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� PL�►N REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: l��J��(J .JN,{�UI�r I� �1� 1� <br /> Description of work: N VVV � Wl� ����-�'' �L�F'r u^�{T� <br /> Septic review by: N� Date Approved: N� <br /> Zoning review by: Date Approved: 5 � <br /> Building review by: � �-- Date Approved: .��2��y <br /> Grading review by: Date Approved: 2� 1 <br /> Zoning District: �/�(�(� Zoning File#: —' Reso#: '�" Reso Date: �' <br /> Zoning: Lot Area: 3� • SF/AC Width: 3� Lot Coverage: SF r'ro1" <br /> Survey Submitted: �'Yes � No Date of Survey: •Z •� Revised date ? : � 3D <br /> Proposed Setbacks: <br /> Front(,6al�e�– Rear(&�ree4}- ( N S E �) ( N S E ) Other Buildings Wetland <br /> Side Si e <br /> CU � � � s c�, r�ebE • �� O � /$: � ��� <br /> Defined Height: 2l� � � Peak Height: 34.� FFE: /D�.D FFE minus 6 feet= /OL'I.D (Existing Contour) <br /> � <br /> Perimeter(linear feet) =�G$ �' S0% = SW #of Stories 2 Ok?�ES <br /> BY Dtr�F <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: C� P�'S��� �� 5�S> <br /> � <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 of the roof. START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... <br /> If you have a... <br /> • GABLE OR HIPPE OOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Sub ct half the windows): Subtract half the distance <br /> distance be en the highest point between the highe,st�oint of the roof <br /> of the ro o the low point of the to the low poi f the corresponding <br /> SUBTRACTION corre onding gable or hipped roof SUBTRACTION gable or ed roof <br /> (BASED ON ROOF . BLE OR HIPPED ROOF(with (BASED ON • GA OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) indows): Subtract half the distance <br /> distance between the top of the beriveen 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, • mansard,etc:No subtraction. <br /> mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUB CTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> (B ED ON EXISTING basemenVcrawl space floor and the EXISTING the foundation. <br /> RADES) 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 � Yes 0 No f�N/A <br /> � Permit Number: I � �i Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> � � � 0 Yes No � Yes No <br /> �( /�) � J Type(s): Type(s): <br /> � �� ( � � �i <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />