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� . PLAN REViEW CH�CKLIST FOR NEV1/ STRUCTURES / A,DDITIOINS <br /> �� , , <br /> Address: ��� l�f� �� �1�� Permit No.: �dl� ' ��c'3� <br /> Description of work: ��l '1�� ��1� � � Date Rec'd: �- �e°°-� <br /> Septic review by: �� Date Approved: � <br /> Zoning revievv by: Date Approved: <br /> Building review by: ` Date Approved: � <br /> Grading review by: Date Approved: viJ <br /> Zoning District: L g� Zoning File#�: � "� t� Reso#: `� Reso Date:,��� � ".�.�� <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Sunrey Submitted: �es � No Date of Survey: � !�� Revised date(?): <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Con�our <br /> Rerimeter(linear feet) = 50% = L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMEMT QR CRAV1fL SPACE: FOR A BUILDItVG ON A SLAB FOUNDATION: <br /> The distance beriveen the lowest proposed The distance be:ween 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 /> 9" the highest point of the roof. roof. <br /> - If you have a... If you have a... <br /> e 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 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 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 /> mansard,etc):No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> (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 height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> i <br /> Shoreland District MGWD Permit �verage Lakeshore Setback Bluff <br /> I�ie4? <br /> �"Yes 0 No Permit Number: � Yes O No N/A O Yes No <br /> O � N/A—see attached o� � Setback: <br /> Stormwater Quality Existing Hardcoder �roposecl <br /> Overlay District (%and s� �ardcover Variance Requireci CUP Required <br /> Tier circle one %and sf <br /> " Yes 0 No Q Yes o <br /> 1 2 3 4 5 Type(s): Type(s): <br /> ��° ��in� <br /> Updated: January 2015 ���� i�� <br /> z:\forms\plan review checklist 2015.docx � <br /> 75� OF ON�f� <br />