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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: .3'`'�5 ��/��N� �"�'��� 9'l�� Permit No.: <br /> Description of work: 2� Date Rec'd: <br /> � <br /> Septic review by: � Date Approved: <br /> Zoning review by: �l j Date Approved: <br /> Building review by: �. Date Approved: -3��`� - �'f S <br /> Grading review by: tv//� Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Z ing: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Surve ubmitted: 0 Yes � No Date of Survey: Revised date ? : <br /> Pro osed etbacks: <br /> Front(La�� Rear(Street) ( N S E W ) ( N S E W ) Other Buildin s Wetland <br /> Side Side <br /> : <br /> '` <br /> Defined Height: \`�,� Peak Height: FFE: FFE minus 6 fee = (Existing Contour) <br /> .� <br /> Perimeter(linear feet) _ \, 50%= L . below grade #of Stories <br /> � <br /> FOR A BUILDING WITH A BASEM NE�,OR CRAWL SPACE: FOR A BUILDING ON SLAB FOUNDATION: <br /> The ' tance between the lowest proposed The distance between the top of <br /> START WITH floor(o he basement or crawl space)and START WITH slab and the highest point of the <br /> the highe t point of the roof. roof. <br /> If you have . If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE HIPPED ROOF(no (no windows): Subtract half <br /> windows): ubtract half the distance the distance between the <br /> between the 'ghest point of the roof hi hest <br /> to the low poin f the coResponding the low point of the roof to <br /> SUBTRACTION gable or hipped r f corres ondin <br /> p g gable or <br /> (BASED ON . GABLE OR HIPPE OOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): SubVact h the distanc (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of the h est ROOF TYPE) (with windows): Subtract <br /> window and the highest po t e half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYP S(flat, window and the highest <br /> mansard,etc):No su ction. point of the roof <br /> . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance b een the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl spa floor and the subtraction. <br /> EXISTING highest existing de adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined b ding height EXISTING grade adjacent to the foundaUon. <br /> GRADES <br /> EQUALS Deflned building height <br /> Shoreland District MCWD Permit Average Lakes re Setback g�uff <br /> Met? <br /> 0 Yes p Permit Number: � Yes 0 No N/A 0 Yes 0 No <br /> � N/A—see attached Setback: <br /> Stormwater Q lity Existing Hardcover Proposed <br /> Overlay D' rict (%and sfl Hardcover Variance Required CUP Required <br /> Tier ci e one %and s <br /> � Yes � No � Yes 0 No <br /> 1 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx �' ��f�}�/(jy� <br /> / <br />