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' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �Q�, �.�l,�r��l� G 1 C� Permit No.: LlJ(4 ���q'�� <br /> Description of work: ���(,� ��Wi���� Date Rec'd: � Z "�6 � �T <br /> Septic review by: f'C Date Approved: � <br /> Zoning review by: Date Approved: � `2� ``�- <br /> Building review by: Date Approved: � - Z 3 �Z��S <br /> Grading review by: Date Approved: �' 2-� - ! � <br /> Zoning District: �� Zoning File#: � Reso#: --- Reso Date: �- <br /> Zoning: Lot Area: SF/AC Width: �� 1 Lot Cover ge: SF '- % <br /> Survey Submitted: �Y'es � No Date of Survey: �- 23 �--Revised date . : <br /> Proposed Setbacks: <br /> Front� Rear(Str�� N S E W ) ( N � E W ) Other Buildings Wetland <br /> Side ide <br /> ' z' � 0 /.�� a N�-- <br /> Defined Height: •� Peak Height:�_ FFE: OL ,g FFE minus 6 feet=�(Existing Contour) : <br /> Perimeter(linear feet) _� 50% _ "� L.F. below grade #of Stories Z� <br /> ��°�S A� co�fs���/�7�s '�P�'�Ut�J s�orv��Y �'�,cv �P�°/�U� <br /> OR A BUILDING WITH A BASEMENT O C AWL PAC : OR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the , <br /> the highest point of the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED RO (no (no windows): Sybtract half <br /> windows): Subtract the distance the distance bet4✓een the <br /> between the hig point of the roof highest poi of the roof to <br /> to the low po of the corresponding the low oint of the <br /> ; SUBTRACTION gable or ' ped roof cor sponding gable or ' <br /> (BASED ON . G E OR HIPPED ROOF(with SUBTRACTION ipped roof k <br /> ROOF TYPE) indows): Subtract half the distance (BASED ON + GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> point of the roof <br /> mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> UBTRACTION Subtract the distance between the (flat,mansard,etc):No a <br /> (BASED ON basement/crawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> - EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> f <br /> Y <br /> Shoreland District MCWD Permit Average Lakeshore Setback gluff <br /> Met? <br /> � Permit Number: 4- 0 Yes O No N/A � Yes o <br /> � Yes �No <br /> 0 N/A-see attached Setback: <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District (%and sf) Hardcover Variance Required CUP Required <br /> Tier circle one %and sf <br /> O Yes No 0 Yes No � <br /> 1 2 ,(� 4 5 /� �� /� �� Type(s): Type(s): <br /> �.b � � �, .. <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> � <br />