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=" PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��C � Q� Permit No.: ` <br /> <, Description of work: ?14? 1;x(12..-1 cl �� # <br /> 0'..0-:,k a �. Date Rec d: <br /> r,, ,.,_ <br /> i Septic review by: ✓�'%l/'�b' (/v fill Date Approved: <br /> Zoning review by: IA 1 ir�.i Date Approved: l , <br /> 0 ' Z„ • i <br /> Building review by: � � /7 Date Approved: /O f <br /> > 4' <br /> �,_, <br /> Grading review by: �i Date Approved: ,:," '—"""'"' <br /> ' Zoning District: L -C- i 1-� Zoning File#: Reso #: Reso Date: <br /> Zoning: Lot Area: !1L ,i"`1 �._FA AC Width: Lot Coverage: SF <br /> •.:4,:,''.`;v.,•‘1' <br /> Survey Submitted: )'Yes 0 No Date of Survey: 10 16 15 Revised date(?): <br /> t' <br /> ' Proposed Setbacks: <br /> )' wont(Lake) R (Street) (CD S E W ) ( N ddeW ) Other Buildings Wetland <br /> Side <br /> f,,,I I'V''•,, 1.0 0'4' g5 I l`1 fA- <br /> Y � J <br /> A <br /> i �; Defined Height: Peak Height: FFE: FFE minus 6 feet = (Existing Contour) <br />'70,,17-.!''',:-.. <br /> pl' t Perimeter(linear feet) = 50% = L.F. below grade #of Stories '-' <br /> Tye N _ <br /> Y <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> ri4rr+ The distance between the lowestro osed <br /> P P The distance between the top of <br /> 1-1,-.:'-3; 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. j T <br /> x If you have a... If you have a... <br /> • GABLE OR HIPPED ROO (no • <br /> GABfI E 6R HIPPED ROOF <br /> (no windows): Subtract half <br /> k windows): Subtract the distance the distance between the <br /> between the hi st point of the roof highest point of the roof to <br /> i to the to int of the corresponding the low point of the <br /> SUBTRACTION ga r hipped roof corresponding gable or <br /> (BASED ONGABLE OR HIPPED ROOF(with SUBTT ACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> between the topof the highest /OF <br />& 9 TYPE) (with windows): Subtract <br /> window and the highest point of the ' half the distance between <br /> roof the top of the highest <br /> r . i <br /> ` • ALL OTHER ROOF TYPES(flat, window and the highest <br /> point of the roof <br /> ` mansard,etc):No subtraction. • ALL OTHER ROOF TYPES <br />' ' - ' i ' <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> /' (BASED ON basement/crawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br />''.4',''4"., GRADES) foundation OR 10 feet(whichever is less).) (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> GRADES) <br /> EQUALS Defined building height <br /> Average Lakeshore Setback <br /> w. <br /> Shoreland District MCWD Permit Met? Bluff <br /> *'' --r--, <br /> r es 0 No Permit Number: ' CI Yes 0 No 0 N/A 0 Yes No <br />} N/A—see attached ,' Setback: 1 <br /> FO Stormwater Quality Proposed <br /> OverlayDistrict Existing Hardcover <br /> (% and s17 Hardcover Variance Required CUP Required <br /> Tier(circle one <br /> ,, one) (/o andsf) I <br />,:. ,,,,, 0-, 1 <br /> 2 3 4 5 -, I:5,7 1313 0 Yes No 0 Yes No l <br />`� r ' ' I.10`'to 11.841Type(s). • Type(s): <br />'fi'.T <br /> `° Updated: January 2015 , <br /> z:\forms\plan review checklist 2015.docx i\1- • <br /> s � 2 <br />