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; <br /> PLAN RE�/IEW CHECKLIST FOR I�E1IV �TI�UCTURES / 14DDITIONS <br /> Address: ��"C b � � Permit No.: �� ' 6 ��� K <br /> e <br /> Description of work: � � �� Date Rec'd: �' I� ''� <br /> Septic review by: ���� �- �� Date Approved: � <br /> �� Zoning review by: "� �' 1��s�'" � .•�� Date Approved: �-��L ° �LJ <br /> Building review by: Date Approved: �� � / <br /> Grading review by: �,��111 ����,���.i'�'� Date Approved: �� � � �� <br /> Zoning District: � -t� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot i4rea: SF/AC Width: Lot Coverage: �� 1�15 SF �3:�� % <br /> �:' Survey Submitted: T,�Yes � No Date of Survey: � ' �' I� Revised date(?): !4'�, • � <br /> t:, � r <br /> Proposed Setbacks: <br /> t F nt(Lake) R r(Street) ( N S W � ( N S E V�) Other Buildings Wetland <br /> � Sid� Side <br /> � � o f q e �r <br /> ; <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour; <br /> Perimeter(linear feet) = 50% = L.F. below grac�e #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BllILDING ON A SLAB FOUND/ATION: <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 WITH s�ab 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): SubJ�ct half <br /> windows): Subtract half the distance <br /> between the highest�f the roof the distance between the <br /> highest poirrt of the roof to <br /> to the low point qf tPie corresponding the low point of the <br /> SUBTRACTION gable or hipped�oof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> r' ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF <br /> 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 /> window and the highest <br /> • ALL OTHER ROOF TYPES(flat, point of the roof <br /> mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> SUBTRAGTION Subtract the distance between the (flat,mansard,etc):No <br /> (BASEf�ON basemenUcrawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> ,` 6RADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> , <br /> � EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> � GRADES <br /> EQUALS Defined building height <br /> } Shoreland District MCWD Permit �4verage Lakeshore Setback Bluff <br /> Met? <br /> Yes ❑ No Permit Number: � Yes 0 N/A � Yes No <br /> N/A—see attached Setback: <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District (%and s� Hardcover Variance Required CUP Requireci <br /> Tier circle one %and s �' <br /> � �. '�� � � Yes No � Yes No <br /> 1�; 2 3 4 5 ��� �� ���A��� Type(s): Type(s): <br /> �-t�w <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />