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� . PLAN REVIEIlV �HECKLIST FOR NEW STI�UCTURES / �4DDITIONS <br /> Address: !�� �C�9�N/�� T7ild 6�9�d Permit No.: Z� � " � �� <br /> 'OI'c �/ +,� <br /> Description of work: ��,�° I� N�'�� , Date Rec'd: �Z�� '+�' �'101(� <br /> i@,�6 .�. <br /> Septic review by: � �� Date Approved: � <br /> Zoning review by: Date Approved: ' � 'E� <br /> � Building review by: Date Approved: � <br /> ;� <br /> Grading review by: Date Approved: -�"'""`� <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: ❑ Yes �� � No Date of Survey: Revised date(?): <br /> Proposed Setbacks: <br /> A Front(Lake) Rear(Street) ( N S E WV } ( N S E W ) Other Buildings Wetland <br /> a Side Side <br /> :. <br /> Defined Height: Peak Fieight: FFE: FFE minus 6 feet= (Existing Contour <br /> Perimeter(linear feet) = 5U% = L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAVNL 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 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 � ' ' (no windows): Subtract half <br /> i • windows): Subtract half the distance the distance be�t een the <br /> between the highest point of the roof highest�i�i'6 t t he roof to <br /> to the low point of the corresponding the low point of the <br /> SUBTRACTION gable or hipped roof <br /> corresponding gable or <br /> (BASED ON o GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): 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 /> mansard,etc):No subtraction. point of the rocf <br /> • 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 /> ,r>` 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 builciing height <br /> a1: <br /> '� �average Lakeshore Setback <br /> Shoreland District MCWD Permit Met� Bluff <br /> O Yes � No Permit Number: O Yes � No Q !�/A � Yes � No <br /> 0 N/A—see attached Setback: <br /> Stormwater Quality Exesting liardco�rer Proposec! <br /> Overlay District (%and sfl Hardcover Variance Required Ct1P Requireci <br /> Tier circle one %and s <br /> 0 Yes � No 0 Yes ❑ No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />