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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: ` &S S <br /> Description of work: 0 ex'► <br /> Septic review by: /V 104 Date Approved: n <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: /19 Date Approved: <br /> Zoning District: Zoning File#: Reso M Reso Date: --- <br /> Zoning: Lot Area: S407$°r SF/AC Width: 13S Lot Coverage: 3?"to SF 9.14 % <br /> Survey Submitted: Yes 0 No Date of Survey: �Oj Revised date(?): -- <br /> Proposed Setbacks: <br /> Front(691we Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Cl 0 1 b-5 G 3 t-`G /✓/4 <br /> Defined Height: /J 1A Peak Height: ✓ * FFE: FFE minus 6 feet= — (Existing Contour) <br /> Perimeter(linear feet)= r 50% = #of Stories , Ok? DYES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WI proposed floor(of the basement or crawl <br /> and the highest point of the roof. START WITH The d' etween the top of slab and <br /> ighest point of the roof. <br /> If you have a... <br /> If you have a... <br /> • GABLE OR HIPPED no GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest point 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 roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF GABLE OR HIPPED ROOF(with ( ON GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF windows): Subtract half the distance <br /> distance between the to a between the top of the highest <br /> highest window an highest indow and the highest point of the <br /> point of the r ro <br /> • ALL ER ROOF TYPES(Flat, ALL OTH OF TYPES(flat, <br /> mansard etc): traction. <br /> ansard,etc):No subtraction. ADDITION Add the distance between the f slab <br /> SUBTRACTION ubtract the distance between the (BASED ON and the highest existing grade adjace to <br /> (BASED ONE NG basement/crawl space floor and the EXISTING the foundation. <br /> GRADES highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> ,20DALS Defined building height <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> 0 Yes 0'No N/A 0 Yes 121'No <br /> Yes 0 No 0 Yes 0 No � N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> o� 0 Yes No O Yes No <br /> 3 401 <br /> J'1� q.� (o Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />