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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: �� �� � � ��1� A� �1� . <br /> Description of work: \.�I�5�/��`�T� �'1 N t5(� <br /> Septic review by: IV ( iDr Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: 1 Z'S � 7—�l�( <br /> Grading review by: ��(A Date Approved: <br /> Z ning District: Zoning File#: Reso#: Reso Date: <br /> Zonin • Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey S mitted: �Yes � No Date of Survey: Revised date ? . <br /> Pro osed Se acks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Build' gs Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 eet= (Existing Contour) <br /> Perimeter(linear feet)= 50% _ #of Stories Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR C WL SPACE: <br /> The distanca be een the lowest FOR A B DING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of e basement or crawl <br /> space)and the high t point of the roof. The distance between the top of slab and <br /> START WITH �e highest point of the roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPE OOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract h the windows): Subtract half the distance <br /> distance between the hi est point between the highest point of the roof <br /> of the roof to the low point f the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipp roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(w (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): SubVact half the distance <br /> distance between the top of th between the top of the highest <br /> highest window and the high t window and the highest point of the <br /> point of the roof roof <br /> . ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF TY S(flat, mansard,etc:No subtraction. <br /> mansard,etc):No s raction. ADDITION Add the distance belween the top of slab <br /> SUBTRACTION SubVact the distance b een the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl spa floor and the EXISTING the foundation. <br /> GRADES) highest existing gr e adjacent to the GRADES <br /> foundation OR 1 feet(whichever is less). EQUALS Deflned building height <br /> E�UALS D�ned buii ng height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore etback Met? Bluff <br /> 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 Yes � N � Yes O No N/A <br /> Permit Number: Setback: <br /> Stormwater ality Existing Proposed Variance Required C Required <br /> Overla Dis ict Tier Hardcover Hardcover <br /> 0 Yes 0 No � es 0 No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />