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�PLAN REVIEW CFIECKLIS�' FOR CVE11V STf�UC�E�RES / /�iDDITiQNS <br /> Address: ����� _ a�� Permit No.: � '� <br /> 4i. � � �'�� <br /> Description of work: � �� Date Rec d: <br /> Septic reveew by: —__s�.1Lc��� VV�� Date Approved: '"'" <br /> Zoning review by: Date��aproved: , <br /> Building review by: � Dat�l�ppro�red: �� � �� <br /> Grading review by: Dat� Ap�roved: <br /> Zoning District: �— Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: /AC V4'idth: Lot Coverage: SF % <br /> Survey Submitted: �es CI No Date of Survey: _��� ��•� Revised date(?): �•��� <br /> Proposed Setbacks: �'�'�� <br /> I�t e� <br /> Front (L�e Rear ( � � E � ) ( N S E W� Other �uildings l�Netlanci <br /> Side Side <br /> , <br /> Defined H�ight: Peak Height: FFE: FFE minus 6 feet= (Existing Contour <br /> s Rerimeter(iinear feet) = 50% = L.F. below grade #of Stories <br /> FOR A BUILDING WiTH A BASEMENT OR CRAWL SPACE: FOR A BUILDINC OI��4 SLAB FOUNDATION: <br /> The distance between the lowest proposed The distance between the top ot <br /> y. START WITH floor(of the basement or crawl 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(no • GABLE OR HIPPED ROOF <br /> (no windows): Subtract ha!f <br /> windows): Subtract half the distance the distance between the <br /> between the highest point of the roof highest point of the roof to <br /> to the low point of the corresponding the low point of the <br /> SUBTRACTION gable or hipped roof <br /> corresponding gable 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 /> � between the top of the highest ROOF TYPE) (with windows): Subtract I <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 /> � ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the distance between the <br /> (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl space floor and the subtraction. <br /> i: EXISTING highest existing grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) 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 /> r" GRADES <br /> r EQUALS Defined building height <br /> Shorelanci Di�trict MCWD Permit �verage Lakeshore Setback gluff <br /> '? f�iet? <br /> �Yes � No Permit Number: ` -0 � Yes � No N/A ❑ Yes �No <br /> 0 N/A—see attached Setback: <br /> = Stormwater Quality Proposed <br /> ' Overla District Existing liardcover <br /> y (%and s� �ardcover Variance Requiree€ CUP Required <br /> Tier circle one %and s <br /> �! ,��� ��. � Yes � Q Yes No <br /> 1 � 3 4 5 Type(s): Type(s): <br /> 21��� ��� S� <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />