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�. <br /> PLAN REVIEVII GHEC�CLIST F�R IvI�1lV STRUCTIJI�ES / ADDITIOI�S <br /> Address: � � �� � � Permit No.: �� ` ���4'� <br /> Description of work: � �1, Date Rec'd: �' �•�� <br /> �eptic review by: ��iIJV� `�-���� Date Approved: <br /> Zoning review by: � Date Approved: �° �� ' I� <br /> � <br /> Building reviev� b�: ��� � '` ��! E..`�'�� Date Approved: �"��'��� <br /> Grading review by: Date Approved: ; r����� <br /> Zoning District: ��"" �� Zoning File#: Reso#: Reso Date: <br /> ? Zoning: Lo4 Area: �.�:;: r % ' SF�'/AC Width: Lot Coverage: �� ����2- SF �s.� % <br /> Survey Submitted: �!-Yes Y Q No Date of Survey: � V�J i;� Revised date(?): <br /> ��. <br /> Pro osed Setbacks: <br /> Front (L,�'� Rear(�etj� f ''� S E W ) ( N .S��;� 19V ) p��y�r Buildings Wetland <br /> Side Side <br /> �' � �� " I I I , I `'i��� <br /> Defined Height: Peak Height: FFE: t f .:': FFE minus 6 feet�� . ' ' (Existing Contour; <br /> �.>:.� <br /> Perimeter(linear feet) = 50% = g �I �� ' <br /> L.F. below rade #�of Stories � �y: <br /> «' FOR A BUILDING WITH!A BASEMEPJT OR CRAWL SPACE: FOR A�UlLDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> ��f_ " START WITH floor(of the basement or crawl space)and START WITH slab and the highest point of the <br /> F / 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 hali <br /> .� windows): Subtract half the distance the distance between the <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 1he 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 /> SUBTRACTION Subtract the distance betwee�the (flat,mansard,etc):No <br /> ;^�^:. (BASED ON basement/crawl 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 /> � EQUALS Defined buflding height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> ______ EQUALS Defined building height <br /> Shoreland District AiICWD Permit �verage Lak�shore Setback ���� <br /> Met? <br /> ��es 0 No Permit Number: �� .� � 0 Yes � No N/A ❑ Yes No <br /> a � N/A—see attached Setback: <br /> Storrnwater Quality Existing Flardcmver Proposed <br /> Overlay District o Hardcover Varianc� Required CUP Required <br /> Tier(circle one (/o and sf� %and s <br /> � ��, ��`����'�� � Yes o � Yes o <br /> 1 2 3 ` 4 5 (' Type(s): Type(s): ` <br /> �� �,�Y1�-���Ii'�'��l/� �.2�.P��" <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> �- <br />