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`� `� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDIT�ONS <br /> Address: �� G �O �A--Nt'�57v+�� �•4�� Permit No.: 2p1�- ���6 Z- <br /> �or20 <br /> Description of work: N�fi�J 1�i4��.}�'�2 �lN� ` (R/6L-�T � Date Rec'd: R� l� l4+ S <br /> '�iC�u ir / l3/< <br /> Septic review by: � Date Approved: <br /> � � <br /> Zoning review by: Date Approved: /� <br /> Building review by: Date Approved: !�3 U � ?A� � <br /> Grading review by: Date Approved: ��.�,J 1� <br /> Zoning District: ��u� Zoning File#: -� Reso#: '— Reso Date: <br /> r <br /> Zoning: Lot Area: ��0 y0 �F AC Width:� Lot Coverage: N SF -- °/o <br /> Survey Submitted: �'es � No Date of Survey: �� �� Revised date('?U: (�� -/�' <br /> Proposed Setbacks: <br /> Front(��icej Rear(� ( N S E OW ) ( N S UW ) Other Buildings Wetland <br /> Side Side <br /> � � � � �r:� 0 � 1�� 3 � n 3$" <br /> � , <br /> Defined Height: 2 � � Peak Height: 3� FFE: D33. FFE minus 6 feet= l027, � (Existing Contour) <br /> i <br /> Perimeter(linear feet) _�g� 50% _ �d �2` L.F. below grade #of Stories � <br /> �o t� �� s�u��f PwA S� " <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR 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 stab and the highest point of the <br /> the highest point of the roof. — " <br /> If you have a... <br /> 'PPED ROOF <br /> • GABLE OR HIPPED RO (no SubZ+'act half <br /> windows): Subtract f the distance �t�en the <br /> between the hig t point of the roof , - � � f4he roof to � <br /> to the low p ' of the corresponding � . <br /> SUBTRACTION gable or ped roof `\ \'`' the s: <br /> � 1� ���,� �- �able or <br /> , (BASED ON • G E OR HIPPED ROOF(wiih � �' <br /> ` ROOF TYPE) indows): Subtract half the distance 1 \ ���� 'PED ROOF <br /> between the top of the highest Subtract <br /> window and the highest point of the +between <br /> : roof �`�` �hest f <br /> � • ALL OTHER ROOF TYPES(flat, -- � � �� +'• highest <br /> mansard,etc):No subtraction. �. � � �F TYPES <br /> S TRACTION Subtract the distance between the � �):No <br /> BASED CN basemerUcrawl space floor and the <br /> EXISTING highest existiny grade adjecent to the j „ �I ` en the top <br /> GRADES) foundation OR 10 feet(whichever is less). -- i � u� �xistin g <br /> EQUALS Defined building height undation. <br /> � �J t <br /> � !:� ��' <br /> Shoreland District MCWD Permit �siuff <br /> � Yes � No Permit Number: ��_p�( � Yes 0 No N/A O 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 /> � 0 Yes o 0 Yes No <br /> 1 2 y� / 5 N� /1 I Type(s): Type(s): <br /> /v� � v <br /> ! <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />