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PLAN REVIEIIV CHECKLIST FOR NEW STRUCTURES / ADDITIOIVS <br /> Address/Permit Number: L-� �� ��� �� <br /> Description of work: ���� <br /> Septic review by: �/� Date Approded: <br /> ' Zoning review by: Date Approveci: � � <br /> '; Building review by: Date Approved: �", ' <br /> Grading review by: e�� .� Date Approded: v? �7 <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: Yes � No Date of Survey: 3•{�•!� Revised date(?): '��°,°T <br /> s Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E VN ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= � (Existing Contour; <br /> Perimeter(linear feet) _ � 50% _ #of Stories Ok? � YES <br /> ��� � �� <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: < �� �,a„� �s � � ��� � <br /> $ � r l!!l 1�I\ <br /> � The distance between the lowest FOR A BUILDING ON A SL B 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 tkie rool <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 o GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> NPE� 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 heigh4 <br /> EQUALS De£ned building height <br /> Shoreland District MCVIID Permit Received A�sera e Lakeshore Setback tVlet? Bluff <br /> �Yes � No � N/A ❑ Yes No <br /> � Yes �No _ 0 Yes 0 No �/A <br /> Permit Number: �,�^ b� Setback: <br /> Stormwater Quality Existing Proposed �/ariance t�equirec4 CllF Required <br /> Overla District Tier hlardcover Hardcover <br /> � Yes No � Yes No <br /> � Type(s): Type(s): <br /> y: <br /> Updated: January 2013 <br /> v:lforms\pfan review checklist 2013.docx <br />