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. PLAR' RE�'IEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: ��� � �1... '�'t� � <br /> Description of work: N 1 "v �� � f�l 1 ��I1 <br /> Septic review by: /v� Date Approved: N� <br /> Zoning review by: Date Approved: �9 � <br /> Building review by: Date Approved: �• -� <br /> Grading review by: Date Approved: S�6 �`'� <br /> Zoning District: ���C� Zoning File#: `�' Reso#: � Reso Date: <br /> 3LQ 2- � <br /> Zoning: Lot Area: SF/AC Width: 3g Lot Coverage: SF �-- % <br /> Survey Submitted: �es 0 No Date of Survey: J� ' 2.� ' ��' Revised date(?): 7/��/� <br /> Pro osed Setbacks: <br /> Front (y� Rear(9�r@,et) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> � � D r O � / <br /> � <br /> Defined Height: �j,5' Peak Height:�,S'"� FFE: 1�33. FFE minus 6 feet= D 7, (Existing Contour) ,. <br /> � � <br /> Perimeter(linear feet) _ � � 50% _ ��/ �" #of Stories Z Ok? �ES <br /> P Y D�� <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: (/ Per25'�+�ltt��'Y �'�5�-S> � <br /> 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 ot the roof. The distance between the top of slab and <br /> ,.. START WITH the highest point of the roof. <br /> If you have a... <br /> If you have a... <br /> . GABLE OR HIPPED F(no . GABLE OR HIPPED OF(no <br /> windows): Subtra alf the windows): Sub half the distance <br /> distance betwe the highest point between th ighest point of the roof <br /> of the roof e low point of the to the I point of the corresponding <br /> SUBTRACTION corresp ding gable or hipped roof SUBTRACTION ga or hipped roof <br /> (BASED ON ROOF . G E OR HIPPED ROOF(with (BASED ON . ABLE OR HIPPED ROOF(with <br /> TYPE) indows): 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, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. mansard,etc:No subtraction. <br /> ITION Add the distance between the top of slab <br /> SUBT TION Subtract the distance between the BASED ON and the highest existing grade adjacent to <br /> (BA D ON EXISTING basemenVcrawl space floor and the EXISTING the foundation. <br /> highest existing grade adjacent to the GRADES <br /> a DES) 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 0 No 0 N/A � Yes No <br /> 0 Yes �No 0 Yes � No � N/A <br /> Permit Number: ` —'� Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> 0 Yes No 0 Yes No <br /> � ��� � Type(s): Type(s): <br /> N <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />