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�� PLAN REViEW CF�ECKLi�� FOR NEW STRUCTIJRES / 14DDITIONS <br /> Address: t ��d e ��� �� � � <br /> Permit IVo.: <br /> Descri tion of work: �,� � �� � � ` � � <br /> p Date Rec'd: <br /> Septic review by: �, (� Date,Qpproved: � <br /> Zoning rediew by: �ate Approved: � �� /�' <br /> i <br /> �uilding review by: 1'+�-�- Date Approved: -0�°- � � <br /> Grading review by: Date Approved: � � ��s <br /> Zoning District: Zoning File#: `� Reso#: '�` Reso Date: �� <br /> Zonin Lot Area: oZ--� S /AC Width:c��a � <br /> 9- � Lot Coverage: • � SF �" % <br /> Survey Submitted: �Yes � No Date of Survey: E'�� ' Revised date(?): "� <br /> Proposed Setbacks: <br /> Front (��ak� Rear(5tr�t�° ( � � E W f ( N S 1N ) Other Buildings �1letland <br /> Side ide <br /> � ' �-� � � � n � �7 � <br /> � f <br /> Defined Heigf�t: � � 9 Peak Height: 3( 9 "� FFE: c�FFE minus 6 feet= 02 �(Existing Contou <br /> r <br /> Perimeter(I`near feet) = ��� D 50% _ �� � �� � L.F. below rade #of Stories �- <br /> �K � Str�c.-��j �' <br /> FOR A BUILDIMC's IMITH�4��4SEMENT OR CRAWL SPACE: FOR A BUILDBPJG 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 RO <br /> • GABLE OR HIPPED F(no (no windows): Subtr haff <br /> windows): Subtrac alf the distance the distance betw the <br /> ': between the hi st point of the roof highest point of e roof to <br /> Y' to the low p ' t of the corresponding <br /> � SUBTRACTION gable or ped roof the low poin f the <br /> '° (BASED ON . GA OR HIPPED ROOF(with SUBTRACTION h pp��ing gable or <br /> ROOF TYPE) dows): Subtract half the distance (BASED ON . G LE 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 /> ALL OTHER ROOF TYPES(flat, window and the highest <br /> � point of the roof <br /> mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> SU RACTION Subtract the distance between the (flat,mansard,etc):No <br /> ASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the DITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON of s�ab and the highest existing <br /> EQUAIS Defined building height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland D1s4rict MCWD Fermit a�erage �akeshore Setback g�uff <br /> k f�et? <br /> �Yes � No Permit Number: ��.. O Yes ❑ No N/A O Yes No <br /> � N/A—see attached Setback: <br /> � Stormwrater f�uality Proposed <br /> Existing Hardcover <br /> � Overlay District p Harcicover Variance Requirecf CUP Required <br /> Tier circle one (/o and sfl % and s <br /> ��� 0 Yes No � Yes No <br /> :` 1 2 3 4 5 � Type(s): Type(s): <br /> �.- <br /> �� Updated: January 2015 <br /> • z:\forms\plan review checklist 2015.docx <br />