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�,, <br /> �, <br /> P�:AN REVIEIlV CHEC�(LIST FOR �VEW STRUCTURES / ADDI1`601VS <br /> Address/Permit Number: � . �v� ��S <br /> Description of work: ��'�i � � <br /> ;; <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: �-d� — e <br /> Grading review by: � Date Approved: �� � <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> ;: <br /> Zoning: Lot Area: SF/AC lNidth: Lot Coverage: SF _% <br /> Survey Submitted: �es ❑ No Date of Survey. .�3 'E�`� �� Revised date(?): •,��.f�" <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E 1N ) Other�uildings 1Netland <br /> Side Side <br /> Defined Height: Peak Fleight: FFE: FFE minus 6 feet (Existing Contour) <br /> � <br /> � Perimeter(linear feet) = 50%_ #of Stories Ok? � Y S <br /> .�; <br /> � FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: � � ��� � �� <br /> � � �" �0 �� <br /> The distance between the lowest FOR A B D NG O A LAB FOUNDATION: <br /> START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... 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 gabfe or hipped roof SUBTRACTION <br /> gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Sub4ract half the ROOF TYPE) windows): 5ubtract 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 /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF TYPES(flat, mansard,etc:No subtraction. <br /> mansard,etc):No subtraction. 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 /> (BASED ON EXISTING basement/crawl 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 /> Shoreland District MC1R{D Permit Received Avera e Lakeshore �etback Met? �luff <br /> es O No 0 N/A � Yes No <br /> � Yes �o � Yes � No �N/A <br /> Permit Number:'�-�� Setback: <br /> Stormwater Quality Existing Proposed �/ariance Required C0.JP Required <br /> Overla District Tier Hardcover Fiardcover <br /> � Yes No ❑ Yes No <br /> �� TYpetS)� ��pe�s)� <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />