Laserfiche WebLink
PLAN <br /> /R�EV�I^ <br /> - ` EW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ?- � t/ (/til t.{Y[2c5J)/ A) -6, Permit No.: zo7- op q7 <br /> Description of work: C-(0 mere/Ci/ �' !`- 4 0-P. Date Rec'd: v/z.6/ <br /> I <br /> 7 <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: ��,, <br /> Building review by: �i� /(/t `y7,?i' Date Approved: / 7 /7 <br /> Grading review by: Date Approved: <br /> Zoning District: 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: D Yes 0 No `, Date of Survey: Revised date(?): <br /> Landscape plan submitted? 0 Yes Landscaper: 0 No/ None proposed <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S `, E W ) ( N S E W ) Other Buildings Wetland <br /> Si a Side <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof*(See"b ding height" (a) <br /> definition): <br /> First Floor Elevation (from building plans): • <br /> (b) <br /> Highest Existing ground level (per survey) or 10' aove to est ground level, (c) <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) <br /> DEFINED HEIGHT \ <br /> *!f highest existing adjacent grade is above FFE-H ght is(a),-(d): (e) <br /> *If highest existing adjacent grade is below FFE-Height is(a) (d) <br /> Average Lakeshore Setback Bluff <br /> Shoreland District MCWD Pe it Met? <br /> D Yes D No <br /> Permit Number: b Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Required <br /> (circle one) (%,r/and sf) (% and sf) <br /> / \ <br /> 0 Yes 0 No 0 Yes D No <br /> 1 2 3 4 5 / Type(s): Type(s): <br /> r <br /> 1 <br /> Updated: June 2017 / <br /> z:\forms\plan review checklist 06-2017.docx <br />