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PLAIV REVlEW CHECKLIST �OR �EVN STRUCTURES / /4DDITIOIVS <br /> 'Address: ��� ���� ITD ' � Permit �lo.: I� "'�q�� <br /> Description of work: 1�..�$o� ��l(.�(�'Q. Date Rec'd: �" �+,' I � <br /> Z. �32 = <br /> Septic review by: � Date Approved: �`,� <br /> Zoning review by: Date Approved: ' t ' <br /> Building review by: Date Approved: g / <br /> ��.� <br /> Grading review by: �""�: - Date Approved. ��� �r .':;"_ /gfj <br /> ;: <br /> Zoning District: � Zoning File#: Reso#: 12eso Date: <br /> Zoning: Lot Area:_y�SF/A� VUidth: Lot Coverage: � SF ---� % <br /> Survey Submitted: �es 0 No Date of Survey: ���-3 ' 'C3 Revised datet?): <br /> Pro osed Setbacks: �' ��(1� S��� <br /> Front(L,�c) Rear(S et) ( N S' E ( N S E W ) Other Buildings r Wetiand <br /> S de Side <br /> ' �c�` l�b <br /> � �� ����pr�c�:€�� �<� ���� <br /> �. <br /> Defined Height: Peak Height: 29�? FFE: FFE minus 6 feet= (Existing Contourj <br /> Perimeter(linear feet) = 50% = L.F. below grade #of Stories <br /> i� FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the 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 th�roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPED ROOF(no <br /> (no windows): Subtract half <br /> windows): Subtract half the distance the disfance between the <br /> between the highest point of the roof highest point of the 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 . 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 roof <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 /> 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 building height <br /> k <br /> � Average Lakeshore Setback <br /> Shoreland District MCWD Permit Met? Bluff <br /> Permit Number: � Yes 0 No N/A � Yes Q <br /> 0 Yes �lo <br /> S N/A—see attached Setback: <br /> # <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District o Harcicover Variance Required CUF Required <br /> Tier circle one (/o and s� %and s <br /> 0 Yes � No 0 Yes Q No <br /> 1 2 3 4 � Type(s): Type(s): <br /> � Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> � <br /> � . <br />