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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � `T;�� '— �/�✓'� �l�.P� �/�l���J Permit No.: z6�7 - �� ��T <br /> Description of work: ��.'CO {Sbr� a�d� n�� Date Rec'd: �' �� ��S <br /> Septic review by: �7 a�u/l'�f�' Date Approved: � <br /> Zoning review by: Date Approved: �'� ' <br /> Building review by: Date Approved: <br /> Grading review by: — � �}- Date Approved: N 14' <br /> Zoning District: L - I�r Zoning File#: � � 1 Reso#: Reso Date: <br /> Zoning: Lot Area: 13 3�S� S /AC Width: Lot Coverage: SF % <br /> Survey Submitted: Yes 0 No Date of Survey: �� IO � I S Revised date(?): <br /> Pro osed Setbacks: <br /> F�(Lake) I�a et) �� S E W ) ( N �S E W ) Other Buildings Wetland <br /> Side Side <br /> � ` �q' 25 ' Zz. ' <br /> Defined Height: Peak Height: FFE:9 J�9.S FFE minus 6 feet= 3. (Existing Contour) <br /> basernen�l- P�w <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 disiance between the lovvest proposed The distance between the top of <br /> /1./1 START W ITH floor(of the basement or crawl space)and START W ITH slab and the highest point of the <br /> E�� 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): SubVact haH the distance the distance between the <br /> �tJ 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 corres ndin <br /> po g gable or <br /> � (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF IYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (wkh windows): Subtract <br /> window and the highest point of the ' half the distance between <br /> roof the top of the highest <br /> window and the highest <br /> • ALL OTHER ROOF TYPES(flat, point of the roof <br /> mansard,etc):No subtracUon. ALL OTHER ROOF TYPES <br /> SUBTRACTION SubVact the distance between the • (flat,mansard,etc):No <br /> ��^' (BASED ON basemenUcrawl space floor and the subtracUon. <br /> l� � �� EXISTING highest exisUng grade adjacent to the ADDITION Add the dtstance between the top <br /> ?�� - GRADES) foundation OR 10 feet(whichever Is less). (BASED ON of slab and the htghest exfsting <br /> ✓ ' ` EQUALS Defined buflding height EXISTING grade adJacent to the foundation. <br /> Z�t (�O GRADES <br /> �J E�UALS Defined buildtng height <br /> Shoreland Dlstrict MCWD Permit Average La�e�ore Setback g�uff <br /> Yes 0 No Pe 't Number: � Yes No � N/A � Yes �No <br /> N/A—see attached Setback: <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District (o�o and s� Hardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> Zq��j � Yes 0 No � Yes No <br /> 1 2 3 4 5 2.Z .�J�o TYpe�s�� S Cs{�b(�LK-.� TYPe�s)� <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />