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�1 J � , <br /> ' " � PLAN REVIEW CHEC�(LIST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: T I�/ V 1� �� <br /> Description ofwork: N J� m�� <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: � 'Zq ��� <br /> Building review by: ,,,---�- Date Approved: 7� �3 — Z��`"� <br /> Grading review by: {� Date Approved: � L� �l� <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: �es � No Date of Survey: � ' �Q' �� Revised date(?): <br /> Proposed Setbacks: <br /> Front e) ���� ( N S (� W ) ( N E W ) Other Buildings Wetland <br /> Sid�' ��de <br /> � (01, ' 2� 13� <br /> /,, n: ' <br /> Defined Height: �� 'lV Peak Height: FFE: �r.S `i �`_r-' FFE minus 6 feet= � E ���� (Existing Contour) <br /> Perimeter(linear feet) _ • D 50% _ �?J'$�f.s #of Stor�� • !i Ok?�YES <br /> A�C�Ul��: 152.ZI <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: ```\ <br /> The distance between the lowest V <br /> START WITH proposed floor(of the basement or crawl \SLAB FOUNDATION: <br /> �� �� space)and the highest point of the rr- �� • ,i The distance between the top of slab and <br /> If you have a... � the highest point of the roof. <br /> GABLE OR HIPPED ROOF nc ���� If you have a... <br /> • ( � • GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the ,C�� windows): Subtract half the distance <br /> !�` distance between the highest poir, \�/ between the highest point of the roof <br /> F` of the roof to the low point of the ��� <br /> � to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof gable or hipped roof <br /> �� (BASED ON ROOF . GABLE OR HIPPED ROOF(with • GABLE OR HIPPED ROOF(witn <br /> vt TYPE) windows): Subtract half the windows): Subtract half the distance <br /> � distance between the top of the between the top of the highest <br /> highest window and the highest window and the highest point of the <br /> y point of the roof roof <br /> _ • AL�OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> `(� SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br />�iV' (,� (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> -1�� GRADES) highest existing grade adjacent to the GRADES <br />`��d foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> � /} EQUALS Defined building height <br /> c,.-��°J/ <br /> Shoreland District MCWD Permit Received Avera e Lakeshore Setback Met? Bluff <br /> 0 Yes ❑ No � N/A 0 Yes No <br /> 0 Yes �No 0 Yes 0 No �N/A <br /> Permit Number: ��� �J �.�� �.� Setback: <br /> �; Ml.vv+� <br /> Stormwater Quality Existing Proposed Variance Required CUP Required <br /> Overla District Tier Hardcover Hardcover <br /> � � Yes No ❑ Yes No <br /> � Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />