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PLAN RE�IEW CHEC�CLIST FOR IVEW STRUCTURES / 14DDITI0IVS <br /> Adciress/Permit Number: � �� �f� �t(� . �� C.-9'�� s �G'��, <br /> �,. <br /> r <br /> � + <br /> Description of work: � �-=� �� ���, t��;�,�,,� � .r f�� <br /> � � <br /> Septic review by: E' , �ate Approved:�� �' � -� �y� <br /> a_m <br /> Zoning review by: Date Appeoved: <br /> Building review by: Date Approved: <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: �'es 0 No Date of Survey: 1��5 �6lp Revised date(?): <br /> Pro osed Setbacks: <br /> Front(Lake� Rear(Street) ( � 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 /> �; <br /> Perimeter(linear feet) = 50°/a = #of Stories Qk? � 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 the top of slab and <br /> If you have a... <br /> 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 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, • 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 /> (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 /> EQUl�LS Defined building height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Mlet? Bluff <br /> � Yes � No 0 fV/A � Yes 0 No <br /> �s � No � Yes � No 0 N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed ��riance Required GUP Required <br /> Overla District Tier Nardcover Hardcover <br /> 0 Yes Q No 0 Yes � No <br /> ` Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br /> � <br /> €. <br />