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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: Z1 Z W8 ZA'D4 Q LUA <br /> Description of work: IS J %0 Z <br /> Septic review by: (v Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: ��11 / Date Approved: " Zc1 —ZP <br /> Grading review by: ,RIA Date Approved: <br /> Zoning District: Zoning File M Reso M Reso Date: <br /> Zoning: Lo rea: SF/AC Width: Lot Coverage: F _% <br /> Survey Submitt D Yes 0 No Date of Survey: Revise date ? : <br /> Proposed Setbacks: <br /> Front(Lake) Rear( et) ( N S E W ) ( N S E W ) Othp4uildings Wetland <br /> Side Side <br /> Defined Height: Peak Heigh . FFE: FFE nus 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50% _ #of S ries Ok? DYES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest F A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basement or crawl <br /> 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 of STRACTION gable or hipped roof <br /> (BASED ON ROOF GABLE OR HIPPED ROOF with (B ED ON GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half a ROO PE) windows): Subtract half the distance <br /> distance between the of the between the top of the highest <br /> highest window and a highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER OF TYPES(flat, ALL OTHER ROOF TYPES(flat, <br /> mmansard,etc):No subtraction. <br /> mansard,et :No subtraction. <br /> ADDITION \thendation. <br /> distance between the top of stab <br /> SUBTRACTION Subtrac/ing <br /> nce between the (BASED ON ighest existing grade adjacent to <br /> (BASED ON EXISTING basempace floor and the EXISTING <br /> GRADES) highestrade adjacent to the GRADESfoundat0 feet(whichever is less). EQUALS Defined ilding height <br /> EQUALS Defi d building height <br /> Shoreland Distric MCWD Permit Received Average Lakeshore Setback Met? ff <br /> 0 Yes Cl No D N/A D Yes O No <br /> 0 Yes No 0 Yes 0 No D N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> D Yes 0 No 0 Yes 0 No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />