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PLAN F�EVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: � ��� (T � C,/� �/� �Q �/� ��' p <br /> Description of work: `� /V '��W � �" �� <br /> Septic review by: /V }� Date Approved: � � � � <br /> Zoning review by: Date Approved: <br /> Buiiding review by: � Date Approved: q - � Y�- 1 3 <br /> Grading review by: Date Approved: <br /> �� �r:�> <br /> Zoning District: �.��.�t,� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF /AC Width: Lot Coverage: SF _% <br /> Survey Submitted: �es 0 No Date of Survey: �[�'� Revised date(?): <br /> h. � <br /> Pro osed Setbacks: � '�� �"� ' `��'' <br /> � � <br /> Front(L tce) Rear(S eet) ( N S E W ) ( N S E., W ) Other Buildings Wetland <br /> � Side Si <br /> � � � � �,�. } 6 . e�e <br /> ��� i� <br /> � r� <br /> Defined Height: � o� ' Peak Height:_y� FFE: J`ri� FFE minus 6 feet= ���' (Existing Contour) <br /> Perimeter linear feet = s..�}`st 50% _ <br /> ( ) �� #of Stories Ok? 0 YES <br /> ��.°��� : � <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 /> i�' space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> If you have a... <br /> 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 /> �, r:�,� (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 /> `� basemenUcrawl space floor and the EXISTING the foundation. <br /> n� �„f ��� (BASED ON EXISTING g grade adjacent to the GRADES <br /> , � � GRADES) highest existin <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> � ,.w EQUALS Defined building height <br /> ��,. <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> � Yes � No � N/A .� � Yes No <br /> �es 0 No 0 Yes � No � N/A <br /> Permit Number: Setback: <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> a Overla District Tier Hardcover Hardcover <br /> � � Yes No 0 Yes No <br /> �k <br /> ' � Type(s): Type(s): <br /> Updated: January 2013 �`�t ��"����'�,,� ,�..3� / �(�j"' ( � (,�, <br /> v:\forms\plan review checklist 2013.docx �R �'.�+� �� � � �Y� t"��� "" • ,�,�'� <br /> � d ��,�j._ <br /> ����.- ��f �..Lr� <br />