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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: 170, T4NKA flVL <br /> Description of work: Lipo-3%;E vZ UI✓ U e l___ <br /> Septic review by: /y 14 Date Approved: <br /> Zoning review by: lvl,4 Date Approved: <br /> -- <br /> Building <br /> _review by: DateApproved: <br /> Grading review by: /V//Y Date Approved: <br /> Zoning District: Zoning File#: Reso M Reso Date: <br /> Zoni • Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Su itted: E3 Yes 0 No Date of Survey: Revise date(?): <br /> Pro osed Setb ks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Othe uildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE m' us 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50%_ #of Sto es Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRA SPACE: <br /> The distance betweaikthe lowest FOR BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the bqsement or crawl <br /> space)and the highest p t of the roof. START WITH The distance between the top of slab and <br /> If you have a... <br /> the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED RO (no GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest int between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roo SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window and the highe window and the highest point of the <br /> point of the roof roof <br /> ALL OTHER ROOF TYP (flat, • ALL OTHER ROOF TYPES(flat, <br /> • mansard,etc):No subt ction. mansard etc):No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance be en the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basement1crawl space or and the EXISTING the foundation. <br /> GRADES) highest existing grad djacent to the GRADES <br /> foundation OR 10 f t(whichever is less). EQUALS Defined building height <br /> EQUALS Defined buildin height <br /> Shoreland District CWD Permit Received Average Lakeshore Se ack Met? Bluff <br /> Yes D No 0 N/A 0 Yes 0 No <br /> D Yes D No O Yes D No �\N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP equired <br /> Overlay District Tie Hardcover Hardcover <br /> 0 Yes 0 No 0 Yes E3 No <br /> Type(s): Type(s): <br /> Updated: January 20 <br /> v:\forms\plan review checklist 2013.docx (� <br />