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PLAN REVIEW CHECKLIST FOR NEIIV STRUCTURES / ADDITIONS <br /> '` .�,� �,, ��.�� �'°°� <br /> Address/Permit Number: � �1�� (�:� �° �� � <br /> Description of work: ���� <br /> �' Septic review by: � Y Date Approved: <br /> �oning review by: •C�• Date Approved: �'��f�' d� <br /> Building review by: a�- Date Approved: � "��" t � <br /> Grading rediew by: /`�/�$ Date Approved: <br /> �_` Zoning District: ��'�� Zoning File#: � Reso#: �-- Reso Date: --' <br /> �, � <br /> Zoning: Lot Area: �S `F �l� SF/AC Width: �� � � Lot Coverage: 7 b,'Z.Z� SF _% <br /> k�� Survey Submitted: �Yes 0 No Date of Survey: �'��p'° b� Revised date(?): <br /> Pro ased Setbacks: <br /> Front(Lake) Rear(�eet) � N � E W ) ( �N S E W ) Other Buildings Wetland <br /> ide Side <br /> S� �' ��� ' � � � G �"' �e� � ���- <br /> Defined Height: ��� Peak Fieight: P' FFE: FFE minus 6 feet= xisting Contour) <br /> �� <br /> Perime inear feet) = 50% _ #of Stories O YES <br /> FOR A BUILDING WITH A EMENT OR CRAWL SPACE: <br /> � <br /> distance between the Iowest FOR A B DING ON A SLAB FOUNDATION: <br /> START WITH propo oor(of the basement or crawl <br /> space)and i hest point of the 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 RO o . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance between the highe oint between the highest point of the roof <br /> of the roof to the low po ot the ' to the low point of the corresponding <br /> SUBTRACTION corresponding gab r hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR ED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) window . ubtract half the F TYPE) windows): Subtract half the distance <br /> dis e between the top of the between the top of the highest <br /> hest window and the highest window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYPES(flat, • LL OTHER ROOF TYPES(flat, <br /> mansard,etc):No subtraction. m�saLd,etc:No subtraction. <br /> ADDITION Add the distanc tween the top of slab <br /> SUBTRAC N Subtract the distance between the (BASED ON and the highest exis rade adjacent to <br /> (BASE N EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> GR�ES) 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 /> Shoreland District MICW►D Permit Receiveci �►vera e Lakeshore Setback Met? �lu�i` <br /> � Yes �No a N/A 0 Yes No <br /> Q Yes �No � Yes � No N/A <br /> Permit Number: Setback: <br /> Storrr�water Quality Existing Proposed �ariance Required CUP Required <br /> Overla District Tier Hardcover F�ardcover <br /> �Q� �---- <br /> Q Yes ❑ No � Yes � No <br /> Type(s): Type(s): <br /> — �-��-.—�_ <br /> Updated: January 2013 <br /> v:\forms�plan review checklist 2013.docx <br />