildinq Heiqht Analvsis: <br /> Distance Between First Floor and defined Top of �a� � <br /> Roo�` See "buildin hei ht" definition : <br /> First Floor Elevation from buildin lans : (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 /> Yes � No Permit Number: 0 Yes 0 No � N/A � Ye 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 /> � 0 Yes � No 0 Yes � No <br /> I 1 ) 2 3 4 5 Type(s): Type(s): <br /> \J <br /> Updated: October 2016 <br /> v:\forms�plan review checklist 10-2016.docx <br />