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� <br /> � . PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> � Address: J �U� PermitNo.: /IJI� "�'�� <br /> Description of work: /��( (��, Sec�►�o! Sb��! Date Rec'd: �' �� l� <br /> Gf/'e��rr/' ��y--- <br /> Septic review by: �(�/C�'' 9% Date Approved: <br /> Zoning review by: Date Approved: �Q�� <br /> Building review by: Date Approved: <br /> Grading review by: --- Date Approved: " <br /> Zoning District: — Zoning File#: ` 1 Reso#: Z. R�so Date: '� <br /> Zoning: Lot Area: �� 2.(p5 S�F /AC Width: Lot Coverage: , I ' ; SF % <br /> Survey Submitted: � � No Date of Survey: 7 �L" %_; ; �;-. Revised date(?): <br /> Proposed Setbacks: <br /> Fr t (Lake) Rear(S et) (�N` , S E W ) ( N i S� E W ) Other Buildings Wetland <br /> � Side 5ide <br /> � � 1 i r , � <br /> .5�.� .� � L , - �F�,, - <br /> ---- <br /> r� � �f='�`�`.� t.c�c��� -� , <br /> Defined Height: Peak Height: .�r'. � FFE: c�q-��n FFE minus 6 feet = �� J'✓-•-=����'(Existing Contour) • <br /> 7 ' <br /> Perimeter(linear feet) = 50% = L.F. below grade #of Stories <br /> 1'i ) <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 ot <br /> ��,J � � 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 ROOF <br /> • GABLE OR HIPPED ROOF(no (no windows): Subtract half <br /> windows): Subtract half the distance the distance between the <br /> between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the dis�ance (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, 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 ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EpUALS Defined building height EXISTING grade adjacent to the foundation. <br /> � GRADES f <br /> � EQUALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Yes p Na Permit Number: � Yes � No � N/A � Yes No <br /> � 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 s <br /> r i :' .> . es 0 No 0 Yes �No <br /> 1 2 3 4 5 , Type(s). ' Type(s): <br /> 1i I./'� �- ! SIG� Y�Cpr � µyy�. <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />