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PLAIV REVIEIN �HECKLlST FOR IVEIIV STRtJCTURES / ADDITiONS <br /> Address`. �1`�� �.�� �, E� Permit No.: <br /> Description of work: Y�J q �,1 5�� � �1 Date Rec'd: <br /> Septic review by: ��✓� Date Approved: <br /> Zoning review by: t�/ I� � Date kpproved: <br /> Building review by: Date Approved: - �� �.fJ eJ <br /> Grading review by: �/� Date Approved: <br /> oning District: Zoning File#: Reso#: Re Date: <br /> Zo ing: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> ; Surv Submitted: � Yes Q No Date of Survey: R ised date � : <br /> Propose Setbacks: <br /> Front(La Rear(Street) � � � E W ) ( N S E W ) er Buildings � Wetland <br /> �� Side Side <br /> �; <br /> Defined Height: Peak Height: FFE: FF minus 6 feet= (Existing Contour <br /> Perimeter(linear feet) = 50% = L.F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEMEIdT O CRAWL SPACE: FOR BUILDING ON A SLAB FOUNDATION: <br /> The distan between the lowest proposed The distance between the top of <br /> START WITH floor(of the b ement or crawl space)and START WITH slab and the highest point of the <br /> the highest poin f the roof. roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF <br /> • GABLE OR HIPP ROOF(no (no windows): Subtract half <br /> windows): Subtract If the dista e the distance between the <br /> between the highest po t of the oof <br /> to the low point of the cor p ding highest point of the roof to <br /> SUBTRACTIGN gable or hipped roof the low point of the <br /> k corresponding gable or <br /> (BASED ON . GABLE OR HIPPED RO (wi SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract hal the distanc (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of th highest ROOF TYPE) (with windows): Subtract <br /> window and the hig est point of the half the distance between <br /> roof the top of the highest <br /> • ALL OTHER OF TYPES(flat, window and the highest <br /> point of the roof <br /> mansard,et :No subtraction. � ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the di nce between the (flat,mansard,etc):No <br /> (BASED ON basement/cr I space floor and the subtraction. <br /> EXISTtNG highest exi ing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundatio OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defin buiBding height EXISTING grade adjacent to the foundation. <br /> RADES <br /> E ALS Defined building height <br /> Shoreland District MCWD Permit ��erage �.akeshore Setb ck B��� <br /> 11�et? <br /> ; Permit Number. O Yes � No � N/A � Yes O No <br /> ❑ Yes � o <br /> � N/A—see attached � S back: <br /> Stormwater uality Proposed <br /> Overla istrict �xisting Hardcaver <br /> y (%and sfl Hardcaver Variance Required CU equired <br /> Tier circle one %and s <br /> � Yes 0 No � Yes 0 No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:lforms\plan revia�v checklist 2015.docx <br />