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�; <br /> , PLi4N I�EVIEVI/ CHECK�IST FOR NEV1l STRtlCTURES / ADDITIOIVS <br /> , g ` o�V� <br /> Address: ��1 ��� Permit fVo.: <br /> Descri tion of work: ! <br /> p ���'I/ 1 � � Date Rec'd: �'� '� <br /> - Septic review by: Date Approweci: �'�"' <br /> Zoning review by: Date Approved: � .�� l� <br /> � �uilding review by: � b e �'v��- Date Approved: ``� ' � � �� '� <br /> Grading review by: Date Approved: 3 �� �.5� <br /> � <br /> Zoning District: Zoning File#: "� Reso#: � Reso Date: <br /> a Zoning: Lot Area: �� F AC Width: �2, Lot Coverage: SF "' % <br /> r <br /> Survey Submitted: �'es � No Date of Survey: �° 2.�' Revised date ? : E <br /> Proposed Setbacks: <br /> Front L e) Rear(�) ( N S E W ) ( N S E 1!V ) Other Buildings Wetland <br /> Side Side <br /> � � � ` g� � � ' � <br /> Defir�ed Height: �� Peak F�eight: �J�` FFE: ��L-FFE minus 6 feet= r�L� (Existing Contour; <br /> e <br /> t- <br /> Perimeter(linear feet) _ � '�% 50% _ �(� .� � '�' L.F. below gracie #of Stories �- <br /> FOR A BUfLDING WlTH A BASEMEWT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: �� <br /> �Q The distance between the lowest proposed The distance between the top of <br /> , 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 windo . Subtract halfi <br /> windows): btract half the distance the dista between the <br /> betwee highest point of the roof highe oint of the roof to <br /> to the w point of the corresponding the, w point of the <br /> SUBTRACTION 9a or hipped roof <br /> rresponding gable or <br /> `� e (BASED ON . ABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> � ROOF TYPE) window : Subtract half the distance (BASED ON GABIE OR HIPPED ROOF <br /> betwee e top of the highest ROOF TYPE) (with windows): Suotract <br /> window e highest point of the half the distance between <br /> roof� the top of the highest <br /> � O R ROOF TYPES(flat, window and the highest <br /> ' n r , tc):No subtraction. point of the roof <br /> • ALL OTHER ROOF TYPES <br /> � SUBTRA ION Subtra the distance between the (flat,mansard,etc):No <br /> ` ° BASE baseme�'crawl s ace floor and the <br /> � P subtraction. <br /> � �� EXIST G highest e isting grade adjacent to the ADDITION Add the distance between the top <br /> GRA ES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> ��< E(dUR,LS Deflined buifding height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building heigh� <br /> Shoreland Distr6ct A4CWD Permit pverage Lakeshore Setback geuff <br /> Met? <br /> � Permit Number: '� � 0 Yes ❑ No N/A Q Yes No <br /> s �No <br /> ❑ N/A—see attached Setback: <br /> Stormwater Quality Proposed <br /> Overlay District Existi�ng Hardcover Harcicover Variance Required CUP Required <br /> Tier circle one (��and sfl %and s <br /> a ; � Yes No � 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 /> �:: , <br />