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PLAN REVIEW CHECFCLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: � `I Y`� �'1'3 0 2� C./n�c.r ,�2 <br /> Description of work: �tJt�L T/i,^/i� F�,� �t SOc:ri/SC-'/� <br /> Septic review by: Ni/�- Date Approved: <br /> Zoning review by: M PG Date Approved: ,� 7� /4i/ <br /> Building review by: � Date Approved: S- 7— �Y <br /> Gsadi�g�: ��/LC�t2o,,0�. �A,�,..as V+��Y��� Date Approved: s�- "'�— � `/ <br /> Zoning District: �'2 Zoning File#: �y� �b�? Reso#: b 3�,� Reso Date: 2-Z y • �y <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: � Yes 0 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? 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 /> If you have a... the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest point between the hi hest <br /> of the roof to the low point of the to the low poingof the�col rresponding <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 belween the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenVcrawl space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Deflned building height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> Yes � No 0 N/A G Yes �No <br /> �es � No 0 Yes � No �N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> Yes G No � Yes No <br /> Type(s): Type(s): <br /> �� � P�� /1 rLe��� <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />