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PLAN REVIEW CHECKLIST FOR NEW cSTRUCTURES / ADDITIONS <br /> Address/Permit Number: 1.00C) W Ow 4. Jww) <br /> Description of work: <br /> Septic review by: Date Approved: p <br /> Zoning review by: Date Approved: 10. 1 4f <br /> Building review by: MAAU, Date Approved: 149 -ZZ ' <br /> Grading review by: 1A Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Covera e: /�`- ! SF L% <br /> Survey Submitted: XYes 0 No Date of Survey: �'Cl Revised date(?): <br /> Proposed Setbacks: <br /> Front( e�- Rear(S et) ( v S E W ) ( N S E W ) Other Buildings Wetland <br /> Side 3b Side 56 t~ r <br /> -77' ✓!t <br /> tY Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50%_ #of Stories Ok? 0 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 The distance between the top of slab and <br /> space)and the highest point of the roof. START WITH the highest point of the roof. <br /> If you have a... <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 rogto`fhe 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 the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> f point of the roof roofA <br /> ALL OTHER ROOF TYPES(flat, ALL OTHER ROOF TYPES(flat, <br /> mansard,etc:No subtraction. <br /> mansard,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 basemenUcrawl space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Received Average Lakeshore Setback Met? Bluff <br /> 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> Yes 0 No 0 Yes 0 No 0 N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> 2-L3 S " ��I S 0 Yes 0 No 0 Yes 0 No <br /> 17 �70 Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />