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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � (V/� J► ��VV VIJI/� � Permit No.: ��S' �7t.J�' <br /> Description of work: t (� ►', !��" Date Rec'd: �'�� `� <br /> '� C ll <br /> Septic review by: 'f- {NaiGI Date Approved: <br /> Zoning review by: Date Approved: �' I.0 �� <br /> Building review by: Date Approved: 1 • � 0 ' �'�' <br /> Grading review by: ���__���-`— Date Approved: �,�7/� ��� <br /> Zoning District: - Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage�`1���L SF 19�.qL % <br /> Survey Submitted: �es 0 No Date of Survey: �p' � • �� Revised date(?): <br /> Proposed Setbacks: <br /> 2�� /">, ��> � � <br /> �t (Lake) Rear(S��et) ( l_N_,i S E W ) ( N S E W ) Other Buildings Wetland <br /> -` Side Side <br /> ! , . ;._� � , , , <br /> , , . { ; _...__ <br /> , „ _l. <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: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> 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 I,ow point of the <br /> SUBTRACTION gable„pr M�ped roof .eb"rresponding gable or <br /> (BASED ON . �LE OR HIPPED ROOF(with SUBTRACTION `1 hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> - �,/ between the top of the highest ROOF TYP�j`� (with windows): Subtract <br /> y,✓" window and the highest point of the ,,�� half the distance between <br /> �/" • roof the top of the highest 5 <br /> ALL OTHER ROOF TYPES(flat, window and the highest <br /> point of the roof <br /> mansard,etc):No subtraction. . 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 /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> DES <br /> D ''t� EQUALS Defined building height <br /> I <br /> r � ��/ � <br /> Shoreland District MCWD Permit � Average Lakeshore Setback Bluff <br /> Met? <br /> �Yes 0 No Permit Number: , -rj-- 2(QZ 0 Yes � No N/A O Yes No <br /> 0 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 sf <br /> � �ar t O Yes No � Yes No <br /> 1 2 3 4 5 Ia � ' �, r � ZL�� ' <br /> 1 Type(s): Type(s): ' <br /> - 't"I;� `��t �(J �`�t p►.�.r' t . <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />