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� �LAIV FZEVIE11if CHEC�CLI�T FOR NEW STRUCTUF�ES / ADDITiOI�S <br /> Address/Permit Number: ���� �.��� ���s <br /> Description of work: � �-'� �C.9'�^ � ���-- <br /> Septic review by: /� �� Date Approved: <br /> Zoning review by: ��� Date Approved: <br /> Building review by: Date Approved: '�" � "' ` � <br /> Grading review by: �l 00�' Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoni : Lot Area: SF/AC INidth: Lot Coverage: SF % <br /> &urvey mitted: 0 Yes 0 No Date of Survey: Revised date � : �� <br /> Pro osed Se acks: <br /> Front(Lake) Rear(Street) ( � S E NV ) ( � S E W ) p��er�uildi s Wetland <br /> Side Side <br /> ; <br /> Defined Height: Peak Height: FFE: FFE minus 6 f t= (Existing Contour) <br /> � <br /> � <br /> Perimeter(linear feet)= 50% _ #of Stories Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR C WL SPACE: <br /> The distance be en the fowest FOR A BU IPlG ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of t' basement or crawl <br /> space)and the highe oint of the roof. START WITH The distance between the top of slab and <br /> If you have a... <br /> the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED R OF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half t windows): Subtract half the distance <br /> distance between the highe oint between the highest point of the roof <br /> of the roof to the low point of t to the low point of the corresponding <br /> SUBTRACTION corcesponding gable or hipped ro SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> " distance between the top of th between the top of the highest <br /> highest window and the hig� window and the highest point of the <br /> �� point of the roof j roof <br /> • ALL OTHER ROOF TYPES(flat, <br /> • ALL OTHER ROOF ES(flat, mansard,etc:No subtrection. <br /> mansard,etc):No traction. ADDITION Add the distance between the top of slab <br /> ` SUBTRACTION Subtract the distanc etween the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl s ce floor and the EXISTING the foundation. <br /> GRADES) highest existin rade adjacent to the GRADES <br /> foundation , 10 feet(whichever is less). ,EQUALS Defined building height <br /> < EQUALS Define uilding height <br /> Shorefae�d Distric4 �lICVIBD Permit Received Avera e L�keshore �e ck Met? �iuff <br /> � Yes � No � N/A � Yes � No <br /> � Yes No Q Yes 0 No 0 <br /> Permit Number: Setback: <br /> �tormw r Quality Exisfing Pro�osed Variance Required CUP R� uired <br /> Overla istrict Tier Harcicover Hardcover <br /> � Yes � iVa � Yes � No <br /> TYpe(s): TYPe(s): <br /> Up ated: January 2013 ��� ��_�s���� <br /> v:1 orms\plan review checklist 2013.docx �� <br /> , <br /> t_ <br /> „ � <br />