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P�.AN REVIEIIV CHECKLIST FOR NEW STRUCI'URES / ADDIT�ONS <br /> � Address: � 1 � �T�l�� � Permit No.: ��� ' 7 <br /> Description of work: �V �� Date Rec'd: ��� '�� <br /> � C�',,j �� ) �-�°---- <br /> Septic review by: `)C��lQ,10 � �i�� Date Approved: <br /> Zoning review by: Date Approved: � '`� • � <br /> =d • ;�, �� ,_.� <br /> Building review by: !°�� v �',..� ��` ' " `�,;' Date Approved: � -� �;� <br /> �i =�' _ - <br /> Grading review tay: _` r � - Date Approved <br /> Zoning District: l�-1`.��� Zoning File#: Reso#: Reso Date: <br /> . - �' '8�-14o�t��) <br /> ? Zoning: Lot Area: ��5 Z Z. 5F/AC Width: Lot Coverage: i�� SF % <br /> Survey Submitted: Yes � No Date of Survey: ��• �� �� Revised date(?): <br /> 3 <br /> Proposed Setbacks: <br /> l � <br /> Front ( e) Rear(Str ( N S E 4N ) ( fV S E W ) Other Buildings Wetland <br /> Side Side <br /> , � . � -- <br /> � <br /> r, : � .,--: _ ... <br /> ;�. - . <br /> -, <br /> Defined Height: Peak Height: ' FFE: ' FFE rninus 6 feet= "� - (Existing Contou�; <br /> �� <br /> ��r: <br /> "': Perimeter(linear feet) = 50% = L.F. below grade #of Stories � <br /> ;: <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATfON: <br /> The distance between 1he lowest proposed The distance between 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 (no windows): Subtract half <br /> windows): Subtract half the distance the distance between the <br /> a between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding <br /> � 'J SUBTRACTfON 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 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,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> i — EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> � GRADES) foundation OR 10 feet(whichever is less). F� (BASED ON of slab and the highest existing <br /> EQUALS Defined building height y�.,'k' EXISTING grade adjacent to the foundalion. <br /> �(��' GRADES <br /> � EQUALS Qefined building height <br /> .�p F <br /> B <br /> Shoreland District MCWD Permit � � ��erage Lakes?ore Setback g�uff <br /> 6Aet. <br /> � Permit Number: ��y,. � ;,•'.- Qi Yes Q No N/A O Yes - No <br /> ��� Yes 0 No <br /> �'' 0 N/A—see attached Setback: <br /> Stormwater Quality �roposed <br /> Overlay District Existin g Harcfcover p{�rdcover Variance Required CUP Required <br /> Tier circle one (�o and s� %and s <br /> � . - �-�� � � Yes No 0 Yes No <br /> 1 f Z � 3 4 5 � Type(s): Type(s): <br /> � � . <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> � ��� �� � �� c� ��� <br /> �c�� <br />