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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ''2(o 1�A 0 R 6,J G H (j)4Z �o Permit No.: '743)!5' (?0 `il 1 <br /> Description of work: S iy G w JZ4LYA I& Date Rec'd: <br /> Septic review by: N!A Date Approved: <br /> Zoning review by: p� Date Approved: <br /> Building review by: rho u Date Approved: S' y - f <br /> Grading review by: /v! Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zo 'ng: Lot Area: SF/AC Width: Lot Coverage: ;SF % <br /> Surve Submitted: 0 Yes 0 No Date of Survey: Revised date <br /> Propose etbacks: <br /> Front(Lake Rear(Street) ( N S E W ) ( N S E W ) Other B Idings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: /DINGOiNASSLAB <br /> 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% = .F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR AWL SPACE: FOR A B FOUNDATION: <br /> The distance etween the lowest proposed The distance between the top of <br /> START WITH floor(of the ba ment or crawl space)and START WITH slab and the highest point of the <br /> the highest point the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPE6LROOF(no (no windows): Subtract half <br /> windows): Subtract h f the distance the distance between the <br /> between the highest poi of the roof highest point of the roof to <br /> to the low point of the corr ondin the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF( SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the istanc (BASED ON GABLE OR HIPPED ROOF <br /> between the top of the hi est ROOF TYPE) (with windows): Subtract <br /> window and the highes oint of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER to TYPES(flat, window and the highest <br /> mansard,etc): o subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the dista a between the (flat,mansard,etc):No <br /> (BASED ON basement/craw pace floor and the subtraction. <br /> EXISTING highest existip grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Define uilding heightEXISTING grade adjacent to the foundation. <br /> RADES <br /> E ALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setbakk Bluff <br /> Met? <br /> 0 Yesp Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> N/A—see attached Setb k: <br /> Stormwater Qu ity Existing Hardcover Proposed <br /> Overlay Di rict (%and st) Hardcover Variance Required CUP Re fired <br /> Tier circ one %and s <br /> M Yes D No D Yes a <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 � I <br /> z:\forms\plan review checklist 2015.docx 1 v(� .0 <br />