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�LAN RE�lEtIV CHEGKLIST FOR I�IEV1l STRUCTURES / I�DDITIONS <br /> Address: l� �� ���`� �-'- S� Permit No.: '�o�- Cao 3 L L <br /> Description of woric: �ce-����- Date Ftec'd: �"��+ � r� <br /> Septic review by: /"'°�� Date Approved: <br /> Zoning review by: /v/� � Date Approved: <br /> Building review by: Date Approved: �P 'g ' � , � <br /> Grading review by: _ �rf r4 Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoni : Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey S mitted: � Yes � No Date of Survey: Revised d te ? : <br /> Proposed Setb cks: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Ot Buildings Wetland <br /> Side Side <br /> Defined Height: ak Height: FFE: FF minus 6 feet= (Existing ContourJ <br /> Perimeter(linear feet) = 0%= L.F. below grade #of Stories <br /> �. � <br /> 4 FOR A BUILDING WITH A BASEMENT OR CRAWL S CE: F �t A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the west proposed The distance between the top of <br /> � START WITH floor(of the basement or cra 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( • GABLE OR HIPPED ROOF <br /> (no windows): Subtract half <br /> windows): Subtract half the istance the distance between the <br /> between the highest poin f the roof highest point of the roof to <br /> to the low point of the c rresponding the low point of the <br /> SUBTRACTION gable or hipped roof� <br /> � corresponding gable or <br /> (BASED ON . GABLE OR HIPP ROOF(with SUBTRACTION hipped roof <br /> ` ROOF TYPE) windows): Sub act half the distance (BASED ON • GABLE OR HIPPED ROOF <br /> between the p of the highest ROOF TYPE) (with windows): Subtract <br /> � window an the highest point of the half the distance between <br /> roof the top of the highest <br /> • AL�HER ROOF TYPES(flat, window and the highest <br /> ma sard,etc):No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtr ct the distance between the (flat,mansard,etc):No <br /> (BASED ON ba ment/crawl space floor and the subtraction. <br /> EXISTING hest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) oundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING rade adjacent to the foundation. <br /> GRADES <br /> 4' <br /> EQUALS De e d building height <br /> Shoreland D' trict MCWD Permit Average Lakeshore Setback BI <br /> Met? <br /> � � Yes � No Permit Number: O Yes O No 0 N/A � Yes No <br /> 0 N/A—see attached Setback: <br /> �, Stormw er Quafity Existing Hardcover Proposed <br /> ;, Overlay District o Hardcover Variance Requireci CUP Required <br /> ` Tier circle one (/o and s� %and s <br /> � Yes 0 No 0 Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\formslplan review checklist 2015.docx <br />