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, PLAN REVIEW CHECKLIST /F'OR NEW STR <br /> UCTURES / ADDITIONS <br /> Address: Li d Gu Y'Q//'�(�G�ii1 <br /> Description of work: Date Recd: <br /> Septic review by: S�(ti`c'y' (/�"Q Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: / �` Date Approved: /f g <br /> Grading review by: / Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: 0 Yes I D No Date of Survey: Revised date(?): <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) ,Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak,Height: FFE: /F/FE minus 6 feet= (Existing Contour) <br /> Perimeterlinear feet = .50%_ <br /> ( ) � L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: F/O/R A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the <br /> the highest point of the roof. roof. <br /> If you have a... If you have a... <br /> 1 GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED ROOF(no (no windows): Subtract half <br /> windows): Subtrac•half the distance the distance between the <br /> between the highest Int of the roof highest point of the roof to <br /> to the low point of the corresponding <br /> SUBTRACTION gable or hippedroof the low point of the <br /> corresponding gable or <br /> (BASED ON GABLE OR HIPPED R�O (with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half.$e distance (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the high t pont of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROO TYPES(flat, window and the highest <br /> mansard,etc):Na subtractionpoint of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distancebetween the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl spade floor and the subtraction. <br /> EXISTING highest existing gr a adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 eet(whichever is Iasi- (BASED ON of slab and the highest existing <br /> EQUALS Defined build in height ; EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> 1 <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> D Yes D No Permi Number: 't-13 <br /> 3 Yes D No D N/A D Yes D No <br /> DNA—see attached Setback: <br /> Stormwater Quality Existing H rdcover Proposed <br /> Overlay District (%a st) Hardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> 13 Yes D No D Yes D No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 i <br /> z:\forms\plan review checklist 2015.docx <br />