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� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: ��O�J ���Tl,y I�C,IJ��� `�,� Permit No.: ���� � lJ �V��i <br /> Description of work: �� �K1 j1Q.� �l��t(,Q.�►'�(7,�,� (' � , � <br /> Y'`�'(,(.L� Date Rec'd: �� �� ��j <br /> Septic review by: � Date Approved: <br /> Zoning review by: Date Approved: � y �`��� <br /> Building review by: '�r Date Approved: �— <br /> Grading review by: �" Date Approved: ` <br /> Zoning District: �� Y.� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> �Cey Submitted: � Yes � No Date of Survey: (j� �Q `l � Revised date(?): <br /> Proposed Setbacks: �' �� iv"1 <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <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 SLAB 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(no • GABLE OR HIPPE ROOF <br /> (no windows): tract half <br /> windows): Subtract half the distance the distanc etween the <br /> between the highest poi of the roof highes int of the roof to <br /> to the low point o corresponding th point of the <br /> SUBTRACTION gable or hi roof <br /> rresponding gable or <br /> (BASED ON . G OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) indows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF '' <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> window and the highest <br /> • ALL OTHER ROOF TYPES(flat, 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 Bluff <br /> Met? <br /> �Yes � No Permit Number: � Yes � No N/A 0 Yes o <br /> N/A—see attached Setback: <br /> Stormwater Quality Existing Hardcover Proposed <br /> Overlay District (%and sf) Hardcover Variance Required CUP Required <br /> Tier(circle one %and s <br /> O Yes o � 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 />