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� <br /> PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: � � '-� �`� ��-�A �� ����-~`�� ,�l�l NV Vo V� <br /> � a <br /> Description of work: ��,��� '�' � � <br /> �. - .-> <br /> Septic review by: ��' Date Approved: �`�C� ( -� <br /> Zoning review by: Date Approved: � �� ;L� <br /> Building review by: � - �.-- Date Approved: - b � f 3 <br /> � ��S i� <br /> Grading review by: .r� Date Approved: <br /> Zoning District: Zoning File#: Reso #: Reso Date: <br /> ��. �kF�EtP>rC��G ;E �t�'tt � � ,� Q •�';�ri�1-,�' <br /> Zoning: Lot Area: ��� � SF/AC � Width: Lot Coverage: � � � '. SF _% <br /> Survey Submitted: j�"Yes � No Date of Survey: � <br /> � � � �..� Revised date(?): <br /> / <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E t W� ( N S E W ) Other Buildings Wetland <br /> Side - Side <br /> �dy 1 ��' ���' <br />� � ' ( <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% _ #of Stories Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: " <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 /> If you have a... the highest point of the roof. <br /> � � If you have a... <br /> • GABLE OR HIPPED R�O�(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtracth�7f the windows): Subtract half the distance <br /> distance between fhe 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 /> NPE) 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, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. %' ' mansard,etc:No subtraction. <br /> ADDITION Add the distance beriveen the top of slab <br /> SUBTRACTION Subtract the distance between the (BAS�D ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenVcrawl space floor and the EXI TING the foundation. <br /> GRADES) highest existing grade adjacent to the DES <br /> foundation OR 10 feet(whichever is less). QUALS Defined building height <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> ,� � Yes 0 No N/A ' 0 Yes � No <br /> � Yes ,d No 0 Yes � No �Y'N/A <br /> ,/ Permit Number: / Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> ❑ Yes No 0 Yes p� No <br /> ! `, Type�S�: Type�S�: , <br /> � ' 1 � <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />