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, PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ���% �(l��dt,� Permit No.: <br /> Description of work: �`� � j'1���� �(/'/��'t �l"C�'�GT'/��ate Rec'd: <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 Coverage: SF % <br /> Survey Submitted: 0 Yes ❑ No Date of Survey: Revised date(?): <br /> Proposed Setbacks: <br /> Front (Lake) ar(Street) � N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 et= (Existing Contour) <br /> Perimeter(linear feet) = 50% = L.F. below grade # of Stories <br /> FOR A BUILDING WITH A BASEMENT CRAWL SPACE: FOR A BUILDIN ON A SLAB FOUNDATION: <br /> The di tance between the lowest proposed The distance between the top of <br /> START WITH floor(o the basement or crawl space)and START WITH slab and the highest point of the <br /> the high st point of the roof. roof. <br /> If you ha a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GAB E OR HIPPED ROOF(no (no windows): Subtract half <br /> wind ws): Subtract half the distance the distance between the <br /> betwe n the highest point of the roof highest point of the roof to <br /> to the I w point of the corresponding the low point of the <br /> SUBTRACTION gable o hipped roof corresponding gable or <br /> (BASED ON . GABLE R HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> between th top of the highest ROOF TYPE) (with windows): Subtract <br /> window an the highest point of th half the distance between <br /> roof the top of the highest <br /> • ALL OTHER OF TYPES(fl t, window and the highest <br /> point of the roof <br /> mansard,etc): o subtractio . . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance b tween t (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space fl or an the subtraction. <br /> EXISTING highest existing grade adj e t to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whi ever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District M D Permit Average Lakeshore Setback Bluff <br /> Met? <br /> Permit Nu �ber: Yes 0 No 0 N/A � Yes O No <br /> ❑ Yes O No <br /> O N/A— ee attached Setback: <br /> Stormwater Quality Existing Hard over Proposed <br /> Overlay District (%and ) Hardcover Vari nce Required CUP Required <br /> Tier circle one % and sf <br /> 0 Yes � No � Yes O No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> c:\users\rpeitso\documents\plan revie checklist 2015.docx <br />