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- PL�,F� �E\/lE�il �I�EC�C�IST FOR NEIl1/ �TRUCTU r�ES / AD�ITIQNS <br /> Address/Permit Number: �� �� d���� �aj°`�1r �'^� <br /> Description of work: /�� �C��Ae 6�y �.00e� t�s�- <br /> Septic revievv by: /i�(� Date Rpproved: <br /> rf' <br /> Zoning review by: � Date Approved: <br /> Buiiding review by: Date Approved: ��.3 - f� <br /> Grading revievd by: /�e� Date Approved: <br /> Z ing Di�trict: ZQning File#: Reso#: sa Date: <br /> Zon�ng: ot/�rea: SF/AC V1lidth: Lot Coveeage: SF _% <br /> Survey Sub 'tteci: 0 Yes � No Date of Survey: Revised date ? : <br /> ; <br /> Pro osed Setbac s: <br /> Front(Lake) ear(Street) ( N S E W ) ( N S E V1� Other Buildings Wetland <br /> % Side Side <br /> Defined Height: Pe Fleight: FFE: FFE minus 6 feet= (Existinc� Contour) <br /> Perimeter(linear feet) _ % _ #of Stories Ok? � YES <br /> � <br /> FOR A BUILDING WITH A BASENiENT OR CRAWL SPA <br /> The distance between the lowe FOR A BUILDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the basement o rawl <br /> space)and the highest point of the ro . START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROO (no . GABLE OR NIPPED ROOF(no <br /> £' windows): Subtract half e windows): Subtract half the distance <br /> distance between the ighest point between the highest point of the roof <br /> ' of the roof to the lo point of the to the low point of the corresponding <br /> a SUBTRACTION corcesponding g e or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR H PED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE� windows): ubtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance tween the top of the between the top of the highest <br /> highes indow and the highest window and the highest point of the <br /> poin f the roof roof <br /> . ALL O7HER ROOF TYPES(flat, <br /> • A OTHER ROOF TYPES(flat, mansard,etc:No subtraction. <br /> ansard,etc):No subtraction. ADDITIO Add the distance between the top of slab <br /> SUBTRACTION Su ract the disiance between the (BASED O and the highest existing grade adjacent to <br /> (BASED ON EXISTING b semenUcrawl space floor and the EXISTING the Foundation. <br /> GRADES) ighest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS efined building height <br /> EQUALS Defined building height <br /> Shoreland Di� ict ffilfiClMQ �ermit Received Avera e Lakeshore Sett�a�ck IOA�t? BIufF <br /> '= � Yes � No � N/A � s m No <br /> 0 Yes Q No � Yes � No 0 fV/A <br /> Permit Number: Setbac � <br /> �tormwater f�uality Existing PropQsed ��riance Required G!!R F�equired <br /> Overla �istrict Tier Fiarcfcaver F�arcicover <br /> � Yes � No � Yes � No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />