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PLAN REVIEW <br /> �CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: !—✓o6 v\ <br /> Description of work: (,Z2,%2-+ <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: slik Date Approved: 10- 10 - / Ly <br /> Grading review by: Date Approved: <br /> Zoning District: KV 1.6 Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area:. �Q f S q' 14-AC Width: Lot Coverage: S F+ <br /> Survey Submitted: �Zr es O No Date of Survey: ' � Revised date(?): <br /> Proposed Setbacks: <br /> Front( e), Rear(S et) ( N S d-" W ) ( N S E W ) Other Buildings Wetland <br /> 1 Si a !D Side �O <br /> q ti io' Z0 NJ <br /> Defined Height: Pear' "-' is 6 feet= (Existing Contour) <br /> Perimeter(linear feet)_ _Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR C <br /> The distano i k SLAB FOUNDATION: <br /> START WITH proposed flc <br /> space)and t rRH The distance between the top of slab and <br /> If you have a the highest point of the roof. <br /> GABLE If you have a... <br /> • GABLE OR HIPPED ROOF(no <br /> window i windows): Su half the distance <br /> distanct between th est point of the roof <br /> of the rd to the point of the corresponding <br /> SUBTRACTION correspc 'ION or hipped roof <br /> (BASED ON ROOF GA I BLE OR HIPPED ROOF(with <br /> TYPE) dovencs; _) windows): Subtract half the distance <br /> distae', between the top of the highest <br /> highest w window and the highest point of the <br /> point of th roof <br /> • ALL OTHE ALL OTHER ROOF TYPES(flat, <br /> mansard,i mansard,etc):No subtraction. <br /> (TION Add the distance between the top of slab <br /> ATION Subtract the dist BASED ON and the highest existing grade adjacent to <br /> N EXISTING basement1crawl 6Ndc:e noor and the EXISTING the foundation. <br /> highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> 0 Yes 0 No .0 N/A 0 Yes AINO <br /> 0 Yes AINO'o _ 0 Yes 0 No )eN/A <br /> Permit Number: ; ; Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> 0 Yes No 0 Yes No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />