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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: (, 25 (✓L R. tQ IA(..,- ( "tiD 41 <br /> Description of work: A0 6 I T70 /74:-1')/1° <br /> Septic review by: Date Approved: <br /> Zoning review by: 5/_ �/ ,r Date Approved: 0 I 0 X I <br /> Building review by: ��`lw�[1O,._ Date Approved: /– y�7 #5-- <br /> Grading <br /> S <br /> Grading review by: Jr" A Date Approved: 0 ` o 107 <br /> Zoning District: 11121 ? Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: tI <br /> Coverage:� SF _% <br /> Survey Submitted: s No Date of Survey:�� 'f Revised date(?): <br /> o e etbacks: <br /> Front(L <br /> /ke) Rear Street)114) ( N S E �'/ ( N S W ) Other Buildings Wetl <br /> Side Si•5 I Le°4; IO° <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50% = #of Stories Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED ROOF(no • GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF • GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF TYPES(flat, mansard,etc):No subtraction. <br /> mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basement/crawl space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES) <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height <br /> Shoreland District MCWD Permit Received Average Lakeshore Se bac Met? Bluff <br /> 0 Yes 0 No 0 N/A 0 Yes 0 No <br /> 211(Yes 0 No 0 Yes 0 No N/A — <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> l'. 0 Yes o 0 Yes No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />