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PL�►N REVIEW CHECKLIST FOR IVE1l1� �TRUCTURES f AD�ITIOIVS <br /> Address: ��G) fv C W��-.��J� � `�'� Permit No.:___�a �-t�v��� <br /> Des�cription of work: �����- Date Rec'd: � � - �� `�� <br /> X�' Septic review by: ��;y f�� Date Approv� <br /> Zoning review by: �r •� Date Approved: <br /> Buildingreviewby: �; „��(',�v ��;:-,�-_. DateApproved: �1�Z '�- 2.�� �5 <br /> Grading review by: —�^ Date Approved: <br /> � <br /> Zoning District: Zoning File#: Reso#: Reso D <br /> oning: Lot Area: SF/AC VIlidth: Lot Coverage: SF % <br /> Su ey Submitted: � Yes 0 No Date of Survey: Revis d date � : <br /> Propo d Setbacks: <br /> Front (La e) Rear(Street) ( N S E W ) ( N S E W ) O er Buildin�s Wetland <br /> Side Side <br /> �efined Height: Peak Height: FFE: FFE inus 6 feet= (Existing Contour <br /> Perimeter(linear feet) = 50% = L.F. below grade #of Sfories <br /> FOR A BUILDING WITH A BASEMENT O CRAINL SPACE: FOR A UBLDING ON A SLAB FOUNDATION: <br /> The distan between the lowest proposed The distance between the top of <br /> START W ITH floor(of the sement or crawl space)and START W ITH slab and the highest point of the <br /> the highest poi of the roof. roof. <br /> If you have a... If you have a... <br /> • CABLE OR HIPPED ROOF <br /> • GABLE OR HIP D ROOF(no (no windows): Subtract half <br /> windows): Subtrac alf the distanc the distance between the <br /> t- between the highest p 'nt of the of highest point of the roof to <br /> to the low point of the co spo ding <br /> SUBTRACTION gable or hipped roof the low poi�t of the <br /> corresponding gable or <br /> (BASED ON . GABLE OR HIPPED RO (w SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract h the dista e (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of t highest ROOF TYPE) (with windows): Subtract <br /> window and the h' est point of the half the distance between <br /> roof the top of the highest <br /> ; window and the highest <br /> • ALL OTHE OOF TYPES(flat, point of the roof <br /> � mansard, c):No subtraction. ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the istance between the � <br /> (flat,mansard,etc):No <br /> (BASED ON basemenU rawl space floor and the subtraction. <br /> EXISTING highest isting grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) found ion OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS D ned building height EXISTING grade adjacent to the foundation. <br /> RADES <br /> E ALS Defined building height <br /> Shoreland Distric MCWD Permit �verage Lakeshore Setba g�uff <br /> Met? <br /> 0 Yes No Permit Number: � Yes ❑ No 0 N/A 0 Yes ❑ No <br /> 0 N/A—see attached Setb k: <br /> "` Stormwater/�uality Existing Hardcover Proposed <br /> Overlay District o Hardcover Variance Required Ct�P Re ired <br /> Tier circle one (��and sf� % and s <br /> � Yes � fVo � Yes a <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx �v C' ��� � <br /> n <br /> , <br /> ti. <br /> �__ . _..:. _ _ _ _ <br /> ___ _. ._._ _ ._ �:_..__. ..__ <br />