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� � PLAN REVIEW CHECl�CLIST FOR 11IEW STRUCTURES / /�1DDITIONS <br /> Address: _�� �� � �� Permit No.: �� • ����— <br /> , <br /> Description of�rork: (n � �, �� �'� �� q�S F Date Rec'd: �'�� '� <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: I ( ' ( Z• '(� <br /> Building review by: Date Approved: 1 /2 /� <br /> Grading review by: Date Approved: �� ' (�.' +� <br /> Zoning District: � � Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: 0 Yes �o Date of Survey: Revised date(?): <br /> Proposed Setba ks: <br /> Front ( e) Rear(St et) ( N S E W� ( N S E W �� Ot er Buildings� Wetland <br /> Side Side L <br /> �--� <br /> �` <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour; <br /> Perimeter(linear feet) = 50% = L.F, below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SIAB 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 the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABIE ORr�ED ROOF(no (no windows): Subtract h <br /> window ubtract half the distance the distance b he <br /> betw€en the highest point of the roof highes of the roof to <br /> � �the low point of the corresponding <br /> SUBTRACTION �'� 9able or hipped roof �de'Yow point of the <br /> ''�corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TY� windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF ) (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 /> 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 /> " Shoreland District MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Permit Number: � ��� � � " � Yes � No N/A � Yes No <br /> 0 Yes �No �' �--" ' <br /> 0 N/A—see attached Setback: <br /> -�,i:'.�'�! �` �F•';.Li�' �;G���f��,�- �w� r� +� ,�: i <br /> Stormwater Quality Propo�ed <br /> Overla District Existing Hardcover <br /> Y o Hardcover Variance Required CUP Required <br /> Tier circle one (/o and sfl %and s <br /> � Yes No � Yes No <br /> f; 1 2 3 4 5 _ -- --�--�--�-. TyPe�s�� Type�S�� <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />