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�L�4N RE�tE1IV CHECKLIST FOR IVE1lIS S�'RllC�'��ES / �DDITIONS <br /> Acidress: �`�"� � �� �� Permit No.: ���— � <br /> Description of work: �, � �E'��✓ Date f�ec'd: _`$���`�� <br /> Septic review by: � )-Q,� ��� Qate Approved: �''�"� <br /> Zoning review by: Date Approved:�� '.J�' • �'�,� <br /> Building review by: �ate Approved: -���'�' ��� <br /> Grading review t��: � Date Approved: � ��� �� <br /> Zoning District: � '° �: Zoning File#: Reso#: Reso Dat�: <br /> Zoning: Lot Area: �O SF/AC Width: Lot Coverage ` �X° � � � <br /> ��:� /� <br /> Sunrey �ubmitted: �es C3 No E�afie csf Survey: �-°���� Revised date(�)• <br /> Proposed Setbacks: <br /> 0 9� <br /> Front �ceJ� Rear(3treetJ'� �� S E W �j ( N �S E W ) Other Buildings Wetland <br /> Side `Side <br /> � � �� ��r � 6 <br /> j L <br /> Defined Height: � Peak Height:_ � - � FFE: FFE minus 6 feet= (Existing Contour <br /> �� <br /> f Perimeter(linear feet) = 50% = L.F. below grade #of Stories �_-_ <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUMDATION: <br /> The distance between the lowest proposed The distance between the top of <br /> 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 <br /> • GABLE OR HIPPED ROOF(no (no windows): Subtract half <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 /> (BASEO 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 <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 (flat,mansard,etc):No <br /> �,. -,1'� , (BASED ON basement/crawl space floor and the subtraction. <br /> 1� 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 buifding height EXISTING grade adjacent to the foundation. <br /> Z � GRADES <br /> — EQUALS De£ned building height <br /> �: <br /> :- <br /> s Shoreland DBstrict MCWD Permit Average Lakeshore Setback g�uff <br /> Met? <br /> Permit Number: �� � � � � Yes 0 No /A 0 Yes No <br /> �es Q No <br /> 0 N/R—see attached Setback: <br /> Stormwater Quality Proposed <br /> Overfa District ��isting Hardcover <br /> Y o Hardcover Variance Required CUP Required <br /> Tier circle one (�o and sfl %and s <br /> � `�.��� ' ��_� � Yes No Q Yes ,No <br /> 1 � 2) 3 4 5 ������ Type(s): Type(S); <br /> � ��;i:!. _ j <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br /> � . <br />