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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: / 01 ())///ow & O vz OA <br /> Description of work: U -c:l/e_ <br /> Septic review by: N %A Date Approved: <br /> Zoning review by: 1.0.1. 2L.. 1h (Ili Date Approved: 5 'L7-11-- <br /> Building review by: �, t, '1,A4,--- Date Approved: 5-z6..i`l <br /> Grading review by: Om" Date Approved: <br /> Zoning District: Fs...,_03 Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: 1'e/ s ❑ No Date of Survey: 5 "(e �1 4' Revised date(?): <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% = #of Stories Ok? ❑ YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <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 • top of slab and <br /> If you have a... the highest point of -roof. <br /> If you have a.. <br /> • GABLE OR HIPPED ROOF o • GAB - OR HIPPED ROOF(no <br /> windows): Subtract hal a w' .ows): Subtract half the distance <br /> distance between t ighest point •etween the highest point of the roof <br /> of the roof to th- w point of the to the low point of the corresponding <br /> SUBTRACTION correspondi••gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF • GABL •R HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) wi ••ws): Subtract half the ROOF TYPE windows): Subtract half the distance <br /> stance 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,etc):No subtraction. mansard,etc):No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRAC ON Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED •N EXISTING basement/crawl space floor and the EXISTING the foundation. <br /> (BS) highest existing grade adjacent to the GRADES) <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> QUALS Defined building height <br /> Shoreland District MCWD Permit Receive Average Lakeshore Setback Met? Bluff <br /> / ❑ Yes ❑ No N/A ❑ Yeso <br /> Yes ❑ No ❑ Yes ❑ NoA <br /> �Permit Number:Sa QSetback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> ❑ YesNo ❑ Yes "(No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />