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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> / <br /> Address: Z/ 0 t4/ l/v ay za'1T, . 64_ Permit No.: <br /> Description of work: Date Rec'd: <br /> Septic review by: .Qu/e-. ci t 4,f-et- Date Approved: <br /> Zoning review by: !_i A Date Approved: / <br /> Building review by: `i Date Approved: f4 /l <br /> Grading review by: H 4 Date Approved: // <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: D Yes D No Date of Survey: Re ' ed date(?): <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Ot r Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Hei ht: FFE: F- minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50% L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC : Fe' A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the I est proposed The distance between the top of <br /> START WITH floor(of the basement or cra 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 /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED ROOF no (no windows): Subtract half <br /> windows): Subtract half the '•ance the distance between the <br /> between the highest point of '-roof <br /> to the low point of the corr.: po ding the low highestw point of the <br /> point of the roof to <br /> SUBTRACTION gable or hipped roof <br /> corresponding gable or <br /> (BASED ON • GABLE OR HIPPED -•OF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract'-If the distan.e (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of e highest ROOF TYPE) (with windows): Subtract <br /> window and the '•hest point of the half the distance between <br /> roof the top of the highest <br /> ALL OTHER OOF TYPES(flat, window and the highest <br /> • mansard,et, :No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the dis:nce between the <br /> (flat,mansard,etc):No <br /> (BASED ON basementicra, space floor and the subtraction. <br /> EXISTING highest exist' g grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation 0R 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined ,uilding height EXISTING grade adjacent to the foundation. <br /> GRADES) <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> ❑ Yes ❑ No Permit Number: Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A—see attached 1 Setback: <br /> Stormwater Quality Proposed I <br /> OverlayDistrict E sting Hardcover <br /> (%and sfl Hardcover iVariance Required CUP Required <br /> Tier(circle one) (%and sfl j <br /> b Yes ❑ No ❑ Yes ❑ No <br /> 1 2 3 4 5 Type(): Type(s): <br /> Updated: January 2015 / <br /> z:\forms\plan review checklist 2015.docx <br />