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�L��:N� REVIEIIV CF�ECKLiST FOR NENV STRUCTURES / ADQITIONS <br /> Address: ��3 o G��e� �o1'c: Permit No.: ���-e�o K 6 `¢ <br /> Description of work: �c�c�,2s �.r,,�.,.�,n B�s s r�/�v'4 Date Rec'd: Y- ? Z - '�� <br /> �� � <br /> Septic review by: Ov�e� Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: �-2 �� ��� <br /> Grading review by: �/� Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: i <br /> u <br /> Zoning: t Ar�a: SF/AC Width: Lot Coverage: SF % <br /> Survey Sub itteci: � Yes 0 No Da4e of Survey: Revised dat . <br /> Proposed Set cks: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other ildings Wetland <br /> Side Side <br /> 3 <br /> Defined Height: Peak Height: FFE: FFE mi us 6 feet= (Existing Contour <br /> .F <br /> Perimeter(linear feet) _ �� 50%= L.F. belov✓grade #of Stories <br /> � <br /> x FOR A BUILDING WITH A BASEMENT CRAWL SPACE: FOR A B LDING ON A SLAB FOUNDATIOPf: <br /> The dis nce between the lowest proposed The distance between the top of <br /> START W ITH floor(of t basement or crawl space)and START W ITH slab and the highest point of the <br /> the highest int of the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR PPED ROOF(no (no windows): Subtract half <br /> windows): Sub act half the distanc the distance between the <br /> ,,: between the high t point of the r f highest point of the roof to <br /> to the low point of t correspo ing the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED RO (with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract h the 'stance (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of e highest ROOF TYPE) (with windows): Subtract <br /> window and the ' hest point of t half the distance between <br /> roof � the top of the highest <br /> window and the highest <br /> • ALL OTHE ROOF TYPES(flat, point of the roof <br /> mansar etc):No subtraction. ALL OTHER ROOF TYPES <br /> e <br /> SUBTRACTION Subtract th distance between the (flat,mansard,etc):No <br /> r' (BASED ON baseme crawl space floor and the subtraction. <br /> EXISTING highe existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) fou ation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> ? EQUALS fined building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQU/!LS Defined building height <br /> Y Shoreland Distri MCWD Permit �verage Lakeshor etback g0uff <br /> NEet? <br /> C] Yes No Permit Number: 0 Yes ❑ No O /A � Yes O No <br /> � N/A—see attached Setback: <br /> Stormwat f�uality �$s�gon� Hardcover Proposed <br /> Oderlay��istr�ct o Hardco�rer Variance Required P Required <br /> Tier(cfrcle one (�o and s� % and s <br /> � Yes � No Q Yes ❑ No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx �� Ci� <br /> . <br /> �a`-: i <br />