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' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: ��� c./� J IVI�-�+ V� ���`'� <br /> Description of work: 1 �IV �n �i NI� <br /> Septic review by: Date Approved: <br /> i� <br /> Zoning review by: �. �CWl Date Approved: Q•1.�0•��'' ' <br /> Building review by: c.� �11�V�- Date Approved: G' 3'� ' �Y <br /> Grading review by: Date Approved: 4 '��' ��_ <br /> , <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: �es 0 No Date of Survey: 1 ��' �� Revised date(?): <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% _ #of Stories Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> i The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subiract half the distance <br /> distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> . ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> � (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> { GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> ; Yes � No � N/A � Yes No <br /> � Yes No 0 Yes 0 No � N/A <br /> Permit Number: �4-- Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> � Yes o 0 Yes No <br /> �{ � Type(s): Type(s): <br /> f �� <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx ' <br />