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� , ,PLi4N I�EVIEW CHECKLIST FOR NEW STRUCTtJRES / �4DDITIOIVS <br /> Address: �� I�(,4� 6 �.J � Permit No.: �oi�,J' ��Q7 <br /> Description of work: � �t ���! � Date Rec'd: ��E� ��✓ <br /> 5 LcF�It,�O Septic review by: � Date Approved: � � l <br /> Zoning review by: Date Approved: ' I 4° ' � <br /> Building review by: .�+~ Date Approved: � �� � <br /> Grading review by: r} . Date Approved �``� { f�:�� ���T <br /> Zoning District:��_ Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> $y Survey Submittecl: �'es � No Date of Survey: �" � ���,�Revised date(?): <br /> � <br /> Proposed Setbacks: <br /> Front( Rear(S et � � N Side ) ( � Side �� Other�uildings Wetland <br /> � . ;, ,�V, . ;'� - <br /> Defined Height: Peak Height: � - FFE: �' ` FFE minus 6 feet= �` (Existing Contour <br /> �°' <br /> ` � Perimeter(linear feet) = 50% __ " � L.F. below grade #of�tories . <br /> i{- <br /> ',1} Ft?R A BUILDING WITH i4 BRSEMENT OR CRAIML SPACE: EOR A@UILDING ON A SLAB FOUNDATION: <br /> " The distance between the lowest proposed The distance between the top of <br /> ��,�; '' � � START WITH floor(of the basement or crawl space)and START W ITH slab and the highest point of the <br /> ` the highest point of the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED ROOF(no (no windows): Subtract half <br /> _-� windows): Subtract half the distance the distance between the <br /> between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding <br /> �e SUBTRACTION gable or hipped roof the low point of the <br /> corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> f. between the top of the highest ROOF TYPE) (with windows): Subtract , <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> point of the roof <br /> ^ mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> � , SUBTRACTION Subtract the distance between the (flat,mansard,etcj:No <br /> 'c - �; , BASED ON basemenUcrawl s ace floor and the <br /> � P subtraction. <br /> +�`" a EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> s,l l ' GRADES <br /> �; '� �, � ECIUALS Defined building height <br /> w�: <br /> ��A�`� <br /> a� Shoreland Qistrict MGWD Permi4 a�erage Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes ,�o Permit Number: '� _�,� ❑ Yes � No �1/A � Yes No <br /> °` 0 N/A-see attached Setback: <br /> " Stormwater Quality Existing Hardcover �'roposed <br /> Overlay District (%and s� Hardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> 0 Yes 8 No 0 Yes Q No <br /> : 1 2 3 4 5 _ __ _ _ TYPe(S)� TYPe(S)� <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />