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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: 3(oz1 (),i(- ,S LA-L- S T <br /> Description of work: )\-%1✓w {.-J <br /> Septic review by: N ` Date Approved: ��[[ <br /> Zoning review by: I J Date Approved: 40`b/& P7 <br /> IIII <br /> Building review by: ,re, i/AA.. Date Approved: - I- Z,D I ' <br /> Grading review by: .P0' . Date Approved: / <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: 2+L /AC Width: Lot Cove/rage: tc ''<< SF _% <br /> Survey Submitted: es ❑ No Date of Survey: Z ' 11'/1 f <br /> Revised date(?): .3,, " , <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> I <br /> Defined Height: • I A: Peak Height: -110, L9 FFE: Gt l" FFE minus 6 feet= t,‘, ,:( (Existing Contour) <br /> Perimeter(linear feet) = 50% = #of Stories '2— Ok? ` 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 /> �,0START WITH proposed floor(of the basement or crawl <br /> , ]c� space)and the highest 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 ROOF(no • GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest point 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 • 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 highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, • <br /> ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. mansard,etc):No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> i (BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. <br /> ; ) GRADES) highest existing grade adjacent to the GRADES) <br /> 111) foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height <br /> L'IILS <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff _ <br /> *Yes ❑ No 0 N/A 0 Yes1/ No <br /> ❑-' es 0 No -/ - 0 Yes 0 No 0 N/A <br /> Permit Number: 'Vt.' -- _..)i_;,,4,. Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> 11,1 Sf I G ._ -, 0 Yes o 0 Yes o <br /> L, `-+,, 11 ;_4 Type(s): Type(s): <br /> Updated: January 2013 `>L.. 1.1),.::;)((,4 i)(1/..,} 4-2 jo <br /> v:\forms\plan review checklist 2013.docx <br /> fiov H CI 9 <br />