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` � , PLAN REVIEW CHECKLIST FOR NEIE� STRUCTURES / ADDITIONS <br /> Address: !� � [ Permit No.: ��� '��� <br /> Description of work: � � Date Rec'd: �� f�'f� <br /> Septic review by: °i�~� �(� � Date Approved: ---�` <br /> Zoning review by: Date Approved: � �� /� <br /> Building review by: � Date Approved: � �� <br /> Grading review by: Date Approved:. ;�;.� ' ;� f <br /> � , � <br /> Zoning District: Zoning File#: "� Reso#: � Reso Date: <br /> . � <br /> Zoning: Lot Area: F AC Width:� Lot Coverage: SF % <br /> S�� <br /> Survey Submitteci: �es [� No Date of Survey: �'�� ' �� Revised date(?): �'��"� <br /> Proposed Setbacks: <br /> Front� R�ar(S�eet}� N S E W ) ( N �' S E W ) Other Buildings Wetiand <br /> Side Side <br /> � a t � �- � r l�' �.� � �` � ' <br /> a r � �- <br /> Defined Height: �-1 Peak Height:� FFE: C0� FFE minus 6 feet= ���'o� (Existing Contour) <br /> Perimeter(linear feet) _ � 50% = ���� �L.F. below grade #of Stories �. <br /> mt� �c� ��-Y t'��t��. �s�, <br /> FOR A BUILDING WITN A BASEMENT OR CRAWL SPACE: �OR 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 crawl space)and START WITH slab and the highe;t 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 /> the low point of the <br /> SUBTRACTION gable or hipped roof correspondin <br /> g 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 /> � Shoreland District MCWD Permit Average Lakesh�ore Setback g�uff <br /> � Met. <br /> � � Yes �o Permit Number: � — � ❑ Yes Q No N/A � Yes o <br /> � � N/A—see attached Setback: <br /> k <br /> � Stormwater Quality Existing Hardcover Proposed <br /> . Overlay District (�/a and s� Hardcover Variance Required CUP Required <br /> L Tier circle one %and sf <br /> �' O Yes No O Yes No <br /> � 1 �;' V 4 5 -.�..�,�.�� Type(s): Type{s): <br /> � Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> � <br /> � <br /> �.: <br />