HomeMy WebLinkAboutCheck off list for issuance of permits CHECK OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
�S OR LEGAL:
PID:
DESCRIPTION OF WORK: rAA, 0m o N �1 L2—Lyw✓J-e L
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ZONING REVIEW BY: t a, DATE APPROVED: 1,4-��
BUILDING REVIEW BY: DATE APPROVED:
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes !/' No
PLAN REVIEW Yes No SEWER CONNECTION
STATE SURCHARGE Yes No WATERCONNECTION
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No SITEINSPECTION
Number of SAC Units OTHER (specify)
-_- -----------------------------------------------------------------------------------------
ZONING CHECK LIST Zoning District:
Fire Department: Post Office: JAh
- School District: n f'bnD
Lot Area: Sq.ft. -- Acres 17 a&W.S Width Depth
Survey Submitted: Yes No Date of Survey:
Proposed Setbacks: 4 35
Front(Lake): .5 Right Side:
Rear(Street): Left Side: 0
Adjacent Structures: Wetland:
Building Height: Def. Hgt. Peak Hgt.
Lot Coverage:
Grading: Staff Approval Date: By: Council Approval Dater 'd ODO
Septic: Staff Approval Date: By:
Zoning File: # 4 Resolution: # Resolution Date:
Shoreland District:
Avg. Setback: Bluff Setback: Lot Coverage:
Existing Proposed
Hardcover: 0-75'
75-250'
250-500'
500-1000'
Hardcover Variance Required: Yes No X Date of Council Approval:
REMARKS(in house): )pdW UC -DY /0909
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BUILDING REVIEW CHECK LISTADr
UBC: R- ? CONSTRUCTION TYPE: k�
Sq Footage $Per Sq Ftg
Basement x =
lst Floor x =
2nd Floor x =
Garage x =
x = j
i
TOTAL
Estimated Construction Value: $
Inspections Required: Work Requiring Separate Permits:
Site X Plumbing Fire
Hardcover Removal _ Mechanical Water Connection
_ Footing Septic Sewer Connection
K Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board (Mfg.) Well(State Permit) j
Final Grading/Filling !� -Electrical(State Permit)
Other
REMARKS(IN HOUSE):
REVIEW BY OTHERS: DATE:
Access: Existing New
Access Approval: Date By:
REMARKS (TO BE NOTED ON PERMIT):
i
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