Laserfiche WebLink
� <br /> PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS � <br /> Address: ��� I v�Y `'1' l (Jr I�JYe– �' Permit No.: �l ( " ��V�� <br /> Description of work: l Q11�uQ,�} ��� � 1yV1,1�,� Date Rec'd: �"��� �� <br /> Septic review by: �(�`C�' � W �,V�-- Date Approved: <br /> Zoning review by: Date Approved: � '� ` �� ( <br /> Building review by: Date Approved: � ` <br /> Grading review by: �� Date Approved: �� <br /> Zoning District: � L.� Zoning File#: <br /> =—�.-�-- <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution / NAy� <br /> Zo�ing: Lot Area: �J SF/AC Width: Structural Coverage: SF ��� % <br /> ;'��r.'F�YI l � <br /> v�y Submitted: �es � No Date of Survey: �Q '��'�� Revised date(?): <br /> Landscape plan submitted? � Yes Landscaper: 0 No one propos � <br /> Proposed Setbacks: <br /> Front(La e) Rear(Street) (� S E W ) ( N� E W l) Other Buildings Wetland <br /> Side Side <br /> N c� 3to' -- <br /> Buildin Hei ht Anal sis: <br /> Distance Between First Floor and defined Top of Roof* (See"building heighY' �a� � <br /> definition : � <br /> First Floor Elevation from buildin lans : (b) " ` <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, ��� <br /> whichever is lower: <br /> Difference between b and c *: (d) <br /> , " <br /> DEFINED HEI�1�1T <br /> *If highest existing adjacent grade is above FFE-Height is(a)-(d): (e) <br /> 'If hi hest existin ad�acent rade is below FFE-Hei ht is a + d , <br /> Shoreland District MCWD Permit Average Lakeshore Setback B�uff = <br /> Met? � <br /> � Yes � No Permit Number: � Yes � No N/A � Yes o <br /> A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> circle one % and sf % and s <br /> t"�•�a�A , n , 0 Yes o 0 Yes No <br /> 1 �2 3 4 5 ^(I( / Type(s): Type(s): <br /> 5�n� sf, .�,�.. <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br /> r, <br />