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v <br /> t <br /> � <br /> � ' F�'LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> � Address: � Z� �YI Q✓� JIV�P� Permit No.: ZOIS - �`�q(p� <br /> Description of work: N Sl'Vl (� �21W11 �INL� Date Rec'd: 7 'L� •�5 �: <br /> Septic review by: S�/� °�- W�., Date Approved: - <br /> _ � <br /> Zoning review by: �,flr' �� � �-- Date Approved: �� � t( I i' <br /> Ql7l � <br /> Building review by: Date Approved: 5 <br /> � <br /> Grading review by: Date Approved: 3t r1�v�G, /� <br /> Zoning District: ' � Zoning File#: 1 "3 eso#: Reso Date:1 •�3 ��S <br /> Zoning: Lot Area: S /AC Width: Lot Coverage: (�r'J� SF _ }�',�% <br /> Survey Submitted: �Yes � No Date of Survey: "J� '�Q ' � 5 Revised date(?): <br /> Proposed Setbacks: <br /> Front ( e) Rear( eet) � N � E W ) ( � S E W ) Other Buildings Wetland <br /> ide Side <br /> 5� • 31.5' 13.Z' lU•3 � <br /> Defined Height: . �-� `-:�`a:...a Peak Height: ��,f� ` FFE: ''�(.J, FFE minus 6 feet=�5 �• � (Existing Contour) <br /> '� _ 1�':u I � r i <br /> ; Perimeter(linear feet) = 50% _ '� L.F. below grade #of Stories / = <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> ��, �.; . � `,.. START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the <br /> J (, ; �j the highest point of the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF <br /> (no windows): Subtract half <br /> windows): Subtract half the distance the distance between the <br /> ��a'� betweer the highest point of the roof highest point of the roof to <br /> � to the low point of the corresponding <br /> SUBTRACTION gable or hipped roof the low point of the <br /> corresponding gable or <br /> � �� (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> i` , ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> point of the roof <br /> mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> Q��,1 j ,. (BASED ON basemenUcrawl space floor and the subtraction. <br /> J �.� � f� EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br />��(�.-• GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> � GRADES <br /> `� '''�j EQUALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> �es � No Permit Number: ��j -�5 O Yes � No N/A O Yes No <br /> � N/A—see attached Setback: <br /> Stormwater Quality Proposed <br /> Overlay District Existin g Hardcover Hardcover Variance Required CUP Required <br /> Tier circle one (��and sf) %and s <br /> � �qq S Z(p(Qq S Yes � No 0 Yes No <br /> 1 ( Z J 3 4 5 Type(s): Type(s): <br /> � 22.`�5�0 25 4L°lo YC.ar � s� <br /> Updated: January 2015 c,�1�u�c <br /> z:\forms\plan review checklist 2015.docx �eT J <br />