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�'' <br /> , ' PLAN REVIEW �HEC�LIST FOR IVEW STRUCTtJRES / ADDITIONS <br /> Address/Permit Number. �3 �-� �'�����W� (�L�1�/" <br /> Description of work: ST��(�ce; .St+t�='� <br /> Septic review by: _ Date Approved: <br /> Zoning review by: �- � Date Approved: t�.-` �� ' ��� <br /> Buiiding review by: �� Date Approved: 0 z - �� p � Y� <br /> radin iew . ��g� <br /> �: <br /> G g rev by• Date Approved: <br /> Zoning District: ��- l� Zonia�g File#�: �— Reso#: Reso Date: �' <br /> ' ��, Z <br /> Zoning: Lot Area: �OY?3 Z SF/RC Vl/idth: � . �1 Lot Coverage: SF,�:3% <br /> Survey Submitted: �Yes � No Date of Survey: t (-�� �� Revised date(?): f f- s�-A� <br /> � <br /> Pro osed Setbacks: <br /> Front(Lake} Rear(Street) ( � S � 1!V ) ( N S E �) Other Buildings Wetland <br /> Side Side <br /> �' e�� ' p��Z' �� ' e3a ' � �-� �! i� <br /> Defined Height: C9��� Peak Height: FFE: — FFE minus 6 feet= "' (Existing Contour) <br /> ;. <br /> Perimeter(linear feet) _ � 50% _ � #of Stories o�Ok? I�YES <br /> '; FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> � The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> t' START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. The distance between the top of slab and <br /> START WITH the highest point of the roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the , windows): Su alf the distance <br /> � distance between 4he highe�t point between, ighest point of the roof <br /> of the roof to the loy,r point of the t�?ow point of the corresponding <br /> SUBTRACTION correspondi�gable or hipped roof SUBTRACTION ,�table or hipped roof <br /> (BASED ON ROOF . GABL�-E�R HIPPED ROOF(with (BASED ON GABLE OR HIPPED ROOF(with <br /> TYPE) wipd'ows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> �-Histance between the top of the � between the top of the highest <br /> � highest window and the highest window and the highest point of the <br /> / point of the roof roof <br /> i • 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 /> SUQ�4�P,CTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> ASED 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 Deflned building height <br /> « <br /> � Shoreland District MCWQ Perm6t Receiveci Adera e Lakeshore Setback Met? �luff <br /> � <br /> ` 0 Yes � No �l N/A 0 Yes � No <br /> � � Yes � No 0 Yes � No �N/A <br /> Permit Number: Setback: <br /> �. Stormvvater Quality Existin� Proposed �rariance Required CUP Requiree! <br /> ' Overla District Tier Hardcover hBardcov�r <br /> ��� � Yes t�' No � Yes �' No <br /> ���g 'V�� Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />