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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: 9 14c LA3 , LL *i \ I t✓w Y)ft j <br /> Description of work: C C)2Gli 1AJ LSO <br /> Septic review by: N IA Date Approved: <br /> Zoning review by: IVI IA Date Approved: <br /> Building review by: `tel Date Approved: i 0 -i"-/- 201 3 <br /> lJ <br /> Grading review by: or 4 Date Approved: <br /> oning District: Zoning File#: Reso#: Reso Date: <br /> Zoni ': Lot Area: SF/AC Width: Lot Coverage: SF ok <br /> Survey S 'mitted: ❑ Yes ❑ No Date of Survey: Revised date . : <br /> Proposed Set.-cks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other B • dings Wetland <br /> Side Side <br /> Defined Height: •ak Height: FFE: FFE minu • feet= (Existing Contour) <br /> Perimeter(linear feet) = ¢0% = #of Stories Ok? ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL <br /> SPACE: <br /> N <br /> The distance between the Iov est FOR A B LDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basementior 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 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 th- N between the top of the highest <br /> highest window and the hig.-st \ window and the highest point of the <br /> point of the roof `v roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF T •ES(flat, <br /> mansard,etc):No btraction. \ mansard,etc):No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distanc- .etween the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basement/crawl s•:ce floor and the EXISTING the foundation. <br /> GRADES) highest existin• .rade adjacent to the GRADES)'., <br /> foundation •' 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined •uilding height <br /> N <br /> N. <br /> Shoreland Distric MCWD Permit Received Average Lakeshore Setback Met'? Bluff <br /> ❑ Yes 0 No 0 N/A ,\❑ Yes 0 No <br /> 0 Yes ►, No 0 Yes 0 No ❑ N/A — <br /> Permit Number: Sck: <br /> Stormwa••r Quality Existing Proposed \ <br /> Overla I istrict Tier Hardcover Hardcover Variance Required CUP Required \ <br /> 0 Yes 0 No 0 Yes ❑ \leo <br /> Type(s): Type(s): <br /> „\ <br /> Updated: January 2013 /V V C A4/3 Ai G e___ <br /> v:\forms\plan review checklist 2013.docx <br />