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� <br /> � PLAN REVIEW CHEC�(LI T <br /> � <br /> S FOR NE11V STRUCTURES I ADDITIONS <br /> ;.�.dress/Permit Number: � ,��°� ��� <br /> � � <br /> ' Description of work: 1�''�� <br /> Septic review by: Date Approved: � "' ��'s'� � <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area:�_SF/AC VNiclth: Lot Coverage: SF % <br /> ' Survey Submitted: �Yes � No Date of Survey: �° � �`�r� Revised datef?)� <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) � N S E W } ( IV S E W ) Other Buildings Wetlanc! <br /> Side Side <br /> a` LF� ����4� #�tr�,�.�� ��',t� � <br /> Defined Height: Peak Height: FFE: �������'� FFE minus 6 feet= ���"'���� �-��'�(Existing Contour) <br /> Perimeter(linear�eet)= 50% _ #of Stories Ok? 0 YES <br /> FOR A,BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> �i( ; ' 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 /> If you have a... the highest point of the roof. <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 /> NPE� windows): Subtract half the ROOF 7YPE) windows): Subtract 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, • 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 /> Subtract the distance between the g g grade adjacent to <br /> r SUBTRACTION (BASED ON and the hi hest existin <br /> �/��° '� r;, � (BASED ON EXISTING basemenVcrawl space floor and the EXISTING the foundation. <br /> "'� � � � i highest existin rade ad acent to the <br /> ���"""��f��' � 1�, � i` GRADES) g 9 � GRADES <br /> . �� foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> ��' � EQUALS Defined b�ailding height <br /> ,i. <br /> Shorefand District MCWQ Permit Receivecl Avera e Lakeshore Setback Met? Bluf# <br /> 0 Yes 0 No � N/A /� � Yes No <br /> �Yes � No % <br /> Permit Number: � Yes 0 No ���N/A Setback: <br /> ;. <br /> Stormwater Qual6ty Existing Proposec! Variance Required ,, CUP Required <br /> verla District Tier Hardcaver Hardcover ,, <br /> �� � � � Yes ,�'! No 0 Yes ��No <br /> -�= TYPe(S)� f Type(s): <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br /> �n: <br />