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�LA[V REVIEW CHEC�CLIST FOR NEUI/ STRUCTURES / /4DDITIONS <br /> � Address/Permit(Vumber: r �C�� ������`� ��°.� �'' ��'� �-� <br /> � ° �, <br /> Description ofwork: ��i�,F!"�.��` �6 ��€� <br /> �� <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: �.�'•���` -_- Date Approvecl: ;'�`"�`.�'� �' ' <br /> Gracfing review by: Date Approved: � <br /> ,� � <br /> Zoning District: L-- }-tl I ��� Zoning File# ��'�� Reso#: �i� Reso Date: <br /> � �1.�e� <br /> Zoning: Lot Area:��=�,��� �/AC Width: ��` Lot Coverage: � �`�`� SF �,�% <br /> Survey Submitted: �Yes Q No Date of�urvey: ����`��� �``+ Revised date(?): w� ��: � � ���_ <br /> ;� <br /> Pro o�ed Setbacks: <br /> Front(Lake) Rear(Street} (� N/S E W ) ( N �` E VII ) Othee Buildings Wetland <br /> � Side S�de <br /> ��' �.�;'o��� " r� � i� � �'� u,��' (� - <br /> Defined Height: l� � ` g �, � (Existing Contour) <br /> Peak Hei ht: FFE�`,��;� � ..r.` FFE rninus 6 feet= ���� f` <br /> ',. �,,� ,� ��, , �� ,,r"�' � <br /> � Perimeter(linear feet)= � � ���° � ' S0% _ ���' 1�� #�of Stories Ok? �YES <br /> � �..�� �f�f��-� � ��� "��� <br /> FOR A BllILDING V111TH A BASEIIAENT 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 crawi <br /> �� ,� space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... If you have a... <br /> ;�,�'; e 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 poin4 of the correspond�ng <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 /> i TYPE� windows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the behveen 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 /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existi�g grade adjacent to <br /> �+ basemenUcrawl space floor and the EXISTING the foundation. <br /> �; �': (BASED ON EXISTING <br /> +� GRADES) highest existing grade adjacent to the GRADES <br /> ?��� foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> � �, EQUALS Defined building height <br /> _ ;, <br /> Shore�and �istrict MCV`!Q Permit t�eceiv�c➢ ��era e Lakeshore S�t�ack I�let? �l�tf <br /> ,} � � Yes � No � N/A 0 Yes � No <br /> ;�� � Yes � No _ Yes � No � N/A <br /> Permit Number: 'L---�� ;- � Setback: <br /> � z i. <br /> Stormwater Quality E�istinc� Propagecl ��riance R�quired CU� Requirec! <br /> Overla l3istrict Tier Hardcover Hardcover <br /> _ ��-` ?� � � Yes � No � Yes � No <br /> ,��, .. <br /> ., <br /> ? `,�C?� � � �'r, c�_- Type(s): Type(s): <br /> ` ° L�,�� , �'°- <br /> � <br /> Updated: January 2013 � i� � - ���F�' <br /> v:\forms\plan review checklist 2013.docx <br />