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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: �4`�� ��� �. `�G�.� <br /> ;� Description of work: __ _ �t��t,�C f_._ <br /> � <br /> � Septic rewiew by: � Date Approved: <br /> {,'j S " rR � - 4A A A �� �' <br /> Zoning review by: �`�ti'' � � ��`��;�� Date Approved: .,� ��� �� ��` <br /> _ Buifding review_by___ Date Approved: 3_/ 3 � �D�� <br /> _ _ - - -- ------------ --- - -------- --- <br /> Grading review by: �w� �. `� � �� � Date Approved: <br /> ���- <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: Revised date(?}: <br /> Pro osed Setbacks: ` <br /> Front(Lake) Rear(Street) ( N S E 11V ) ( fV S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: � � FE minus 6 feet= �iExisting Contour) <br /> � <br /> Perimeter(linear feet) = 50°/a = #of Stories Ok YES <br /> FOR A BUILDING VVITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the Iowest FOR A BUlLDING ON A SLAB 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 siab and <br /> If you have a... the highest point of the roof. <br /> : If you have a... <br /> t • GABLE OR HIPPED ROOF(no . GABLE OR HiPPED ROOF(no <br /> windows): Subtract haif the windows): Subtract half the distance <br /> distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTR,4CTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> NPE) windows): Subtract haif the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window a�d the highest window and the highest point of the <br /> � point of the roof roof <br /> � • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. <br /> mansard,etc):No subtraction. 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 height <br /> EQUALS Defined building height <br /> i <br /> r <br /> Shoreland �istrict MCWD Permit Received Avera e Lake�hore Setback Met? �luff <br /> � 0 Yes 0 No � N/A ❑ Yes �'No <br /> �Yes � fVo � ,,. �es 0 No 0 N/A <br /> Permit Number. t � Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP t�equired <br /> Overla District Tier Hardcover Hardcover <br /> � 0 Yes l���No ❑ Yes ���No <br /> ;, ,. <br /> �4 Type(s): Type(s): <br /> . � <br /> �. <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />