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� P�AN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: J ��� Permit No.: <br /> Description of work: _1 _!�/cC�'L� Q� (91`' US'e-� �C�C��GJ Date Rec'd: <br /> Septic review by: 1/V��C'�/' Q��� Date Approved: <br /> Zoning review by: � Date Approved: <br /> Building review by: Date Approved: � l <br /> Grading review by: /X �1q- Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: � Yes 0 No Date of Survey: Revised date ? : <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Hei ht: FFE: E 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 SPA E: FOR BUILDING ON A SLAB FOUNDATION: <br /> The distance between the owest proposed The distance between the top of <br /> START WITH floor(of the basement or c wl space)and START WITH slab and the highest point of the <br /> the highest point of the roof. roof. <br /> If you have a... <br /> If you have a... . GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED RO F(no (no windows): Subtract half <br /> windows): Subtract half t e distance the distance between the <br /> beriveen the highest point f the roof highest point of the roof to <br /> to the low point of the corre ponding the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF 'th SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the d nce (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPE (flat, window and the highest <br /> mansard,etc):No subtra ion. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION SubVact the distance betwee the (flat,mansard,etc):No <br /> (BASED ON basemenUcrewl space floor nd the subtraction. <br /> EXISTING highest existing grade adj ent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(w ichever is less (BASED ON of slab and the highest existing <br /> EQUALS Defined building heig EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Deflned bullding helght <br /> Shoreland District M WD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes p Na Permit Nu ber: � Yes � No � N/A 0 Yes � No <br /> 0 N/A see attached Setback: <br /> Stormwater Quality Existing Har cover Proposed <br /> Overlay District (%an sfl Hardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> � Yes 0 No � Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />