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PLAIV I�EVtEW CHECKLIS�' FOR �IEW STRUCTIJRES / /�lDDITIOIVS <br /> Address: �Z�-S G�S� �-i/Zc-c-t; PermitNo.: �r�- pO��`� <br /> Description of work: `z� 03 v r c.� N-pdr�c� {�t=5�i�v tr I� Date Rec'd: r ^ ► 3-�� <br /> � t=-I l� <br /> Septic review by: Date Approved: <br /> ; Zoning review by: @'�� �Et���ge ��P''�"� Date Approved: � c �'Y° `;,� <br /> Building review by: Date Approveci: 1 ` �&�' ?�i j <br /> � � <br /> Grading review by: ��;° � � Date Approved: <br /> ; <br /> �; Zoning District: �oning File#: Reso#: Reso Date: <br /> ;; <br /> Zoning: Lot Area: SF !AC HVidth: Lot Coverage: SF % <br /> Survey Submitted: ❑ Yes � No Date of Survey: Revised date(?): <br /> ;, <br /> Proposed Setbacks: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E i!V ) Other Buildings Wetland <br /> �' Side Side <br /> Defined Fieight: Peak Height: FFE: FFE minus 6 feet= (Existing Contour <br /> � <br /> Perimeter(linear feet)= 50% = L.F. below grade #of Stories <br /> FOR A BUILDING WlTH A BASEMENT OR CRAWL SPACE: FOR A BUfLDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> START W ITH floor(of the basement or crawl space)and START W ITH slab and the highest point of the <br /> the highest point of the roof. roof. <br /> If you have a... If you have a... <br /> GABLE OR HIPPED ROOF no • GABLE OR HIPPED ROOF <br /> ' � (no windows): Subtract half <br /> windows): Subtract half the distance the distance between the <br /> between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding the low point of the <br /> SUBTRACTION gable or hipped roof corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the distance (BASED ON . GABLE OR HIPPED ROOF <br /> between the top of the highest ROOF TYPE) (with windows): Subtract <br /> window and the highest point of the half the distance between <br /> roof the top of the highest <br /> window and the highest <br /> . ALL OTHER ROOF TYPES(flat, point of the roof <br /> mansard,etc):No subtraction. ALL OTHER ROOF TYPES <br /> i`, • <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building heigh4 EXISTING grade adjacent to the foundation. <br /> GRADES <br /> EQUALS Defined building height <br /> Shoreland District 111�6CWD Permit �verage Lakeshore Setback g0uff <br /> 6 Met? <br /> } 0 Yes p �o Permit Number: � Yes ❑ No O N/A ❑ Yes 0 No <br /> ; 0 N/A—see attached Setback: <br /> Stormwater Quality Existina liardcover Proposed <br /> Overlay District (�/Jand sf) Hardcover !/ariance Required CUP Required <br /> Tier(circle one %and s <br /> � Yes 0 No � Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> ' z:\forms\plan review checklist 2015.docx <br /> ��' <br /> ��' - . <br />