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� , . <br /> _' Pf�AN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> � Acldress: � 1 � Permit No.: �� � �07�� <br /> Description of work: i�t���f� Date Rec'd: �'t�'�� <br /> � Septic review by: � '�` � � Date Approved: �' � <br /> Zoning review by: ,� Date Approved: � �� �� <br /> Building review by: ���;�� �'�� % % Date Approveci: ���� �� � _ _ <br /> Grading review by: Date Approved:. `�; ,'�� ���"� _ <br /> � "� <br /> Zoning District:_�-�� Zoning File#: ""� Reso#: `� so Date: �" <br /> Zoning: Lot Area: � � F AC Width:� Lot Coverage: �L SF '@" % <br /> Survey Submitted: �(es � No Date of Survey: ���� � �� Revised date(?):� �� <br /> Proposed Setbacks: <br /> Front(� Rear(��t� ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side ide <br /> ` �o �' C�-t�,e,� � e� � �� � �.�' <br /> � <br /> Defined Height: Peak Height: P FFE: FFE minus 6 feet= 27�� (Existing Contour} <br /> Perimeter(linear feet) = f 50%_ •'�� _�L.F. below grade #of Stories �. <br /> 4�- Pc�°�—���f �'�.�. �� <br /> FOR A BUILDING WITH A BASEMENT 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 crawl space)and START WITH slab and the highest pcint 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 R �o <br /> � (no windows): Subtr t half <br /> windows): Subtra If the distance the distance betw n the <br /> between the h' st point of the roof highest point qLt�ie roof to <br /> to the low�nt of the corresponding <br /> SU�T N gable,pFhipped roof the low po�"of the <br /> correspmhding gable or <br /> �(BA E . LE OR HIPPED ROOF(with SU TION hipperd roof <br /> O F P ���oWs): Subtract half the distance BA ED O • ,�ABLE OR HIPPED ROOF <br /> between the top of the highest RO F 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. i� . ALLtOTHER ROOF TYPES <br /> UBTRACTION SubVact the distance between the ,f� (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 buiiding height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> � Yes No Permit Number: � . Z� O Yes � No N/A ❑ Yes o <br /> � � N/A—see attached Setback: <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District o Hardcover Variance Requireci CUP Required <br /> Tier circl o e (�a and sfl % and sf <br /> __. _.__.�....��.. <br /> � Yes o O Yes o <br /> 1 2 5 .�.`�^._. Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />