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r PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: I ZCICI UJ I c.04-1-0 LSI- -1-(1.A i(-- <br /> Description <br /> ( .Ai(-.- <br /> Description of work: UU All.--r& O/4 vh AGLS (? pA If <br /> Septic review by: 1U/A Date Approved: <br /> Zoning review by: N to Date Approved: <br /> Building review by: Q� 02144.— Date Approved: Y-17- 7-0/V <br /> Grading review by: N//\ Date Approved: <br /> Zoning District:_- Zoning File#: Reso #: Reso Date: <br /> Zoni : Lot Area: SF/AC Width: Lot Coverage: F _% <br /> Survey bmitted: 0 Yes 0 No Date of Survey: Revised .ate(?): <br /> Proposed S backs: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Othe• c uildings Wetland <br /> Side Side / <br /> Defined Height: Peak Height: FFE: FF inus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% = #of tories Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR C- 2 , L SPACE: <br /> The distance betwe-•the lowest OR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the.-sement or crawl <br /> space)and the highest p.'.t 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 ROO o • GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest•.i between the highest point of the roof <br /> of the roof to the low point o he to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hi•.ed roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF • GABLE OR HIPPED- OF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract•alf the ROOF TYPE) windows): Subtract half the distance <br /> distance between e top of the between the top of the highest <br /> highest window. d the highest window and the highest point of the <br /> point of the ro• roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHE' ROOF TYPES(flat, mansard,etc):No subtraction. <br /> mansard -tc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract th- 'istance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemen rawl space floor and the EXISTING the foundation. <br /> GRADES) highest xisting grade adjacent to the GRADES) <br /> found. ion OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS D: med building height <br /> Shoreland Dis ct MCWD Permit Received Average Lakeshore Setback,Met? Bluff <br /> 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 0 Yes 0 No 0 Yes 0 No 0 N/A — <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed <br /> Overlay District Tier Hardcover Hardcover Variance Required CUP Require <br /> ❑ Yes ❑ No ❑ Yes ❑ No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />