Laserfiche WebLink
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> � Address: �� 0 o J V�� `" � ��. ��• Permit No.: ��7 " �IYIY� <br /> Description of work: ��� Y��' � � Date Rec'd: �'I I ' �7 <br /> Septic review by: ,S�/�/ey �-- YV Q,� ( Date Approved: <br /> Zoning review by: � ' � Date Approved: � ��"�� <br /> Building review by: Date Approved: 28 l 7 <br /> Grading review by: F#�L[.�� I����/ I/v� Date Approved: '���t lY" � l <br /> Zoning District: " Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I'"/NA <br /> � �3 { <br /> Zoning: Lot Area: SF/AC Width: Structural Coverage: SF % <br /> Survey Submitted: �es 0 No Date of Survey: I ' ,�v '�� Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: 0 No/None proposed <br /> Pro osed Setbacks: <br /> Front( e) Rear(S et) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Buiidinp Heiqht Analvsis: <br /> Distance Between First Floor and defi op of �a� <br /> Roof See "buildin hei ht" defin' ' <br /> First Floor Elevation from b � in lans : (b) <br /> Highest Existing groun,��i`evel (per survey) or 10' ��� <br /> above lowest rou level, whichever is lower: <br /> Difference be en b and c : (d) <br /> ; <br /> Define uildin Hei ht(a) -(d): �e <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes � No Permit Number:�j�. �, ,.�0 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 � Yes No <br /> 1 2 3 4 5 � Type(s): Type(s): <br /> ZD,3$� <br /> Updated: October 2016 ��Q � <br /> v:\forms�plan review checklist 10-2016.docx <br />