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�� <br /> �j� - PLAN REVIEW CHEC�CLIST FOR NEW STRUCTURES / ADDITIONS <br /> , <br /> Address/Permit Number. Z� �� St-�.�iON w�v� <br /> Description of work: Cr''�UC�C�S.Q /�o/Z-� <br /> Septic review by: N � � Date Approved: <br /> Zoning review by: /� Date Approved: <br /> Building review by: _ Date Approved: �2- � �" � /3 <br /> Grading review by: N�►A Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: ot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey S�itted: ❑ Yes � No Date of Survey: Revised date(?): <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <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 /> GABLE OR HIPPED ROOF(no If you have a... <br /> • windows: Subtract half the • GABLE OR HIPPED ROOF(no <br /> � windows): Subtract half the distance <br /> distance between the highest point�' between the highest point of the roof <br /> of the roof to the low point of the i 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 /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the t of the between the top of the highest <br /> highest window and�ighest window and the highest point of the <br /> point of the roof , roof <br /> • ALL OTHER RC�6F TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc No subtraction. mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the dis nce between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenVcra space floor and the EXISTING the foundation. <br /> GRADES) highest exis g grade adjacent to the GRADES <br /> foundatio OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defin building height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> 0 Yes � No � N/A 0 Yes 0 No <br /> 0 Yes No 0 Yes 0 No � 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 � No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />