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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: 17 ( I J1LN- U re,s i I rG, ' <br /> Description of work: N L ) )— -per V <br /> Septic review by: N V ' k►. <br /> +, � Z <br /> Date foci: QA` Si " ( I1 <br /> Zoning review by: ir(� l._.!,• K UDate Approved: 5 - -/q' <br /> . <br /> Building review by: • 6 Date Approved: S -a ' - I <br /> Grading review by: _��� Date Approved: Air <br /> Zoning District: . [J Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: `:` u H. ti,.,.I SF( 1 % <br /> Survey Submitted: ,"Yes 0 No Date of Survey: _S II' Revised date(?): <br /> Proposed Setbacks: 1\1 IS <br /> Front Sperkel Rear( t) (O S E W ) ( N E W ) Other Buildings Wetland <br /> Side `side <br /> 1,5o, 46/ U) 325 iv siv ri-c ow <br /> Defined Height: Peak Height: FFE: 1C01‘ FFE minus 6 feet= 1001. c (Existing Contour) <br /> Perimeter(linear feet) = 224.SI 50% = 111. L(0 #of Stories Z Ok? fl YES <br /> Su—a ttexittr p,•c (: l 15•LOCO <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`t space)and the highest point of the roof. The distance between the top of slab and <br /> START WITH the highest point of the roof. <br /> If you have a... • <br /> • GABLE OR HIPPED ROOF(no If• ou GABLE OR HIPPED ROOF(no <br /> I r.' windows): Subtract half the windows): Subtract half the distance <br /> r1.r i J 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 /> u (BASED ON ROOF • GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> U 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, mansard,etc):No subtraction. <br /> 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 /> basement/crawl space floor and the EXISTING the foundation. <br /> s,3 J t (BASED ON EXISTING highest existing grade adjacent to the GRADES) <br /> GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> r EQUALS Defined building height <br /> Utt(CIL <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> 0 No 0 N/A / 0 Yes /No <br /> AYes 0 No 0 Yes 0 No N/A <br /> Permit Number: I(f -)cU0 J / Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> Z._ 2.1, T 0 Yes No 0 Yes No <br /> b,<.�( , ,J.1-_ Type(s): Type(s): /r <br /> Updated: January 2013 • <br /> v:\forms\plan review checklist 2013.docx <br />