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�PL�►IV REVIENV CHECF(LIST FOR IVEV11 �TRtJCTUl�ES / /4DDITIONS <br /> Address/Permit Number: ��D�� ��1 � � <br /> Description of work: �� �� <br /> f. <br /> Septic review by: '--"" Date Approved: �r <br /> Zoning review by: Date Approved: �''Oc�' !� <br /> Building review by: Date Approved: I 1 � l3�'7 <br /> Grading review by: Date Approved: � � ' '� <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot�overage: SF _% <br /> Survey Submitteci: � Yes � � No Date of Survey: Revised date(?): <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Ofiher Buildings Wetland <br /> Side Side <br /> Defined Height: Peak hleight: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = SO%_ #of Stories Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILD�NG ON A SLAB FOUNDATION: <br /> START WITH proposed Floor(of the basement or crawl <br /> space)and the highest point of the roof. START WITH The dis4ance between the top ofi slab and <br /> the highest point of the roof. <br /> If you have a... <br /> If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> ' windows): Subtract half the windows): Subtract half the distance <br /> �' distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> ± T�'PE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> �' between the to of the hi hest <br /> distance between the top of the P 9 <br /> highest window and the highest window and the highest point of the <br /> point of the roof roof <br /> . ALL OTHER ROOF TYPES(flat, � <br /> 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 OtJ and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height <br /> ,t <br /> Shoreland District IIACNVD �em�eit Received �vera e Lakeshore Setback Met? �luff <br /> Yes 0 No � N/A � Yes � No <br /> Yes 0 No � Yes � No 0 N/A <br /> Permit Number: �� � Setback: <br /> A� <br /> Stormwater Quality Existir�g Proposed �/areance Required �UF Required <br /> Owerla 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 /> �..�::.�__.a�:.�._.. ,. , .__, _�.._ ._ i ._ -.,, _. L. .k.�.....�. .. ,, .K . . ..._. k �.. �_ w � <br />