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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: ���o ��� �� <br /> Description of work: B f� �- 6�-( S'l�-� <br /> ;;' <br /> Septic review by: •� • Date Approved: <br /> � Zoning review by: - �'• Date Approved: /U p>�' �y <br /> {: <br /> Building review by: Date Approved: / �'�0 ' '`� <br /> � Grading review by: ���- Date Approved: r <br /> � <br /> Zoning District: �,�� �� Zoning File#: -�— Reso#: ---- Reso Date: � <br /> Zoning: Lot Area: �. ��f �/AC Width: ���l Lot Coverage: (1 f�SF _% <br /> Survey Submitted: �Yes � No Date of Survey: � '�e�,m� � Revised date(?): " <br /> Pro osed Setbacks: <br /> < Front(Lake) Rear(Street) ( N S (� W ) ( N S E � Other Buildings Wetland <br /> Side Side <br /> �c� ' '#' 6 20` �j � ` `� � � y �" E�o � � �r'� <br /> Defined Height: �• 1� Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> ''� Perimeter(linear feet)= 50% _ #of Stories Ok? 0 YES <br /> F� G WITH A BASEMENT OR CRAWL SPACE: <br /> x .� The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATIO�k'�` <br /> �.: <br /> START WITH roposed floor(of the basement or crawl <br /> spase�and the highest point of the roof. START WITH T istance between the top of slab and <br /> ` 'the highest point of the roof. <br /> If you have a:r��y �^" If you have a... <br /> s • GABLE OR HIP OOF(no �� GABLE OR HIPPED ROOF(no <br /> � windows): Subtract hal�tRe�� • windows): Subtract half the distance <br /> �' distance between the highest poiltt-�. � between the highest point of the roof <br /> of the roof to the low point of the `"-� -=" <br /> SUBTRACTION corresponding gable or hipped roof - � to the low point of the corresponding <br /> SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with �'"� (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE� windows): Subtract half the OF TYPE) windows): Subtract half the distance <br /> distance between the top of tt�e''� T� between the top of the highest <br /> highest window and the.�est �- window and the highest point of the <br /> point of the roof ..,Y roof <br /> • ALL OTHfFt O�TYPES(flat, • ;�OTHER ROOF TYPES(flat, <br /> ma sa�d,etc):No subtraction. mans�rcl,etc:No subtraction. <br /> ADDITION Add the distance een the top of slab <br /> SUBTRACTION S ect the distance between the (BASED ON and the highest existing e adjacent to <br /> (BASED ON EXISTI asemenUcrawl 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 /> EQ Defined building height <br /> Shoreland Di�trict MCWD Permit Recei�red Avera e La�keshore Setback Met? Bluff <br /> � � Yes 0 No N/A P O Yes �No <br /> � Yes � No � Yes 0 No � N/A <br /> Permit Number: Setback: <br /> ` Stormwater Quality Existing Proposed �ariance Required CUP Required <br /> , Overla District Tier Hardcover Haedcover <br /> 0 Yes �� No � Yes No <br /> €��t��,� � � TYPe�s)� TYPe(S): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br /> � <br />