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. PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> AddresslPermit Number: ��� 1��� 1 ��1►�- �-�l <br /> Description of work: 1`�V�V (� <br /> Septic review by: �./,�g Date Approved: �� �� 1� <br /> Zoning review by: � � � `�`c�- 4'1�J�.1� �' Date Approved: f � � "° " <br /> Building review by: Date Approved: ���- 3 �� l� <br /> Grading review by: �`�� � �� � Date Approved: Q- �(� ��" <br /> Zoning District: � QU't�Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: ��+� �- 1 `�'�� SF/AC Width: Lot Coverage: N f'C SF _% <br /> Survey Submitted: Yes ❑ No Date of Survey: � �� ' ' <br /> Q�' (g' �� Revised date(?): � ' <br /> Proposed Setbacks: <br /> Front(L�ife) Rear(S ) ( N S �F W ) ( N S E Other Buildings Wetland <br /> / Side Side <br /> 1 1 G�� O(0 ► <br /> k.(J <br /> ��. :� � �-:�FFE minus 6 feet= � } ����'--� Existin Contour <br /> Defined Height: Peak Height: FFE: ( g ) <br /> Perimeter(linear feet) = 50% _ #of Stories / Ok? J3 YES <br /> / <br /> O FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> ' , ,;y ;�_.. The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH � proposed floor(of the basement or crawl <br /> � � �,� space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> , / If you have a... 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 belween 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 /> (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 hi�hest point of the <br /> point of the roof roof <br /> M { . ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> , i i � mansard,etc):No subtraction. mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> �� Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> SUBTRACTION <br /> /��'� basemenUcrawl space floor and the EXISTING the foundation. <br /> �,� ��� , (BASED ON EXISTING highest existing grade adjacent to the GRADES <br /> � GRADES) foundation OR 10 feet whichever is less. <br /> ( ) EQUALS Defined building height <br /> EQUALS Defined building height <br /> ��'�� ,���L� <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> / Yes � No � N/A � Yes No <br /> 0 Yes Q No � Yes � No �N/A <br /> � Permit Number: �L�._ � Setback: <br /> Stormwater Quality Existing Proposed Va�iance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> Z . ��'��PY4' S 0 Yes � No � Yes � No <br /> � ��: _ � Type(s): Type(s): <br /> � o <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />