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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Addrees/Permit Number: 99 cs 0 W tib R 7towN R-0444 <br /> description of work: 1 2 Ro 5)--1 010 w IT-14 1,1 (o w oACI-( <br /> Septic review by: 0.1(-- Date Approved: <br /> Zoning review by: 1...`/U 0AA/97") Date Approved: G •2 3 - Zb 13 <br /> Building review by: 4 (PAA------ Date Approved: 6 •Z3 — 2013 <br /> Grading review by: i`r/A Date Approved: <br /> Zoning District: tZ R 't A Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: ZZ•Z(0 $F/AC Width: i MArGy(AA Lot Coverage: N/A SF _% <br /> Survey Submitted: )2I'S'es D No Date of Survey: 3' z.9 - ?6 Revised date(?): — <br /> oP1 it"ILL <br /> Proposed Setbacks: <br /> Front(L-ake) Rear(Street) ( N S E) W ) ( N S E Other Buildings Wetland <br /> Side Side <br /> 30oI o00' (puo ' z2() ' —7Sr' 4- 11bS' <br /> Defined Height: o {< Peak Height: FFE: — FFE minus 6 feet= - (Existing Contour) <br /> Perimeter(linear feet) = ____ 50%= #of Stories Ok? D 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 /> If you have a... the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest point between the highest point of the roof <br /> 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 /> (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 /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF TYPES(flat, 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 /> GRADES) 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 /> D Yes D No „.13-N/A D Yes o <br /> D Yes o D Yes D No /A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> D Yes D No D Yes D No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />