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�` PL�41V FZE��EViI CF�ECKLl�T FOR �EW STRUCI'U�ES / ADDITIONS <br /> Address/Permit Number: �� <br /> Description of work: 0 t,J► I <br /> Septic re�iew t�y: Date Approved: <br /> Zoning review by: � Date Approved: � • � �' t,� <br /> Building review by: �� z - Date Approved: � �-t�- �%����, � e� ,�A���. <br /> Grading review t�y: Date Approved: 1`�'�.4�1 /S� <br /> I `:� <br /> Zoning District: � � � w' Zoning File#: Reso#: Reso Date: <br /> �. ,� �'�� ��o� sF ���� <br /> Zoning: Lot Area: � J =� ,Sf�/AC Width: L�t Coverage: <br /> Survey Submitted: �"es ~ 0 No Date ofi Survey: � ' %� ` �� i Revised date(?): � ' a'�� <br /> Pro osed Setbacks: <br /> Front(Lake� � Rear(S et)✓:.. 1 N ,`;S): W ) ( ;;Ft�� S E W ) Other Buildings VlEetland <br /> � ',� � t '�ie !� < Side �`� <br /> G - �. ���: ��� r� - �.� <br /> � <br /> �. <br /> ��- -�:J ��� �- � �,s�� <br /> Defined Height: Peak Fieight: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet) = 50% _ #of Stories Ok? � YES <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLA,B FOUNDATION: <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 top of slab and <br /> � If you have a... <br /> the highest point of the roof. <br /> ;' If you have a... <br /> , • GABLE OR ED ROOF(no . GABLE OR HIPPED ROOF(no <br /> window . Subtract half the windows): Subtract half th stance <br /> , dis ce between the highest point between the highest of the roof <br /> the roof to the low point of the to the low point o e corcesponding <br /> SUBTRACTION corresponding gable or hipped roof SUBTRACTION <br /> gable or hip roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABL HIPPED ROOF(with <br /> ;`+, TYPE) windows): Subtract half the ROOF TYPE) wi ws): Subtract half the distance <br /> #; distance between the top of the tween 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. <br /> mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED and the highest existing grade adjacen4 to <br /> `' (BASED ON EXISTING basement/crawl space floor and the EXIST G the foundation. <br /> GRADES) highest existing grade adjacent to the G ES <br /> foundation OR 10 feet(whichever is less). UALS Defined building height <br /> EQUALS Defined builcling height <br /> �' Shorelanc� �istrict (iiliClA�D Permit Receiv Avera e f�akeshore Set�ack Met? Bfuff <br /> � Yes � No N/A � Yes No <br /> 0 Yes C�No � Yes 0 No N/A <br /> � Permit Number. � Setback: <br /> � Stormwater Qualit1r Existin� Proposec� Variance Requireci CUP Required <br /> ' Overla District Tier Hardcover Hardco�ser <br /> ; � , � Yes � No a Yes 0 IVo <br /> �!\`�' ; TyPe(S)� TYpe(S)� <br /> Updated: January 2013 <br /> � v:\forms�plan review checklist 2013.docx <br /> �. �_ <br /> �: <br />