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, PLAiV REVIEW CHEC�CLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: ��� � � � y--� /4� � � — <br /> Description of work: O t�� " Q �N S <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: d�� I <br /> Building review by: Date Approved: S-� � ?-4� <br /> Gra�ing review by: �<« � Date Approved: � / <br /> Zoning District: ' Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area:� SF� Width: Lot Coverage: SF _% <br /> Survey Submitted: �Yes 0 No Date of Survey: 5 �5'� Revised date(?l: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(S et) ( N S � W ) ( N S E W ) Other Buildings Wetland <br /> Si Side <br /> � � � � � <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% _ #of Stories Ok? � 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 RO . GABLE OR HIPPED ROOF(no <br /> windows): Subtra the windows): Subtra if the distance <br /> distance be the highest point between t ' est point of the roof <br /> of the ro the low point of the to th point of the corresponding <br /> SUBTRACTION corr nding gable or hipped roof SUBTRACTION e ar hipped roof <br /> (BASED ON ROOF . BLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> T�'PE) 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 between the top of slab <br /> S TRACTION SubVact the distance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> GRADES) highest existlng grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building helght <br /> EQUALS Defined buildfng height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> G Yes � No � N/A � Yes No <br /> 0 Yes �No � Yes- � No �/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> � ` 'n I � Yes No 0 Yes No <br /> Iv �r Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />