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� � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / AD ITIONS <br /> Address/Permit Number: '�� 0o S�C/ (�Q-� <br /> Description of work: � �� � �1� ��r/�-S �Q�Q- �( '� <br /> Septic review by: Date Approved: � - 1� -I 3 <br /> Zoning review by: ��V,J�1.f � Date Approved: �'�• � <br /> Building review by: Date Approved: �" ^ � � <br /> Grading review by: '�" � - Date Approved: � �� <br /> Zoning District: R R- 1('S Zoning File#: — Reso#: — Reso Date: "' <br /> Zoning: Lot Area: 3�� SF/AC Width: '�'��� Lot Coverage: dt//A SF _% <br /> Survey Submitted: �tYes � No Date of Survey: S� Z-�8 - �3Revised date(?): .., <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(�eet) ( U S E W ) ( N � E W ) Other Buildings Wetland <br /> Side Side <br /> Z ��t � 39�� t �t�' = 106 SZ 6-3 � <br /> Defined Height: �� 1� Peak Height: � FFE: "- FFE minus 6 feet= � (Existi ontour) <br /> imeter(linear feet)= 50% _ #of Stories Ok? 0 YES <br /> FOR A BUILDI TH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILD 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 y ave a... the highest point of the roof. <br /> If you have a... <br /> . GA OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): btract half the windows): Subtract half the distance <br /> distanc�be the highest ' between the highest point of tha roM <br /> of the roof to the lo i he to the low point of the corresponding <br /> SUBTRACTION corresponding gabl ' ed roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR ED ROOF(�nn (BASED ON . GABLE OR HIPPED ROOF(with <br /> T�'PE) windo . ubVact half the ROOF TYPE) windows): Subtract half the distance <br /> dis ce between the top of the between the top of the highest <br /> ghest window and the highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. mansard etc:No subtraction. <br /> A ION Add the distance between the top of slab <br /> SUBTRA ON Subtract the distance between the (BAS N and the highest existing grade adjacent to <br /> (BAS ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> DES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS fined building helght <br /> EQUALS Deflned bullding heigM <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> � Yes G No �;;' N/A � Yes No <br /> � Yes � No G Yes 0 No � N/A <br /> Permit Number: �Q • Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> � Yes No � Yes No <br /> N� Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms�pian review checklist 2013.docx <br />