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� � P�AN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: Z��S S��S'i7�N� !./�"� Permit No.: Z017/ d�`��v'7 <br /> �- c �T'�! �S bD pl../J�s`t t�RYE3'y r' '. <br /> Description of work: ��� �/�Z IDw�.J{-�j�.C�, u�t�ate Rec'd: 3 S <br /> Septic review by: Date Approved: � <br /> Zoning review by: Date Approved: r Z' /L' <br /> Building review by: Date Approved: <br /> � - o - 1.5 <br /> Grading review by: Date Approved: � Z7 /� <br /> Zoning District:�P�� Zoning File#: ^ Reso #: "� Reso Date: --- <br /> , <br /> Zoning: Lot Area: 3 C� D SF/AC Width:� Lot Co erage: A SF �— % <br /> Survey Submitted: .�'es 0 No Date of Survey: l 3 Revised date . � <br /> Proposed Setbacks: <br /> Front (L-a�kej Rear(9treet)- ( N S E �) ( N S E�` W ) Other Buildings Wetland <br /> Side Side <br /> C� 4 D ��y-; ��, �P y/ o� <br /> Defined Height: �� � Peak Height: 3S � FFE: O3S,,(� FFE minus 6 feet = OZ?, (Existing Contour) <br /> i <br /> Perimeter(linear feet) _ �,� 50%_ �7. Sr 33 ' L.F. below grade #of Stories 2' l <br /> CpIL PE�_STLYVL-r�{ f U-� 'S�j�►J <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest prcposed 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 RO <br /> • GABLE OR HIPPED R (no (no windows): Subtr half <br /> windows): Subtra alf the distance the distance betw n the <br /> r between the est point of the roof highest point he roof to <br /> to the lo int of the corresponding the low poi of the <br /> SUBTRACTION gabl r hipped roof corresp9rl'ding gable or <br /> (BASED ON . ABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): 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, j' window and the highest <br /> mansard,etc):No subtraction. point of the roof <br /> ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the / • (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ITION 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 /> i <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> � Yes �No Permit Number: js_ �p � O Yes 0 No N/A � Yes �o <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 /> ` I � Yes No � Yes No <br /> 1 2 � 5 N P n I � Type(s): Type(s): <br /> � v <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />