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�LA�I I�EWIEIlV CHECKLIST FOR �EW �FRUCTtli�ES / 14DDiTIONS <br /> � � <br /> Address: ���� .�--%�` ��� ���'�'C�`�� ���L Permit No.: <br /> Description of work: Date 12ec'd: <br /> Septic reviewr by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Buiiding review by: ��✓+ ��%�-a Date Approveci: '�� � l � <br /> Grading review by: Date Approved: � <br /> Zoning District: Zoning File#: Reso#�: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: � Yes �' � No Date of Survey: Revised date(?): <br /> Proposed Setbacks: <br /> �'' Front(Lake) Rear(Street)•. ( N 3 E W ) ( N S E W ) Other Buildings Wetland <br /> � Side Sicie <br /> ��, <br /> Defined Height: Peak Heigh4: FFE: FFE minus 6 feet= (Existing Contour <br /> � <br /> � Perimeter(linear feet) = 5 %= L.F, below grade #of Stories <br /> FOR A BUILDING WfTH A BASEMENT OR CRAWL ACE: FOR A BUILDIRlG ON A SLAB FOUNDATiON: <br /> The distance betwee the lowest proposed The distance between the top of <br /> START W ITH floor(of the basemen r crawl space)an START W ITH slab and the highest point of the <br /> the highest point of the oof. roof. <br /> If you have a... If you have a... <br /> GABLE OR HIPPED ROOF <br /> �`' • GABLE OR HIPPE ROOF�(�no • no windows: Subtract half <br /> windows): Subtract alf th distance the distance between the <br /> between the highest i of the roof hi hest in <br /> �`'- to the low point of the rresponding 9 Po t of the roof to <br /> �.' SUBTRACTION gable or hipped roof d� the�ow point of the <br /> (BASED ON corresponding gable or <br /> • GABLE OR HIPPE�RO F(with SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtr�ct half t e distance (BASED ON e GABLE OR HlPPED ROOF <br /> between the to�yof the hig st ROOF TYPE) (with windows): Subtract <br /> a_ window and tJ�e highest poi t of the ' half the distance between <br /> roof �' the top of the highest <br /> • ALL OTFjER ROOF TYPES( t, poi n of the roof highesl <br /> mansard,etc):No subtraction. . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> EXISTING highestexisting grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundption OR 10 feet(whichever is les . (BASED ON of slab and the highest existing <br /> EQUALS Defined building height EXISTING grade adjacent to the foundation. <br /> ; GRADES <br /> EQUALS �efined building height <br /> Shorefsnd District MCWD Permit average Lakeshore Setback g�uff <br /> fUlet? <br /> � <br /> Q Yes ❑ N �� Permit Number. Q� Yes � No � N/A ❑ Yes 0 No <br /> � N/A—see attached Setback: <br /> Stormwater Qualit Proposec! <br /> Overla �istrict Existin� hEardc�ver <br /> y (% and sf� �ardcaver Variance Required CUP Requirec! <br /> Tier circle one %and s <br /> � Yes 0 No C3 Yes � No <br /> 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\formslplan review checklisi 2015.docx <br />