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PLAN I�EVIEI�V CHECKLIST FOR I�IEW STRUCTI�F�ES / 14DDITIONS <br /> Ad�lress: � ��� ( ���°� �c��� �� Permit No.: <br /> Description of work: � 'L`� ,, ��� Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: � �� A Date Approved: <br /> Building revievv by: � Date Approved: � l <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: � Yes ❑ No Date of Survey: Revised date(?): <br /> Proposed Setbacks: <br /> � Front(Lake) Rear(Stree ( N S E W ) ( N S E W ) her�uildings Wetland <br /> Side Side <br /> Defined Height: Peak eight: FFE: F minus 6 feet= (Existing Contour <br /> Perimeter(linear feet) = 0%= L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAW SPACE: FO A BUILDING ON A SLAB FOUNDATION: <br /> The distance betw en the lowest proposed The distance between the top of <br /> ` START WITH floor(of the basem nt or crawl space)and START WITH slab and the highest point of the <br /> � the highest point of e roof. roof. <br /> ` If you have a... If you have a... <br /> � GABLE OR HIPPED ROOF <br /> • GABLE OR HI ED ROOF(no (no windows): Subtract half <br /> windows): Subt ct half the dista e the distance between the <br /> between the hig st point of th oof highest point of the roof to <br /> to the low point o the corresp ding <br /> SUBTRACTION gable or hipped ro f the low point of the <br /> (BASED ON . GABLE OR HIPP ROC� (with SUBTRACTION hipped oofing gable or <br /> ROOF TYPE) windows): Subtrac half he distance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of t e ighest ROOF TYPE) (with windows): Subtract <br /> window and the high st point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER RO F T PES(flat, window and the highest <br /> point of the roof <br /> mansard,etc): o sub action. . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the dista e betwee the (flat,mansard,etc):No <br /> s (BASED ON basemenUcrawl ace floor a d the subtraction. <br /> EXISTING highest existin rade adjace to the ADDITION Add the distance between the top <br /> GRADES) foundation O 10 feet(whiche er is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined bu'ding height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> ;; <br /> Shoreland District MCWD �ermit �verage Lakeshore Setback g�uff <br /> Met? <br /> 0 Yes p �o Permit Number: � Yes � No 0 N/A 0 Yes 0 No <br /> � ❑ N/A-see attached Setback: <br /> � <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District (%and s� Hareicover Variance Required CUP Required <br /> Tier circle one %and s <br /> Q Yes � No 0 Yes 0 No <br /> 1 2 3 4 5 T e(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> . _ _ � <br />