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_ , PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: .3J�(y✓ �i X�`"� ,I`rd Fi �aH�� Permit No.: <br /> �/� � � <br /> Description of work: �G�,dQl/^ T'�0���7/' � /���.���� Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: 2q�1 Date Approved: <br /> ► <br /> Building review by: Date Approved: �0 /� <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: 0 Yes � No Date of Survey: Revised date(?): <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50%= L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> START W ITH floor(of the basement or crawl space)and START W ITH 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 (no windows): Subtract half <br /> windows): Subtract half the distance the dfstance between the <br /> between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): SubVact half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> mansard,etc):No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Deflned buildi�g height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes p No Permit Number: � Yes � No � N/A � Yes � No <br /> 0 N/A—see attached Setback: <br /> Stormwater(luality Existing Hardcover Proposed <br /> Overlay District a Hardcover Variance Required CUP Required <br /> Tier circle one (/o and s� �/,and s <br /> 0 Yes � No 0 Yes � No <br /> 1 2 3 4 5 Type(s): . Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />