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� � PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: � Q�v� ���='R�L �� �- �= W V�j �� <br /> Description of work: " .'v�r> '�<:'-<<-- <br /> Septic review by: N f � Date Approved: <br /> Zoning review by: `� Date Approved: <br /> � .Z._ Z;-) _ �,t;� <br /> Building review by: Date Approved: '�'� <br /> Grading review by: /v /�� Date Approved: <br /> Zoning District: Zoning File#: Reso #: Reso Date:_�.:� <br /> ' g: Lot Area: SF/AC Width: Lot Coverage: S _% <br /> Survey mitted: � Yes � No Date of Survey: Revised d e ? : <br /> Pro osed Set cks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other uildings Wetland <br /> Side Side <br /> Defined Height: ak Height: FFE: FFE mi s 6 feet= (Existing Contour) <br /> s <br /> Perimeter(linear feet) = 50% _ #of Stor' s Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL S CE: <br /> The distance between the lo est FO A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the baseme or crawl <br /> space)and the highest point of th oof. 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 poin between the highest point of the roof <br /> of the roof to the low point of th to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hippe roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED RO (with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract h the ROOF TYPE) windows): Subtract half the distance <br /> distance between t top of the between the top of the highest <br /> highest window the highest window and the highest point of the <br /> point of the ro roof <br /> . ALL OTH ROOF TYPES(Flat, • ALL OTHER ROOF TYPES(flat, <br /> mansar ,etc):No subtraction. mansard,etc:No subtraction. <br /> DITION Add the distance between the top of slab <br /> SUBTRACTION Subtract t distance between the (B ED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basem crawl space floor and the EXIS G the foundation. <br /> GRADES) high existing grade adjacent to the GRADE <br /> fo dation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS efined building height <br /> Shoreland Di ict MCWD Permit Received Avera e Lakeshore Setback et? Bluff <br /> � Yes � No ❑ N/A 0 Yes � No <br /> � Yes � No 0 Yes 0 No ❑ N/A <br /> Permit Number: tback: <br /> Stor ater Quality Existing Proposed Variance Required CUP Required <br /> Ove a District Tier Hardcover Hardcover <br /> � Yes 0 No 0 Yes 0 No <br /> � Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />