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PLAN REVIEW CHECFCLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: 2r1 Z� P�� L''��� �+'9"� <br /> Description of work: ��`'� ���— <br /> Septic review by: N 1✓�' Date Approved: <br /> Zoning review by: N� � Date Approved: <br /> I <br /> Building review by: Date Approved: l'Z-3rJ - 2��`{ <br /> Grading review by: �t11A Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date:� <br /> r <br /> Z ing: Lot Area: SF/AC Width: Lot Coverage: SF�% <br /> Surv Submitted: 0 Yes � No Date of Survey: Revised dat�?): <br /> Pro ose Setbacks: <br /> Front(La ) Rear(Street) l N S E W ) ( N S E W ) Other B, Idings Wettand <br /> Side Side <br /> �` <br /> Defined Height: Peak Height: FFE: FFE min�6 feet= (Existing Contour) <br /> � <br /> Perimeter(linear feet) = 50% _ #of Stori Ok? � YES <br /> FOR A BUILDING WITH A BASEMEN OR CRAWL SPACE: `� <br /> The dis nce between the lowest FOR UILDING ON A SLAB FOUNDATION: <br /> START WITH propose oor(of the basement or crawl <br /> space)and e 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 PED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Sub ct half the windows): Subtract half the distance <br /> distance between e highest point between the highest point of the roof <br /> of the roof to the low oint of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable o ipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROO (wit (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtrect half the distance <br /> distance between the top o e between the top of the highest <br /> highest window and the ghest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER RO TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc) o subtraction. mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the dis nce between the (BASED ON and the highest existing grade adjacent to <br /> + (BASED ON EXISTING basemenUcr I space floor and the EXISTING the foundation. <br /> ` GRADES) highest ez ing grade adjacent to the GRADES <br /> foundat' OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Def ed building height <br /> Shoreland Distri MCWD Permit Received Avera e Lakesh e Setback Met? Bluff <br /> 0 Yes 0 No � N/A � Yes 0 No <br /> 0 Yes No � Yes 0 No �`'�� N/A <br /> Permit Number: Setback: <br /> � <br /> Stormwater Quality Existing Proposed Variance Required C Required <br /> Overla Dis rict Tier Hardcover Hardcover <br /> 0 Yes ❑ No � es 0 No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx ° <br /> ,� <br />