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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: � �r � C.� �/ ��� (� <br /> Description of work: � �� '� "� "' � <br /> .., . <br /> Septic review by: :�� Date Approved: � '� <br /> Zoning review by: Date Approved: �2� "-IJ� <br /> Building review by: Date Approved: � (' ' ?�I <br /> Grading review by: �� Date Approved: � / <br /> Zoning District: '�l` " �� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: —1 � .]� SF/AC Width: Lot Coverage:��:�` .uD��- SF �` % <br /> Survey Submitted: �s 0 No Date of Survey: �b'2-�' � � Revised date(?): <br /> Pro osed Setbacks: <br /> Front�) Rear(Street) ( N S E W�) ( N S E W ) Other Buiidings Wetland <br /> Side Si e <br /> �p� � � z�.�� <br /> pefined 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 crewl <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 HIP ED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): tract half the windows): Subtract half the distance <br /> distan lween the highest point between the highest point of the roof <br /> of t f to the low point of the to the low point of the corcesponding <br /> SUBTRACTION ponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtraot 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 . ALL OTHER ROOF TYPES(flat, <br /> . ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. <br /> mansard,etc):No subtraction. ADDITION Add the distance beriveen the top of slab <br /> TRACTION Subtract the distance beriveen the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING �SemenUcrawl apace floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Deflned bullding height <br /> EQUALS DeBned bullding height <br /> Shoreland District MCWD Permit Receive Avera e Lakeshore Setback Met? Bluff <br /> / � Yes 0 No N/A 0 Yes No <br /> p'Yes � No � Yes 0 No N/A <br /> i Permit Number: � Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> 0 Yes �No 0 Yes No <br /> � �e�� ��r �� TYPe�S)� TYPe�S)� <br /> Updated: January 2013 �f�j�S 7,jZ�j ��'. <br /> v:\forms�plan review checklist 2013.docx <br />