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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> ` Address: � � Go �n� n., �� �� � Permit No.: Zm �S� od Z� <br /> Description of work: i��4 i�{- 1?�✓�1,pI�L=Z Date Rec'd: z�Z S— Z��S <br /> Septic review by: N/ � Date Approved: <br /> Zoning review by: �/ ✓-� Date Approved: <br /> Building review by: � Date Approved: ZsZ Z- 20��,,,� <br /> Grading review by: �/A Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: L t Area: SF/AC Width: Lot Coverage: F % <br /> Survey Sub ' ted: 0 Yes � No Date of Survey: Revise ate ? : <br /> Proposed Setbac : <br /> Front(Lake) ear(Street) ( N S E W ) ( N S E W ) er Buildings Wetland <br /> Side Side <br /> Defined Height: ak Height: FFE: F E minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50°/a = L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL ACE: F A BUILDING ON A SLAB FOUNDATION: <br /> The distance between t lowest 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... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED ROOF( (no windows): Subtract half <br /> windows): Subtract half th is ce the distance between the <br /> between the highest poi of the ro highest point of the roof to <br /> to the low point of the rresponding <br /> SUBTRACTION gable or hipped ro the low point of the <br /> corresponding gable or <br /> (BASED ON . GABLE OR HIP ED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): S tract half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> between t top of the highest ROOF TYPE) (with windows): Subtract <br /> window nd the highest point of the half the distance between <br /> roof the top of the highest <br /> • OTHER ROOF TYPES(flat, window and the highest <br /> ansard,etc):No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION tract the distance between the (flat,mansard,etc):No <br /> (BASED ON asemenUcrawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the DDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). ( SED ON of slab and the highest existing <br /> EQUALS Defined building height EXI ING grade adjacent to the foundation. <br /> GRA S <br /> EQUAL Deflned building height <br /> Shoreland istrict MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> � Yes 0 No Permit Number: � Yes 0 No � N/A � Yes � No <br /> � N/A—see attached Setb ck: <br /> Stormwater Quality Proposed <br /> Overlay District Existin g Hardcover Hardcover Variance Required CU equired <br /> Tier circle one (/o and sfl %and s <br /> � Yes � No � Yes O No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />