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PLAIV REVIEIIII CHECKLIST FOR hIEW �TRUCTUI�ES / ADDITIONS <br /> Address: _ � ���� �(J�f,�yPyr,Ll'��� �j(� permit No.: <br /> Description of work: Date Rec'd: <br /> � <br /> Septic review by: Q e -t,�� ate Approved: l� <br /> Zoning review by: � Date Approved: <br /> Building review by: Date Approved: <br /> � Grading review by: _ ,� � Date Approved: <br /> Zoning District: ZQning File#: Reso #: 12eso Date: <br /> Zoning: Lot Area: SF ' C Width: Lat Coverage: gF o�o <br /> : Survey S�bmittecl: ❑ Yes � No Date of Survey: Revised date ? : <br /> i <br /> Pro osed Setbacks: <br /> _ Front(Lake) Rear(Street) � � S E W ) ( N S E ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak H ight: FFE: FFE minus 6 feet= (Existing Contour <br /> Perimeter(linear feet) = 5 %= L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAMIL PACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance betwe n the lowest proposed The distance between the top of <br /> START WITH floor(of the baseme t or crawl space)an START WITH slab and the highest point of the <br /> the highest point of t'e roof. roof. <br /> If you have a... If you have a... <br /> GABLE OR HIP ED ROOF(n • GABLE OR HIPPED ROOF <br /> • windows): Subtr ct half the stance (no windows): Subtract half <br /> between the high st point the roof the distance between the <br /> to the iow point of he corr sponding highest point of the roof to <br /> SUBTRACTION gable or hi the low point of the <br /> ' pped ro f corresponding gable or <br /> �i (BASED ON . GABLE OR HIPPE OF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract alf the distance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of highest ROOF TYPE) (with windows): Subtract <br /> � window and the h' h�St point of the ' half the distance between <br /> roof the top of the highest <br /> • ALL OTHER OF TV�PES(flat, window and the highest <br /> mansard,et :No subtr�ction. point of the roof <br /> • AlL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the dis nce between,the (flat,mansard,etc):No <br /> (BASED ON basemenUcra�space floor an�i the subtraction. <br /> EXISTING highest exist'yhg grade ad�acent�to the ADDITION Add the distance between the top <br /> GRADES) foundation�DR 10 feet(whichev�r is tess). (BASED ON of slab and the highest existing <br /> EQUALS Defined uilding height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> �h EQUALS Defined building height <br /> � <br /> Shoreland District MCWD Permit ' �verage Lakeshore Setback g�uff <br /> � �et? <br /> � Yes p No Permit Number: "� ❑ Yes � No 0 N/A 0 Yes 0 No <br /> , � N/A—see attached � Setback: <br /> a <br /> Stormwater Quality Pr�posed <br /> Overla Qistrict ��sting Hardcover <br /> y (%and s� Hardcover Variance Required CUP Required <br /> Tier circie one %and s <br /> � � Yes � No � Yes � No <br /> 1 2 3 4 5 ype(s): Type(s): <br /> Updated: January 2015 � <br /> z:lforms\plan review checklist 2015.docx <br />