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�LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: �,� � � S�� '� � �. R�'� /v � <br /> Description of work: o"`� �� � �y ��" <br /> Septic review by: 'L.l� Date Approved: C� —�� � �� <br /> Zoning review by: � Date Approved: 1 ' �1 • � � <br /> Building review by: Date Approved: � " � � � ( 3 <br /> Grading review by: �h n I Date Approved: 1' �� '��' <br /> Zoning District: � � Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: Yes � No Date of Survey: 7 'Z'���j Revised date(?): <br /> Pro osed Setbacks: <br /> Front(Lal�e) Rear(Street) ( N S E W ) ( N S E ( W ) Other Buildings Wetland <br /> Si� Side �-�j <br /> 70 ' --j � � �.��c <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50°/a= #of Stories Ok1 �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... <br /> the highest point of the roof. <br /> • GABLE OR HIPPED ROOF(no :f you have a... <br /> windows: Subtract half the GABLE OR HIPPED ROOF(no <br /> ) windows): Subtract half the distance <br /> distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresPonding 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): 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 pofnt of the <br /> point of the roof roof <br /> . ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF TYPES(flat, mansard etc:No subtraction. <br /> mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest exfsting grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space 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 building height <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Receive Avera e Lakeshore Setback Met? Bluff <br /> � Yes � No N/A 0 Yes o <br /> 0 Yes �No • Yes 0 No N/A <br /> Permit Number:� Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> ` ! � O Yes No 0 Yes No <br /> ,v Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />