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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: l c7 'S •,((._O( -"'91 iyV}-t C. Permit No.: <br /> Description of work: h-e.--(-- Date Rec'd: <br /> Septic review by: Al//N Date Approved: <br /> Zoning review by: A/ /A Date Approved: <br /> Building review by: Date Approved: Z-17 --241/3 <br /> Grading review by: e/f A- Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Z• ing: Lot Area: SF/AC Width: Lot Coverage: SF 0/0 <br /> / <br /> Su - Submitted: 0 Yes 0 No Date of Survey: Reyfsed date(?): <br /> Propos- • Setbacks: <br /> Front(La' - Rear(Street) ( N S E W ) ( N S E W ) ether Buildings Wetland <br /> Side Side <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 .-AWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance ,-tween the lowest propos-. The distance between the top of <br /> START WITH floor(of the bas-•ent or crawl space). d START WITH slab and the highest point of the <br /> the highest point o e roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED -••F(no (no windows): Subtract half <br /> windows): Subtract e distance the distance between the <br /> between the highe point• the roof highest point of the roof to <br /> to the low point• the corresp.- ding the low point of the <br /> SUBTRACTION gable or hippe• roof corresponding gable or <br /> (BASED ON • GABLE O' IPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows• Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> betwe- the top of the highest ROOF TYPE) (with windows): Subtract <br /> wind• and the highest point of the half the distance between <br /> ro. the top of the highest <br /> • •LL OTHER ROOF TYPES(flat, window and the highest <br /> point of the roof <br /> mansard,etc):No subtraction. • ALL OTHER ROOF TYPES <br /> SUBTRACTION ` btract the distance between the (flat,mansard,etc):No <br /> (BASED ON basement/crawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the •DDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (:•SED ON of slab and the highest existing <br /> EQUALS Defined building height EXI ' NG grade adjacent to the foundation. <br /> GRAD <br /> EQUALS Defined building height <br /> Shorelan. District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Number: 0 Yes 0 No ❑ N/A ❑ Y-.- ❑ No <br /> ❑ Y: ❑ No <br /> 0 N/A—see attached Setback: <br /> St• mwater Quality Existing Hardcover Proposed <br /> •verlay District CYO and sf) Hardcover Variance Required CUP Required <br /> Tier(circle one) (% and sf) <br /> ❑ Yes ❑ No ❑ Yes ❑ No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx iv--a C 1-E-► <br />