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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: 1 - l .0 �r ��. <br /> Description of work: G k< C le--�(0 C 00P1 <br /> Septic review by: (A ----` Date Approved: I,)---( 3 <br /> Zoning review by: 1./4 Date Approved: <br /> Building review by: C9 Ubl'wghDate Approved: Ce ' f L-I - Z•U <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: , Yes 17 No Date of Survey: nu ,-i L Revised date(?): <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S C W ) Other Buildings Wetland <br /> Side Side <br /> —7601 +- Zct ` 19 i 2— LttV AiI A <br /> Defined Height: 0 , k— 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 /> "N START WITH proposed floor(of the basement or crawl <br /> tel` space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF(no <br /> l <br /> windows): Subtract half the --.-'' windows): Subtract half the distance <br /> distance between the highest point ......-- <br /> 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 BLE OR HIPPED ROOF (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) winces): Subtract half a ROOF TYPE) windows): Subtract half the distance <br /> distance'b een t op of the between the top of the highest <br /> highest windo d the highest window and the highest point of the <br /> point of the of roof <br /> • ALL ER ROOF TYPES fta • ALL OTHER ROOF TYPES(flat, <br /> sard,etc):No subtraction. mansard,etc):No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtfact the distance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING asement/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 /> £fioreland District MCWD Permit Received Average Lakeshore Setback Me Bluff <br /> 0 Yes 0 No /0 N/A 0 Yes A No <br /> 0 Yes p1 No 0 Yes 0 No p N/A <br /> / Permit Number Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> _ D Yes 71 No D Yes Al No <br /> /STD Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />