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' ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �-�� y CGUv! ��i ��-Q� �� Permit No.: <br /> Description of work: /�C�e ,�.Q,f��t l`` Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: � �i <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area:_�SF/AC Width: Lot Cover�e: SF % <br /> Survey Submitted: Yes � No Date of Survey: Revised date(?): <br /> `. <br /> Proposed Setbacks: <br /> Front(Lake) Rear treet) ( N S E W ) ( N S Ef�,W ) Other Buildings Wetland <br /> Side Sid� <br /> / <br /> Defined Height: P k 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 CRA SPACE: FOR A BUILDING ON A 3LAB FOUNDATION: <br /> The distance be en the lowest pro sed The distance between the top of <br /> START W ITH floor(of the basem nt or crawl spa )and START W ITH slab and the highest point of the <br /> the highest point of e roof. roof. <br /> If you have a... <br /> If you have a... . GABLE OR HIPPED ROOF <br /> • GABLE OR HIPP D R OF(no (no windows): Subtract half <br /> windows): Subtrac h f the distance the distance between the <br /> between the highes oint of the roof highest point of the roof to <br /> to the low point of orresponding the low point of the <br /> SUBTRACTION gable or hipped r of corresponding gable or <br /> (BASED ON . GABLE OR HI ED R F(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): S tract half e distance (BASED ON • GABLE OR HIPPED ROOF <br /> between the op of the hig est ROOF TYPE) (with windows): Subtract <br /> window an the highest po t of the half the distance between <br /> roof the top of the highest <br /> • ALL OT ER ROOF TYPES( at, window and the highest <br /> mansa ,etc):No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract th distance between the (flat,mansard,etc):No <br /> (BASED ON basemen rawl space floor and the subtraction. <br /> EXISTING highest isting grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundat' n OR 10 feet(whichever is les . (BASED ON of slab and the highest existing <br /> EQUALS Defin building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> E�UALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes 0 No Permit Number: 0 Yes � No 0 N/A � Yes � No <br /> � N/A—see attached Setback: <br /> Stormwater Quality Exi ing Hardcover Proposed <br /> Overlay District o Hardcover Variance Required CUP Required <br /> Tier circle one (�o and s� %and s <br /> Yes � No � Yes � No <br /> 1 2 3 4 5 Type(s) Type(s): <br /> Updated: January 2015 <br /> c:\users\rpeitso\documents\plan review checklist 2015.docx <br />