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�l.AN REViEVIB �HECKLIS� FOR NEW S�RUCTURES / AD�ITIONS <br /> Address: �lU��� l�i��'�/0/c�j� � � Permit No.: ���� `���7� <br /> , __ � <br /> Description of work: � � ���� Date Rec'd: tf� °�V� ' �J <br /> Septic review by: Date Approved: E1� � /� <br /> Zoning review by: s Date Approved: � <br /> Building review by: _���-� o � � ��'� Date Approved: ��' � <br /> ;` Grading review by: Date Approved: � � <br /> Zoning District: t� ' � Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: v���t`;� <<?�F/AC Width: Lot Coverage: "� SF "� % <br /> Survey Submitted: �es ❑ No Date of Survey: �,,� f�e: `�`:x Revised date(?): <br /> Proposed Setbacks: <br /> Front Lake Rear S eet � � 5 ��E� � ) ( N S E iRf � � ' <br /> � ) �� � � ) Ot�er Buildie�gs � ��t€ar�d <br /> Si�` Side <br /> �'` � <br /> � Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour; <br /> Perimeter(linear feet) = 50% = L.F. below grac�e #of Stories <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 W ITH floor(of the basement or crawl space)and START W ITH slab and the highest 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 � <br /> � • windows): Snbtract half the distance (no windows): Subtract half <br /> 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 /> SUBTRACTION gable or hipped roof the low point of the <br /> corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windo�vs): 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 /> point of the roof <br /> mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,ma��sard,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 Lakeshore Setback B��ff <br /> Met? <br /> �'� � Yes �jq,�o Permit Number. � Yes � No �ff`N/A �3 Yes �'No <br /> .. N/A—see attached Setback: <br /> Stormwater Quaiity Existing Hardcover Proposed <br /> Overlay District o Hardcover Variance Required CUP Required <br /> Tier circle one (/o and sfl �/a and s <br /> _�--------------_ _= - 0 Yes � No 0 Yes No <br /> 1 ..__2_--�--'�—=v TYpe�s)� TYpe(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checkfist 2015.docx <br />