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, PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � � � � ���� ����C�� Permit No.: �J[����% <br /> y� �. �� <br /> Description of work: �dl�('�' (�v' ✓�,�j/] �f /� .�� Date Rec'd: <br /> � <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review 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 verage: SF % <br /> Survey Submitted: � Yes Date of Survey: Revised date ? : <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S ` E W ) ( N E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak He ht: FFE• FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 5 /o= L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL PACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance betw the lowest pro sed The distance between the top of <br /> START W ITH floor(of the baseme or crawl spac and START W ITH slab and the highest point of the <br /> the highest point of th roof. roof. <br /> If you have a... <br /> If you have a... . GABLE OR HIPPED ROOF <br /> • GABLE OR HIP D ROO (no (no windows): Subtract half <br /> wfndows): SubVa t half distance the distance between the <br /> between the high t poi of the roof highest point of the roof to <br /> to the low point of e rresponding the low point of the <br /> SUBTRACTION gable or hipped ro corresponding gable or <br /> (BASED ON . GABLE OR HIPPE OOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract If the distance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of highest ROOF TYPE) (with windows): Subtract <br /> window and the hi e t point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER RO F ES(flat, window and the highest <br /> pofnt of the roof <br /> mansard,etc): subtr Uon. . ALL OTHER ROOF 7'YPES <br /> SUBTRACTION Subtract the distan between e (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl spa floor and he subtraction. <br /> EXISTING highest existing gra e adjacent t the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 f et(whicheve is less). (BASED ON of slab and the highest exisUng <br /> EQUALS Deflned building etght EXISTING grade adJacent to the foundatlon. <br /> GRADES <br /> EQUALS Defined building helght <br /> Shoreland District M WD Permlt Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes � No Permit Nu er: � Yes 0 No 0 N/A � Yes 0 No <br /> � N/A—s e attached Setback: <br /> Stormwater Quality Existing Hardcov r Proposed <br /> Overlay District (%and sfl Hardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> 0 Yes � No � Yes O No <br /> 1 2 3 4 5 T e(s): Type(s): <br /> Updated: January 2015 <br /> c:\users�rpeitso\documents\plan review checklist 2015.docx <br />