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PLAN REVIEW CHECKLIST �'OR NEW STRUCTURES / 14DDITIQNS <br /> Address: _ �'� �CpN�'Pj� �� Permit No.: <br /> Description of work: ��` �P �'��� r C, pate Rec'd: <br /> � � �� <br /> Septic review by: Date Approved: <br /> Zoning revievv by: Date Approved: <br /> Building review by: Date�►pproved• � � P" <br /> Grading review by: Date Approved: <br /> x <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: 0 Yes -� No Date of Survey: Revise date ? : <br /> Proposed Setbacks: , <br /> Front(Lake) Rear(Streetj � N �ide W � ( N Side � � Other Buildings W�tland <br /> Defined Hei�ht: Peak He ht: FFE: FFE miny�� 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50 0= _ �� L.F. below grade #of Stories <br /> FOR A BUILDItdG 1MITH�4 BASEMENT OR CRAWL S ACE: FOR A BUILp'ING 0(d A SLAB FOUNDATION: <br /> The distance beriveen the lowest proposed The distance between the top of <br /> START WITH floor(of the basement r crawl space)and START WITH slab and the highest point of the <br /> the highest point of the oof. roof. <br /> if you have a... If you have a... <br /> GABLE OR HIPPE ROOF(no • GABLE OR HIPPED ROOF <br /> • windows): Subtract alf the distance (no windows): Subtract half <br /> between the highest oint of the roof the distance between the <br /> to the low point of the orresponding highest point of the roof to <br /> SUBTRACTION gable or hipped roof • the low point of the <br /> (BASED ON corresponding gable or <br /> ROOF TYPE ' GABLE OR HIPPED R�OF(with SUBTRACTION hipped roof <br /> � windows): Subtract hal the dis4ance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of 4he h�hest ROOF TYPE) (with windows): Subtract <br /> window and the highest p�int of the ' half the distance between <br /> �O°f � the top of the highest <br /> • ALl OTHER ROOF TYPE�(flat, w�indow and the highest <br /> mansard,etc):No subtracti`�n. point of the roof <br /> SUBTRACTION Subtract the distance between the • ALL OTHER ROOF 7YPES <br /> (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and th subtraction. <br /> EXISTING highest existing grade adjacent to t ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is ess). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height '�1 EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building heigh4 <br /> �, <br /> \ <br /> Shoreland Distric# MCWD Permit �� �verage LakesMore Setback <br /> � �e4? Bluff <br /> � Yes � No Permit Number: ° ❑ Yes � No � N/A � Yes � No <br /> � N/A—see attached Setback: <br /> Stormwater Quality Existing Hardcover PrQPosed <br /> Overlay District o kardcover e Variance Required CUP Re <br /> Tier circle one ��o and s� %and s \ quired <br /> Yes � No � Yes � No <br /> 1 2 3 4 5 Type(s� Type(s): <br /> � <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx � <br /> •� <br />