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PLAN REVIEW CHEC�CLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: Z � 3 � ��-�N Q��� <br /> Description of work: �7t% �1 ����%� <br /> Septic review by: I Date Approved: <br /> Zoning review by: ��-- �- � • M Date Approved: �' � � Z - �'' 3 <br /> Building review by: �Lc�.-,--- Date Approved: � " � Z- Zv�3 <br /> Grading review by: /U f/� Date Approved: <br /> Zoning District: (��R-1 � Zoning File#: Reso#: Reso Date: —� <br /> Zoning: Lot Area:/4Z q 6 z•�b SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: Yes 0 No Date of Survey: I I - Z • '� 3 Revised date(?): —" <br /> � l7�j '�=��,�,� <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S (� W ) ( N S E �) Other Buildings Wetland <br /> Side Side <br /> ;S� ' � i'ZO' �- i �z ' �+_' z�o ' �` N//� r l�9 <br /> Defined Height: 1V a!'� Peak Height: r FFE: � FFE minus 6 feet= — (Existing Contour) <br /> Perimeter(linear feet) _ '-� 50% _ — #of Stories — Ok? 0 YES <br /> ��ORi1 UILDING WITH A BASEMENT OR CRAWL SPACE: <br /> `�� The distance between the lowest F'OR A BUILDING ON A SLAB FOUNDrA� <br /> STARY'WITN proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. START WITH he distance between the top of slab and <br /> _.�'� the highest point of the roof. <br /> fyou�have a... <br /> If you have a... <br /> • GABLE OR"MfRP,�D ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): SubtractTiAtft#�, windows): Subtract half the distance <br /> distance between the highest p`Dink, between the highest point of the roof <br /> of the roof to the low point of the --'f! to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof �-� SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with , �` (BASED ON • GABLE OR HIPPED ROOF(with <br /> n'PE) windows): Subtract half the�-�"� OF TYPE) windows): Subtract hatf the distance <br /> distance between the�p{�tif the ' between the top of the highest <br /> highest window 3racYthe highest ��.,, window and the highest point of the <br /> point of thgradf '''�, roof <br /> AI trt7'fHER ROOF TYPES(flat, • �t THER ROOF TYPES(flat, <br /> •,.�`mansard,etc):No subtraction. mansar , No subtraction. <br /> ADDITION Add the distance be the top of slab <br /> SUBTRACTION / Subtract the distance between the (BASED ON and the highest existing gra cent to <br /> (BASED O STING basemenUcrawl space Floor and the EXISTING the foundation. <br /> �� highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> 0 Yes � No N/A 0 Yes f0' No <br /> 0 Yes � No � Yes � No � N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> 0 Yes �'No 0 Yes ¢�No <br /> /✓�� " � TYPe�S)� TYpe�S)� <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />