Laserfiche WebLink
PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: I +. <br /> 11...,,,, 201,POIn4- / 0 # I Permit No.: 2o t - C014'2-- <br /> •ol,AAddress: <br /> hodOor�QCCtaD1 _ �/ <br /> Description of work: -Kt f JL; l� - �., �l Date Rec'd:JJ Z —17... ..1s,,1 Z 1 8 <br /> pa '0 U),/7. t LL I _1 %Cr Rietin r wa I l sOu ivy of structure-. <br /> Septic review by: "Mei ‘14t() - Date Approved: <br /> Zoning review by: ' f• -'toDate Approved: `-t �' t0 <br /> Building review by: G �� Date Approved: * , ! f7 <br /> Grading review by: Aetain EdWQid S/C r / Date Approved: 4 CO-1Y <br /> ` a•► •Ir r z•15•te <br /> Zoning District: L4.' U3 Zoning File#: <br /> Resolution? Yes VI <br /> #: Reso Date: Signed: Yes No Resolution/NA <br /> 2— <br /> Zoning: Lot Area: 24 S�F /AC Width: Structural Coverage: SF % <br /> Survey Submitted: s D No Date of Survey:S"�1V! -(7 Revised date(?): <br /> Landscape plan submitted? D Yes Landscaper: la415CD No/ None proposed <br /> Proposed Setbacks: LUCA 45L" 30 '1 Z,Cl t <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Building Height Analysis: <br /> Distance Between First Floor and defined Top of Roof* (See"building height" (a) <br /> definition): ` <br /> First Floor Elevation (from building plans): (b) <br /> Highest Existing ground level (pe� uf ey <br /> ,$ )or 10' above lowest ground level, (c) <br /> whichever is lower: �,i' <br /> Difference between (b)"and (c)*: (d) <br /> DEFIrH <br /> EIGHT <br /> existing adjacent grade is above FFE-Height is(a)-(d): <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 D No Permit Number: f}- I G2, D Yes D No N/A D Yes fd" No <br /> D 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 /> D Yes p<'o D Yes /No <br /> 1 2 3 4 5 N (( .. Type(s): Type(s): <br /> Updated: June 2017 <br /> z:\forms\plan review checklist 06-2017.docx <br />