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- PLp►N REVIE�W CHEGl4LIST FOR I�EW STRtJCTURES / �DQ�ITIO�S <br /> Address: � [�J l�J� ��1'�, f�A Permit No.: �l� '�QQ�-- <br /> ^ ,�,� � <br /> Description of work: �1 I �� Da�e Rec'd: � ' �.� • t� <br /> s�p •c �ta�ct ��, <br /> eptic review by: Date�pproved: ��� �'.1� � `�' <br /> Zoning review by: '�--- Date Approved: 61 ' �� ' t� <br /> Building review by: Date Approved: � � ' � 2. � �� <br /> ;"` .r�".- . <br /> Grading review bye _�F��-� Date Approved: �,��:��%`�� , <br /> Zoning District: ���,,� Zoning File#: Reso#: Reso� Date: <br /> Zoning: Lot Area: Z..�r _�AC IlVidth: Lot Coverage: �I� SF % <br /> Survey Submitted: � Yes Q No Date o4�Survey: Revised date(?): <br /> Proposed Setbacks: � �}• ` <br /> Front(I.�k�5� Rear(St�fS� � N S E W ) ( N S E W� Other Buildings Wetland <br /> Side Side <br /> ��' <br /> ; Defined Height: Peak Height: FFE: FFE minus 6 feet= (�xisting Contour) <br /> Perimeter(linear feet)= 50% = L.F. beio�nr grade #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 betweeh the top of <br /> START WITH floor(of the basement or crawl space)and START WITH 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 /> (no windows): Subtract half <br /> windows): Subtract half the distance 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) windows): Subtract half the distance (BASED OPJ . 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 /> window and the highest <br /> • ALL OTHER ROOF TYPES(flat, point of the roof <br /> mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc}:No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTIPIG 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 /> i GRADES <br /> EQUALS Defined building height <br /> �, Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? Bluff <br /> �es � No Per it Number: � Yes O No N/A � Yes No <br /> � N/A—see attached Setback: <br /> � Storrnwater C�uality Proposed <br /> ' Existing Hardcover <br /> E Overlay District (o�o and s� Hardcover Variance Required CUP Required <br /> ( Tier circle one %and s <br /> �` C5 Yes � No � Yes � No <br /> � 1 2 3 4 5 Type(s): Type(s): <br /> � Updated: January 2015 <br /> � z:\formslplan review checklist 2015.docx <br /> � <br /> E � <br /> � � <br /> �,:-. _ <br />