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[� • `-1- � Z <br /> PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Add'ress/Permit Number: ( Z.�(o� -5-�"��.-C��e �vei <br /> Description of work: //��� �i� �� <br /> r <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: w�- Date Approved: 6 ' 23' 201�( <br /> Grading review by: Date Approved: <br /> Zoning District: L���� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: �� SF �% <br /> Survey Submitted: �Yes � No Date of Survey: J�' 'J� ',�� Revised date(?): <br /> Proposed Setbacks: <br /> Front ake �e2fF(Street) ( N S E W ) ( N S E W ) O er Buil in s Wetland <br /> Side Side <br /> 240 ' .3q'' --' k <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% _ #of Stories Ok? 0 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 /> the highest point of the roof. <br /> If you have a... <br /> If you have a... <br /> • GABLE OR HI D ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): btract half the windows): Subtract half the distance <br /> distan etween the highest point between the highest point of the roof <br /> of t roof to the Iow point of the to the low point of the corresponding <br /> SUBTRACTION responding 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 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 between the top of slab <br /> SU RACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> SED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> RADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height � <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> � Yes � No � N/A 0 Yes o <br /> Yes � No Yes 0 No � N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> 24,V(p�D Z�• IGQl� 0 Yes o � Yes No <br /> I � .3,L�5 5f �3, SIZ TYPe(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />