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� ' � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: �`�I 5 �l� 1 l'1`--1 �vL. <br /> Description of work: � � = L-- <br /> '�. <br /> Septic review by: � � � � Date Approved: � 1 � . -� �� <br /> Zoning review by: N Date Approved: <br /> Building review by: Date Approved: Z- �S -Z,.0�3 <br /> Grading review by: �/f3' Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zo n`gcz.Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: 0 Yes 0 No Date of Survey: Revised dat . <br /> Pro osed Setbacks: <br /> Front(Lake) `'�, Rear(Street) ( N S E W ) ( N S E W ) Other Bu' ings Wetland <br /> �•, Side Side <br /> ,,\l` <br /> Defined Height: l'�, Peak Height: FFE: FFE minus feet= (Existing Contour) <br /> Perimeter(linear feet) _ \� 50%_ #of Stories Ok? �YES <br /> .� <br /> FOR A BUILDING WITH A BASEMENT OR CRA L SPACE: <br /> The distance betwe the lowest FOR A ILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the asement or crawl <br /> space)and the highest pqnt 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 ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the�, windows): Subtract half the distance <br /> distance between the highest p�nt between the highest point of the roof <br /> of the roof to the low point of the�, te the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roo SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . G,qBLE OR HIPPED ROOF(wi (BASED ON . GABLE OR HIPPED ROOF(with <br /> T�'PE) windaws): Subtract half the �. ROOF TYPE) windows): SubVact half the distance <br /> distance befween the top he \ between the top of the highest <br /> highest window and the ghest � window and the highest point of the <br /> point of the roof roof <br /> ALL OTHER RO TYPES(flat, � • ALL OTHER ROOF TYPES(flat, <br /> • mansard,etc): o subtraction. mansard,etc:No subtrection. <br /> � ADDITION Add the distance belween the top of slab <br /> SUBTRACTION Subtract the dis ce between the (BASED ON and the highest existlng grade adjacent to <br /> (BASED ON EXISTING basemenUc space floor and the EXISTING the foundation. <br /> GRADES) highest ex' ng grade adjacent to the RADES <br /> foundat�N OR 10 feet(whichever is less). UALS Defined building height <br /> EQUALS De ed building hefght <br /> f <br /> Shoreland Distr�'ct MCWD Permit Received Avera e Lakeshore Setba Met? Bluff <br /> � 0 Yes 0 No � N/A 0 Yes 0 No <br /> 0 Yes ���,0 No � Yes 0 No 0 N/A <br /> Permit Number: etback: <br /> Stornpwater Quality Existing Proposed Variance Required CUP Require <br /> Overla District Tier Hardcover Hardcover <br /> � Yes 0 No 0 Yes No <br /> Type(s): Type(s): ` <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />