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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 1q5 F f (k— r N Permit No.: 2-0I7-010 2— <br /> Description of work: PiaeMOAISl l llllI,, I -q(Q0Sf Date Rec'd: 12--29.11 <br /> Septic review by: X71 ( , <br /> Date Approved: 2 ��/ �/ <br /> Zoning review by: _ _ <br /> `; �,/` J� ei ' Date Approved: • • o <br /> Building review by: Lii Date Approved: Z�7i <br /> Grading review by: il Si/t , V4O " 4 V,' Date Approved: 3' 2i I i <br /> Zoning District: 12.'16 Zoning File#: <br /> Resolution? Yes Reso#: Reso Date: Signed: Yes No Resolution I NA <br /> Zoning: Lot/Area: 2.•7r SF 04 Width: Structural Coverage: N 6' SF �% <br /> r-Submitted: 0 Yes 0 No Date of Survey: 1 Z-•2-q'17 Revised date(?): 3 '21' I 0 <br /> Landscape plan submitted? 0 Yes Landscaper: . S Sowt 0 No/ No•�ropos'd <br /> Proposed Setbacks: �ej <br /> Front(L e) Rear(Str t) " ( N Sc) ) ( N S E (9 Other Buildings Wetland <br /> Si� Side <br /> • <br /> Ntr 15' 2.6' Q L' (o' hox • <br /> - <br /> Building Height Analysis: <br /> 2A' A(L s6A/ Sete #- <br /> Distance Between First Floor and defined Top of Roof*(See "building height" <br /> definition): (a) i I <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (per survey) or 10' above lowest ground level, (C) <br /> whichever is lower: <br /> Difference between (b) and (c)*: (d) <br /> DEFINED HEIGHT <br /> *If highest existing adjacent grade is above FFE-Height is(a) -(d): (e) <br /> *If highest existing adjacent grade is below FFE-Height is(a) +(d) <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Yes 0 No Permit Number: t •(5 I 0 Yes 0 No N/A 0 Yes o <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) (% and sf) (% and sf) <br /> p• 4.4.010 0 Yes No 0 Yes AiNo <br /> 1 2 0 4 52 Type(s): Type(s): <br /> I,(o3 S� <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />