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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: 77 S CU/\'/71A`1b4 n?L_\J' Permit No.: <br /> Description of work: Ia ooE Date Rec'd: <br /> Septic review by: /1/1/4 Date Approved: <br /> Zoning review by: it//A Date Approved: <br /> Building review by: Date Approved: 2-19 -7-01°7 <br /> Grading review by: Q N//9' Date Approved: <br /> Zoning District: Zoning File#: Reso #: Reso Date: , <br /> Zo 'ng: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey ubmitted: ❑ Yes 0 No Date of Survey: Revised date(?): <br /> Proposed tbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> N <br /> Defined Height: \ Peak Height: FFE: FFE 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 SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the <br /> the highest point of.,he 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 distance the distance between the <br /> between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding <br /> SUBTRACTION gable or hipped roof the low pointof the <br /> corresponding gable or <br /> (BASED ON • GABLE OR HIPPED ROOF(with' SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> mansard,etc):No subtraction. point of the roof <br /> •SUBTRACTION Subtract the distance between the ALL OTHER ROOF TYPES <br /> � (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> 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 /> Shoreland Distric MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes No Permit Number: 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 N/A—see attached Setback: <br /> Stormwat Quality Existing Hardcover Proposed <br /> Overt District o Hardcover Variance Required CUP Required <br /> Tier(circle one) (��and sf) (%and sf) <br /> 1:1 Yes ❑ No ❑ Yes ONNo <br /> 1 2 3 4 5 Type(s): Type(s): N. <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />