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F9LAN REVIEIIV CHEC�CLiST FOR NEW STRUCTURES / ADDITIONS <br /> Address/Permit Number: �``�� (� � + +��-D� �--v`� (L� <br /> Description of work: I�:: �`=�i r2 5 � �;�v t`�-t-� �n•;c ,,��� ;`1..2�c ��.�=���!} ce-�>x�:.°��`T <br /> Septic review by: N 1+`� Date Approved: <br /> Zoning review by: �' �'� _ Date Approved: <br /> � <br /> Building review by: ��� ' � W�,�.;..�•.-- Date Approved: �• ��a - r :�' <br /> Grading review by: IL� l�- Date Approved: ' <br /> "f <br /> Zon' g District: Zoning File#: Reso#: Reso Date: <br /> Zoning: t Area: SF/AC 1EVidth: Lot Coverage: SF �% <br /> Survey Subm ed: 0 Yes � No Date of Survey: Revised date ? : <br /> *� <br /> Pro osed Setbac : <br /> Front(Lake) �1�ear(Street) � � � E Vi( ) ( N S E ) Other Buildings lAletland <br /> Side Side <br /> Defined Height: Pe�k Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> i � <br /> e <br /> ° Perimeter(linear feet) _ `�€�0% _ #of Stories Qk? 0 YES <br /> � <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SP��E: � <br /> f <br /> The distance between the lo est �� FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basemeill or crawl <br /> space)and the highest point of tP�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 highes�point ``� between the highest point of the roof <br /> of the roof to the low poin��`of the 4o the low point of the corresponding <br /> SUBTRACTION corresponding gabte or ipped roof �,,� SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED,ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtra�i°half the �'�, ROOF TYPE) windows): Subtract haff the distance <br /> ' distance betwee�Z`the top of the v between the top of the highest <br /> ; highest windoW`and the highest �`` window and the highest point of the <br /> point of the�oof roof <br /> • ALL OTt1�R ROOF TYPES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansacd,etc):I�o subtraction. <br /> mansard,etc:No subtraction. <br /> a `A�DITION Add the distance between the top of slab <br /> SUBTRACTION Subtract t distance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basement/crawl space floor and the EXIS�,(NG the foundation. <br /> ' GRADES) highest`existing grade adjacent to the GRAD <br /> � fouqdation OR 10 feet(whichever is less). EQUALS'� Defined building height <br /> � EQUALS Qefined building height <br /> l <br /> i <br /> Shoreianc� Distr' t MCWD Permit Received Avera e Lakeshore Setback ? Bluff <br /> �` 0 Yes � No � N/A 0 Yes � No <br /> � Yes ❑ No � Yes 0 No � N/A <br /> Permit Number: tback: <br /> Stormwa�er Quality Existing Proposed Variance Required CU� Required <br /> Overla District Tier Hardcover Flardcover <br /> s Q Yes 0 No � Yes 8 No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> � v:\forms�plan review checklist 2013.docx <br />