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{ -� <br /> PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � �v r i��L��!l h � Permit No.: <br /> Description of work: Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: � s 0 No Date of Survey: R ised date ? : <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(S reet) ( N S E W ) ( N S E W ) ther Buildings Wetland <br /> Side Side <br /> Defined Height: P ak Height: FFE: F 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 CR WL SPACE: FO A BUILDING ON A SLAB FOUNDATION: <br /> The distance etween the lowest proposed The distance between the top of <br /> START WITH floor(of the ba ment or crawl space)and START WITH slab and the highest point of the <br /> the highest poin of the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR H PED ROOF(no (no windows): Subtract half <br /> windows): Sub act half the distan the distance between the <br /> between the hig st point of the r of highest point of the roof to <br /> to the low point of e correspo ing the low point of the <br /> SUBTRACTION gable or hipped roo cortesponding gable or <br /> (BASED ON . GABLE OR HIPPED OOF 'th SUBTRACTION hfpped roof <br /> ROOF TYPE) windows): Subtract ha th distance (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of the hi est ROOF TYPE) (with windows): Subtract <br /> window and the highes ' t of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF ES( t, window and the highest <br /> mansard,etc):No ubtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION . Subtract the distance etween the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl spa floor and the subtraction. <br /> EXISTING highest existing gr e adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 1 eet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Deflned buiidi g height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Avera e Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes 0 No P it Number: 0 Yes No � N/A 0 Yes 0 No <br /> N/A—see attached Setback: <br /> Stormwater Quality Existi g Hardcover P�oposed <br /> Overlay District (%and sfl Hardcover Variance Requi d CUP Required <br /> Tier circle one %and s <br /> 0 Yes � 1Vo � 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 />