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PLAN REVIEW CHE KLIST FOR NEW STRUCTURES <br /> ` Add(ress: Permit No.: <br /> (AWWiq <br /> �Description of work: � 1 ) Date Rec'd: <br /> Septic review by: Date Approved:_ <br /> Zoning review by: Date Approved: <br /> Building review by: n ' /� Date Approved: <br /> Grading review by: 1y YT Date Approved: <br /> r <br /> Zoning District: – Zoning File#: Reso#: <br /> Zoning: Lot Area: 12,01 2-0 /AC Width: Lot Coverage: <br /> Survey Submitted: '�esi "0 No /I Date of Survey: ` <br /> —136a <br /> Proposed Setbacks: l Ct,/ 6 T tw" (.A_. <br /> Old L'L- 0 <br /> Front(L ke� Rpar(S t) ( N r"j E W ) ( N S E W ) Other B,' <br /> 'Side Side p <br /> ► 5�1 ' l 40' I � ' <br /> Defined Height: Peak Height: FFE: FFE minus 6 fe:elco <br /> Perimeter(linear feet) = 50% = L.F. <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOU <br /> The distance between the lowest proposed <br /> START WITH floor(of the basement or crawl space)and START WITH <br /> the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED-ROOF(no <br /> windows): Subtract half the distance <br /> between the highest point of the roof <br /> to the Ipvv point of the corresponding <br /> SUBTRACTION ga le or hipped roof <br /> (BASED ON GABLE OR HIPPED ROOF(with SUBTRACTION <br /> ROOF TYPE) / windows): Subtract half the distance (BASED ON <br /> between the top of the highest ROOF TYPE) <br /> window and the highest point of the <br /> roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. <br /> SUBTRACTION Subtract the distance between the <br /> (BASED ON basement/crawl space floor and the <br /> EXISTING highest existing grade adjacent to the ADDITION <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON <br /> / EQUALS Defined building height EXISTING <br /> GRADES <br /> EQUALS <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit ti \�tj Met? <br /> D Yes X0 No Permit Number: 0 Yes D No N/A <br /> 0 N/A—see attached <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District (%and s1 Hardcover Variance Required <br /> Tier circle one %and s <br /> �( p 0 Yes No <br /> 1 2 3 4 5 l��I ' I Type(s): T: <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> ;l <br />