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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Parmit Number: (2 --?oo 1 ( OC--ti 0'.1 '' '• <br /> Description of work: Nie J q <br /> Septic review by: L C/'-' Date Approved: // / 'T— 13 <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: Ii /3 <br /> Grading review by: ie'r-,e Date Approved: na lb <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: 2-3tioi ' SF/AC Width: Lot Coverage: NIN SF _% <br /> Survey Submitted: 0 Yes D No Date of Survey: �b -Z-ib 13 Revised date(?): <br /> Proposed Setbacks: <br /> Front( 1(e) Rear(S et) ( N S * <br /> a W ) ( N S EC)) Other Buildings Wetland <br /> Side Side <br /> 14-o i )--3. ' I 24 I (V(O ' <br /> Defined Height: Peak Height: 31" FFE: 6154,2- FFE minus 6 feet= "I4C612- (Existing Contour) <br /> Perimeter(linear feet) = 35%•O 50% = (1 q ,a) #of Stories Ok? D YES <br /> A( 11/0i ', 115,00 O;i ulQ'--) <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: 1(1 j O, . ly lt- <br /> �� The distance between the lowest FOR 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 /> 91SUBTRACTION 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, mansard,etc):No subtraction. <br /> 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 /> (BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. <br /> I'''' '1j highest existing grade adjacent to the GRADES) <br /> GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> `1✓ EQUALS Defined building height <br /> Z11,,� <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> D Yes D No D N/A) <br /> D Yes J�No <br /> Yes D No _ — D Yes D 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 D,No D Yes 0 No <br /> 3 Type(s): ,, Type(s): <br /> Updated: January 2013 ' / <br /> v:\forms\plan review checklist 2013.docx <br />