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Now \ JQ. 5 i rVi Cot 14,6,e_ <br /> - PLAN REVIE CHEC LIST FOR�jNEW <br /> Af STRUCTURES /kk ADDITIONS <br /> Address/Permit Number: 11� O II k l ✓` o $ f Q Dr <br /> Description of work: i• -)et..-4) , F-- / <br /> Septic review by: P -6- <br /> Date Approved: <br /> Zoning review by: 1I ,� Date Approved: <br /> 22' 3 <br /> Building review by: 0,.� Date Approved: -1 -1 U t 3 <br /> Grading review by: �« Date Approved: / i <br /> Zoning District: ( Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area:5 - (SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: s 0 No Date of Survey: ,...v 1-, L= Revised date(?): i- <br /> Proposed Setbacks: <br /> Front40 Rear Street) ( N S E W ) ( N S E ) Other Buildings Wetland <br /> � Sid Side <br /> a�/ 15 '' 61L .‘i-to, <br /> F, <br /> Defined Height: l J t--' Peak Height: 32 ' FFE: 1 341 E FFE minus 6 feet= cfq . I (Existing Contour) <br /> Perimeter(linear feet) = 11-15.J 50% = 1 '6-1,15 of Stories f "-- 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 /> /ko 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 /> 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 /> I �, TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> I--) 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,etc):No subtraction. 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 /> ii D basement/crawl space floor and the EXISTING the foundation. <br /> \� (BASED ON EXISTING highest existing grade adjacent to the GRADES) <br /> 1 GRADES) 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 /> AYes D No 0 N/A 0 Yes ,0 No <br /> D Yes D No Permit Number: 13 - 259D Yes 0 No 0 N/A Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> 6-17C) <br /> � ��t��Z D Yes D No D Yes 0 No <br /> Io Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />