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. PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: 2 1 6 0 ( i CST J Ay---AA----0 f LV O <br /> Description of work: t 0 ')NG <br /> Septic review by: /v /✓4- Date Approved: <br /> Zoning review by: /V//A- Date Approved: <br /> Building review by: - KIDate Approved: f ( — I`l Z. lc/ <br /> Grading review by: /v i/g' Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date- <br /> Zoni •: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey ubmitted: D Yes 0 No Date of Survey: R .sed date(?): <br /> Proposed -tbacks: <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: . E minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50% = # if Stories Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR C- • L SPACE: <br /> The distance be :en the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of th basement or crawl <br /> space)and the highes •oint 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 Re IF(no • GABLE OR HIPPED ROOF(no <br /> windows): Subtract half* windows): Subtract half the distance <br /> distance between the highe point between the highest point of the roof <br /> of the roof to the low point.f the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or pped ro•f SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF • GABLE OR HIPPED r*OF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtrac alf the ROOF TYPE) windows): Subtract half the distance <br /> distance between e top of the between the top of the highest <br /> highest window:nd the highest window and the highest point of the <br /> point of the ro-• roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHE• ROOF TYPES(flat, mansard,etc):No subtraction. <br /> mansard -tc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract th- •istance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemen rawl space floor and the EXISTING the foundation. <br /> GRADES) highest isting grade adjacent to the GRADES) <br /> found. ion OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS De ed building height <br /> Shoreland Distri MCWD Permit Received Average Lakeshore -tback Met? Bluff <br /> 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 Yes A No 0 Yes 0 No • N/A <br /> - <br /> Permit Number: Setback: <br /> Stormw. -r Quality Existing Proposed <br /> Overla 'istrict Tier Hardcover Hardcover Variance Required CUP equired <br /> DYes ONo DYe 0 No <br /> Type(s): Type(s): <br /> Updated: January 2013 / " 0 C /`/4Mjj"e <br /> v:\forms\plan review checklist 2013.docx <br />