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� , , <br /> ' PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: I � OV '1 IY�VVKNV 'a, � Permit No.: �O`5 " ��`�'�Z— <br /> Description of work: IV WV SI11Q��m�IV r11J11�C� Date Rec'd: � ' IJ ��5 <br /> Septic review by: i1 Date Approved: �• 47 •�J'� <br /> Zoning review by: Date Approved: J �' �� <br /> Building review by: Date Approved: Z-t �- � ►� <br /> Grading review by: Date Approved: �, i-� i,5 <br /> Zoning District: I'�h' �� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: � S /AC Width: Lot Coverage: (V l�' SF % <br /> Survey Submitted: �Yes � No Date of Survey: �2'.3�'��' Revised date(?):2•�V!'�� � <br /> Proposed Setbacks: <br /> Front�e) Rear( et) � � S E W ) ( N S E W ) , Wetland <br /> D 56 Side 37D Side 3a S� <br /> �` ! ��j� ' �, .,� , <br /> � � � Ibb(o,`{ LC� j � '�:) ' <br /> Defined Height: � Peak Height: 2 ,� FFE:I Oi:c,?' FFE minus 6 feet= �4�0, K;' (Existing Contour) � <br /> Perimeter(linear feet) = 50% = L.F. below grade #of Stories 2- <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 /> /Y, { J START W ITH floor(of the basement or crawl space)and START W ITH 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 <br /> • GABLE OR HIPPED ROOF(no (no windows): Subtract half <br /> windows): Subtract half the distance the distance between the 3 <br /> ' between the highest point of the roof highest point of the roof to ' <br /> � '-� to the low point of the corresponding the low point of the ' <br /> �-� SUBTRACTION gable or hipped roof corresponding gable or <br /> �� (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): 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 /> 1 (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 /> 1 ��� r,� EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> I GRADES <br /> � EQUALS Defined building height <br /> Shoreland District MCWD Permit Average Lakeshore Setback Bluff 4 <br /> Met? <br /> � Permit Number. `� - �� O Yes O No N/A 0 Yes No <br /> � Yes �No ; <br /> O 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 /> 0 Yes No � Yes No <br /> 1 2 3 4 5 �i��15� .�,�a Type�s�. TyPe�S�. <br /> l"� � <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />