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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: lbi '[60 raw V 0-1 <br /> Description of work: N I 'K� <br /> Septic review by: 15;ewDate Approved: <br /> Zoning review by: 5 Date Approved: '�T <br /> Building review by: �wp- Date Approved: I 1 <br /> Grading review by: Date Approved: • ( � ' <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: +4-4150 15 AC Width: Lot Coverage: 5WO SF ].� '9a <br /> Survey Submitted: 0 Yes 0 No Date of Survey: Revised date(?): <br /> Proposed Setbacks: <br /> F pd(Lake) (Street) ( ® S E W ) ( NTid <br /> E W ) Other Buildings Wetland <br /> // 1 S Side ep <br /> 7 2,5(4 lo` 10' <br /> Defined Height: Peak Height: FFE:b3, 6 FFE minus 6 feet= 19'1 (Existing Contour) <br /> Perimeter(linear feet)= Q�4 � 50% _ � ,J0 #of Stories_1,Ok?�YES <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 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 /> the highest point of the roof. <br /> If you have a... I <br /> GABLE OR HIPPED ROOF(no :f you have a... <br /> • GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> 4 distance between the highest point between the highest point of the roof <br /> 1 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 /> J (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 basement/crawl space floor and the EXISTING the foundation. <br /> J GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> J EQUALS Defined building height <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> es 0 No <br /> es 0 No 0 N/A Yes 0 No 0 N/A 0 Yes 0 No <br /> � � <br /> Permit Number: 4_ Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> 0 Yes A No 0 Yes No <br /> 7(p070 Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />