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'PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: .T�)n- � 1.J,4 <br /> Description of work: J t-,� <br /> Septic review by: I Date Approved: '- (2 <br /> Zoning review by: IMILtDate Approved: <br /> Building review by: Date Approved: ` S <br /> Grading review by: bate Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: Zit(� S /AC Width: Lot Coverage: SF _% <br /> Survey Submitted: Yes 0 No Date of Survey: 7 -15-15 Revised date(?): 7'2-� i <br /> Proposed Setbacks: <br /> Front ake Rear((!tree ) ( N S E W ) ( NE W ) Other Buildings Wetland <br /> Side lide <br /> Defined Height: 2��� Peak Height: FFE: ,1b 00rminus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = OTS 60%= z,2 #of Stories - Ok? t L4 n,1 VtV 6 <br /> " ►O(Q r�'1 ; 5-Z fa1 �1 V/ej�1� y <br /> FOR A BUILDING'MTH A BASEMENT OR CRAWL SPACE: ,�^ „ <br /> The distance between the lowest W v �w �� <br /> START WITH proposed floor(of the basement or crawl FOR A BUILDING ON A SLAB FOUNDATION: <br /> space and the highest The distance between the to of slab and <br /> ) g point of the roof. START WITH the highest point of the roof.p <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(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 (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 highest window and the highest point of the <br /> point of the roof roof <br /> • <br /> ALL OTHER ROOF TYPES(flat, ALL OTHER ROOF TYPES(flat, <br /> • mansard,etc):No subtraction. <br /> mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> (� (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> l v GRADES) highest existing grade adjacent to the I GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> r EQUALS Defined building height <br /> 2q-I� <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> Yes 0 No <br /> Yes 0 No 0 N/A 0 Yes oYes 0 No 0 N/A <br /> Permit Number: 13 -L� Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> �j0 Yes NO 0 Yes o <br /> I Z -,� � Z 3 "10 Type(s) TYPe(s) <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx l <br />