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PLA.N REVIEW CHECKLIST FOR NEW STRtJCTUF�ES / ADDITIONS <br /> Address: �� � i �lolAC� Permit No.: ��f� ` � <br /> Description of work: ' � � �- B�� d� Date Rec'd: �° � '�� <br /> �� <br /> Septic review by: ��..---��'�.�._ Date Approvec�: � <br /> Zoning review by: _ Date Approved: <br /> Building review by: Date Approved: ',y��7- �O0� <br /> Grading review by: _ ����,___ _ _ _ Date Approveci: ���f��� � <br /> Zoning District: �'� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: � F AC Width: Lot Coverage �"�� `-�' SF �='�`�:.� % <br /> � Survey Submitted: �'es 0 No Date of Survey: ��.'� Revised date(?): <br /> �'` Proposed Setbacks: <br /> t °��- �� <br /> � F nt(Lake) �(Streetj� � N S, E W � ( I� �!S E HV ) Other Buildings 1lVetland <br /> �ide Side � ���;��,�,;2 �6�_,�,� <br /> ��� � �.. � � � <br /> �-p a,i,��; i�I G' - <br /> Defined Height: `� z Peak Height: "3T FFE: —_---� FFE minus 6 feet= �-- (Existing Contour <br /> Perimeter(linear feet) _ �-- 50% _ ` � ` � L.F. below grade #of Stories <br /> FOR A BUILDING WlTH A BASEhAENT OR CRAWL SPACE: FOR A BUILDING 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 cra+wl space)and START WITH 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 the low point of the <br /> SUBTRACTION gable or hipped roof <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 /> between the top of the highest ROOF TY�E) (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,etc):No <br /> 3 , (BASED ON basemenUcrawl space floor and the subtraction. <br /> 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 heigh4 EXISTING grade adjacent to the foundation. <br /> ,, GRADES <br /> �� �. EQUALS Defined building height <br /> � <br /> Average Lakeshore Setback <br /> Shoreland District MCWD Permit ' �et� 1, Bluff <br /> Permit Number: ������ � Yes 0 No N/A � Yes No <br /> Yes C] No <br /> � N/A—see attached Setback: <br /> Stormwater Quali4y Proposed <br /> Overlay District �xisti�ng Hardcover Hardcover Variance Required CUP Required <br /> Tier circle one (�o and s� %and s <br /> t� � ,�; �';= (���� �(,�" O Yes No � Yes No <br /> 1 2 3 4 5 ^:: � � J` �r� ri;�; TYPe�s)• { TYPe�s)' <br /> _ � <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> �,.. .._ _._ . . _. :- �s�_ - - . <br />