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PLAN I�EVlEW �HECKLIST FOR IVEV1l STRUCTURES / ADDITlONS <br /> Addrsss: l�� l'��'�lL ��re'�� Permit Plo.: �/� `-'1�`/� 7 <br /> �Description of work: Date Rec'd: <br /> Septic review by: � Date Approved: � �j <br /> T— <br /> Zoning review by: Date Approvec�: <br /> Building review by: �;,� � � .,c���"�i Date Approved:� �'7 l � <br /> Grading review by: Date Approveci: <br /> Zoning District: Zoning File#: Reso#�: Reso Date: <br /> Zoning: Lat Area: �F/AC Width: Lot Coverage: SF % <br /> �; Survey Submitted: � Yes �. � No Date of Survey: �� Revised date(?�: <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ; � N S E M! ) ( IV S E W f�'�. Other Buildings Wetland <br /> Side Side � <br /> Defined Height: Peak Heig;ht: FFE: .�FFE minus 6 feet= (Existing Contour <br /> �; Perimeter(linear feet) = 50%�;= L.F. below grade #of Stories <br /> �-�. `: <br /> ��� FOR A BUILDING WITH A BASEMENT OR CRA�iIL SPA�E: FOR A BUlLDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> y� 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 ou have a... <br /> If you have a... y GABLE OR HIPPED ROOF <br /> � • GABLE OR HIPPED R�OF(no • (no windows): Subtract half <br /> windows): Subtract half�the distanc� the distance between the <br /> �' between the highest poir�of the ro.of highest point of the roof to <br /> to the low point of the corFEsponding <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 ON • GABLE OR HIPPED ROOF <br /> between the top of the highies�S ROOF TYPE) (with windows): Subtract <br /> window and the highest point�f the half the distance between <br /> roof the top of the highest <br /> � ALL OTHER ROOF TYPES(fla�, window and the highest <br /> � point of the roof <br /> mansard,etc):Plo subtraction. ' . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the r (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the �� subtraction. <br /> EXISTING highest existing grac�e 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 GX�p S grade adjacent to the foundation. <br /> �f <br /> � EQUALS Defined building height <br /> � <br /> verage Lakeshore Setback <br /> Shoreland District MCWD Permit `� �et� Bluff <br /> � PQrmit Number. 0 Yes � No � N/A � Yes 0 No <br /> � Yes 0 No <br /> � iV/A—see attached Setback: <br /> , e <br /> Stormwater Quality �xisting Hardc���r ���p���� � <br /> Overlay District a Fiarcfcaver l�arience Requirec6 CUF� l2equired <br /> Tier circle one ��o and s� %and s `�, <br /> 0 Yea Q No Q Yes 0 No <br /> 1 2 3 4 5 � Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />