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�LAtV FZE�PIEIIV Ci�ECKLIST FOR 1i��11� S1'RUCTURES / ADDITIONS <br /> Address/Permit Number: ���� � �s��� u�i��� a @�� <br /> Description of work: ��.. ��'�+���`� �w�- � '����� `` <br /> Septic review by: _�d � Date Approved: <br /> Zoning redievv by: ,"�i t� Date Approved: <br /> Building review by: r '�s�..�a Date Approved: .� `� � � �� °�� <br /> Grading review by: ��i�"'� Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC 1Alidth: Lot Coverage: SF _% <br /> ; Survey Submitteci: 0 Yes 0 No Date of Survey: Revised date(?): <br /> Pro osed Setbacks: <br /> Front(�ake) Rear(Street) ( N S E W ) ( N S E W ),< ` Other Buildin�s Wetland <br /> Side Side <br /> a <br /> Defined Height: Peak Height: FFE: -� FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% _ -`#of Stories Ok? 0 YES <br /> a <br /> FOR A BUILDIPtG VNITH A BASEMENT OR CRAWL SPACE: <br /> 's. <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATIOPI: <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 4op of slab and <br /> If you have a... • <br /> the highest point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED ROOF(nb . GABLE OR HIPPED ROOF(no <br /> � windows): Subtract half the. windows): Subtract half the distance <br /> distance between the highest point <br /> {.' 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 <br /> gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPEp ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> NPE) windows): Subtract half the ROOF TYPE) 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 r.00f roof <br /> • ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> 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 basemenVcrawl 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 buElding height <br /> EQUALS Defined building height <br /> Shorelarrd District NICIhID �ermi� Received �avera e Lakeshore'S.etback 11Ae�? �luff <br /> � Yes � No � N/A � Yes � No <br /> � Yes �: No � Yes � No �. N/A <br /> Permit f�umber: Setback: <br /> ` Stormwater G$uafity Existing Proposed ���,e���� �equired CUI�f�equirec! <br /> Overla District Tier k�arcicover F�ardcover <br /> s. <br /> �! Yes � No � Yes ❑ No <br /> � Type(s): Type(s): <br /> r <br /> Updated: January 2013 <br /> v:\forms\plan revievv checklist 2013.docx <br />