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� <br /> �� , . P��4[� I��VIEW �HECKLtST FO� ��V11 STREJCTURES / ADDITI�f�� <br /> � � �c� "�ro��- � � p� <br /> �� Adciress: Permit hlo.: �C� 'ovt��7 <br /> �� Description of�neork: ' � � � � Date R ' � ' �.� <br /> ec d: �� <br /> � <br /> Septic review by: V ' Date Approved: <br /> Zoning review by: '�` � Date Approveci: 2• �cr'J ' � <br /> �� <br /> Building review by: - :�, �a �:���F�c.�-. Date Approved: � � Z`�" - Z.ols <br /> � Z. <br /> Grading review by: - Date Approved: �/� �ff <br /> �, Zonin District: �'(1�' Zonin File# f����`��� � f 1�^ <br /> � 9 g Reso#:�� � Reso Date: <br /> Zoning: Lot Area: �o�r �/AC�'R� Width:��� Lot Coverage '����,� �'���,��_SF ����t� % <br /> � ���`�';�`� <br /> �ur-vey Submitted: �`Yes ❑ No Date of Survey: _ Revised date( )� <br /> i; Proposed Setbacks: `��Y� �9� �{ �� �� <br /> 0' ' <br /> F�(Lake) �(Street� ( H S E V11� ( N S E F� Other Buildings Wetland <br /> Side Side <br /> _� <br /> Defined Height: ����� ;�� Peak Height: FFE:�°'���� FFE minus 6 feet� ��'�r o� (Existing Contour <br /> ,e. �,-. � <br /> Perimeter(linear feet) _ � � �� 50% = �� �°`�� � � ����� L.F. below grade #of Stories <br /> �FOR A BUILDING WITH A BASENiENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> � The distance between the lowest proposed The distance between the top of <br /> START WITH floor(of the basement or crawt space)and START WITH 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 <br /> ' / `,��� • GABLE OR HIPPED ROOF(no • (no windows): Subtract half <br /> � �� windows): Subtract half the distance the distance between the <br /> `, between the hi ghest point of the roof highest point of the roof to <br /> to the low point of the corresponding <br /> SUBTRACTION gable or hipped roof the low point of the <br /> corresponding gabte 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 /> �j, 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 /> • ALL OTHER ROOF TYPES(flat, window and the highest <br /> mansard,etc):No subtraction. point of the roof <br /> �.l'� • ALL OTHER ROOF TYPES <br /> �,���;'f: 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 /> GR,4DES) foundation OR 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> 2�E���� GRADES <br /> EQUALS Defined building height <br /> ' y �� � ��` � e-� <br /> Shorelanci District [NCWD Permit Avera�e �akeshore Setback g�uff <br /> Met? <br /> �Yes 0 No Permit Number: I .� ` � Yes � No � N/A 0 Yes �~J�No <br /> � N/A—see attached ���G�. �' f " �=..� .;.='-�j Setback: <br /> Stormwater Quality Proposed <br /> Overla District Existing Hardcover <br /> Y o Hardcaver Variance Required CUP Required <br /> Tier circle one ��o and sfl %and s � � <br /> 1� 2 3 4 5 ���� �� ,' Yes Q No � Yes � No <br /> � Type s: Type(s): <br /> �°•!�� f;��',. - r f( ���; ,����, � <br /> Updated: January 2015 �"�, � �� � � f�� _ <br /> z:\forms\plan review checklist 2015.docx � � , '�; � '"_ <br /> ��".I�' .�_`i� �j`� , <br /> !- ' �� <br />