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PLAN REVIEW CHECKLIST FOR NEW ST UCTURES / ADDITIONS <br /> Address: � l GG �Permit No.:�/07 "' ��� �,7 <br /> Description of work: Date Rec'd: <br /> Septic review by: GG(i`C!�' WO-'f+PG Date Approved: <br /> Zoning review by: v Date Approved: <br /> Building review by: Date Approved: � � l <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: eso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: 0 Yes � No Date of Survey: Revised date ? : <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) � N E W ) ( N S E Other Buildings Wetland <br /> ide Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% = L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: OR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest p posed The distance between the top of <br /> START WITH floor(of the basement or crawl spa )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 windows): Subtract half <br /> windows): Subtract half the i nce the distance between the <br /> between the highest point th roof highest point of the roof to <br /> to the low point of the co espo ding the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPE OOF(wi h SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtra half the dis nce (BASED ON . GABLE OR HIPPED ROOF <br /> between the top the highest ROOF TYPE) (with windows): Subtract <br /> window and th ighest point o the half the distance between <br /> roof the top of the highest <br /> • ALL OTH ROOF TYPES(fl , window and the highest <br /> mansard tc):No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the istance between the (flat,mansard,etc):No <br /> (BASED ON basemenU wl space floor and the subtraction. <br /> EXISTING highest e isting grade adjacent to th ADDITION Add the distance between the top <br /> GRADES) founda' n OR 10 feet(whichever is I ss). (BASED ON of slab and the highest existing <br /> EQUALS Defin d bullding height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS D�ned building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes � No Permit Number: � Yes � No O N/A 0 Yes 0 No <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Exis 'ng Hardcover Proposed <br /> Overlay District (%and s� Hardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> 0 Yes � No � Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />