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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> ' Address: J�7'�/�'� �m/`Y'h ���0''� ��"�Uv Permit No.: <br /> Description of work;/"��G1��ss �/t/'t.�U/S `N' ��c�a/`�z�c�Date Rec'd: <br /> S�i'urc� d�mr <br /> Septic review by: �� Date Approved: <br /> Zoning review by: � Date Approved: <br /> Building review by: Date Approved: �l � / <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 0 Date of Survey: Revised date(?1: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Bu' ings Wetland <br /> Side Side <br /> Defined Height: Peak Heig t: FFE: FFE mi s 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50%= L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SP CE: FOR A B LDING ON A SLAB FOUNDATION: <br /> The distance between e lowest proposed The distance between the top of <br /> START WITH floor(of the basement crawl space)and START WITH slab and the highest point of the <br /> the highest point of the of. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPPE ROOF(no (no windows): Subtract half <br /> windows): Subtract alf the distance the distance between the <br /> between the highest int of the roo highest point of the roof to <br /> to the low point of th correspondi g the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED OOF ith SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract h f th istance (BASED ON • GABLE OR HIPPED ROOF <br /> between the top of the i est ROOF TYPE) (with windows): Subtract <br /> window and the highest oint of the half the distance between <br /> roof the top of the highest <br /> . ALL OTHER ROOF P S(flat, window and the highest <br /> mansard,etc):No btra tion. point of the roof <br /> . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance tween t e (flat,mansard,etc):No <br /> (BASED ON basementicrawl spac floor and he subtraction. <br /> EXISTING highest existing gra e adjacent t the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 et(whicheve is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined buildin height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Deflned building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff <br /> Met? <br /> 0 Yes 0 No Pe it Number: O Yes O No � N/A 0 Yes 0 No <br /> N/A—see attached Setback: <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District (a/o and sfl Hardcover Variance Required CUP Required <br /> Tier circle one %and s <br /> � Yes 0 No � Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />