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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: Zt Z0 (A) W Arima-•7Vl, /L....i 6 <br /> Description of work: a-eYhA 0 CZ <br /> Septic review by: At /A Date Approved: <br /> Zoning review by: / Date Approved: <br /> Building review by: (Gk., Date Approved: / -Z-0/4( <br /> Grading review by: //4 Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> ing: Lot Area: SF/AC Width: Lot Coverage: SF —°/ <br /> Surve, Submitted: ❑ Yes ❑ No Date of Survey: Revised date(?): <br /> Propose. -etbacks: <br /> Front(Lake Rear(Street) ( N S E W ) ( N S E W ) Other Buildi s Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 ••et= (Existing Contour) <br /> Perimeter(linear feet) = 50% = #of Stories Ok? ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR - - •WL SPACE: <br /> The distance:: een the lowest FOR A BU DING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(o he basement or crawl <br /> space)and the high: t 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 'OOF(no • GABLE OR HIPPED ROOF(no <br /> windows): Subtract hal e windows): Subtract half the distance <br /> distance between the high:-t point between the highest point of the roof <br /> of the roof to the low point of •e to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped :•f 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 highes window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYP•. (flat, • <br /> ALL OTHER ROOF TYPES(flat, <br /> mansard,etc No subtraction. <br /> mansard,etc):No sub •ction. _ : _ <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance be• een the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basement/crawl spa : oor and the EXISTING the foundation. <br /> GRADES) highest existing gr•.e adjacent to the GRADES) <br /> foundation OR %feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined bu •ing height <br /> Shoreland District MCWD Permit Received Average Lakeshore etback Met? Bluff <br /> 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 Yes 0 'o 0 Yes 0 No N N/A — <br /> Permit Number: Setback: <br /> Stormwate• •uality Existing Proposed Variance Required C • Required <br /> Overlay i'strict Tier Hardcover Hardcover <br /> ❑ Yes ❑ No 0 -s ❑ No <br /> Type(s): Type(s): <br /> Updat-d: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />