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PLAN REVIEI� CHECKLIST FOR I�EW STl�IJCTURES / ADDITIONS <br /> Address/Permit Number: �;��� ��c ��`� ���� ��q� p�� <br /> Description of Heork: ������ �e� � ��.`=� �js��� �� e� <br /> s' �' �.✓� �� ��. <br /> Septic review by: ��� Date Approved: <br /> r' Zoning review by: �f Date Approved: <br /> .� <br /> �uilding review by: ,� r ��.�- Date Approved: � �Z�' �6� <br /> Grading review by: �/� Date Approved: <br /> Zoning District: Zoning File#: f�eso#: Reso Date: �`� <br /> �;, <br /> Zon g: Lot Area: SF/AC Width: Lot Coverage: SF ��/o <br /> Survey ubmitted: 0 Yes 0 No Date o�Survey: Revised dateL?�� <br /> Pro osed tbacks: �°� <br /> �„ <br /> Front(Lake Rear(Street) ( N S E W ) ( N S E W } Other Btri�dings Wetland <br /> Side Side <br /> � <br /> ,� <br /> Defined Height: �� Peak Height: FFE: FFE mir� s 6 feet= (�xisting Contour) <br /> `'_� f <br /> Perimeter(linear feet) _ � 5�% _ #of Sto es Ok? 0 YES <br /> :� <br /> FOR A BUILDING WITH A BASEME[dT OR C WL SPACE: <br /> ;,. <br /> The distance be een the lowest F�A BURDtNG ON A SLAB FOUNDATIOPl: <br /> START WITH proposed floor(of e basement or crawl � <br /> space)and the highe �point of the roof. ,,F 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�OF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half tiv� windows): Subtract half the distance <br /> distance between the highe Qoint/ between the highest point of the roof <br /> of the roof to the tow point of t <br /> to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped;ro�of SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROO�with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half e ROOF TYPE) windows): Subtract half the distance <br /> distance between the p of the between the top of the highest <br /> highest window an�nhe highest window and the highest point of the <br /> point of the roof;�� ��< roof <br /> • ALL OTHER;�f00F TYPES(flat, • AlL OTHER ROOF TYPES(flat, <br /> mansard,¢tc):No subtraction. mansard,etc:No subtraction. <br /> Subtract the ADDITION Add the distance between the top of slab <br /> SUBTRACTION ft�stance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenU�Yawl space floor and the EXISTING the foundation. <br /> GRADES) highest isting grade adjacent to the ��; GRADES <br /> found�o�n OR 10 feet(whichever is less). ,EQUALS Defined buifding height <br /> EQUALS Def(hed building height `'� <br /> , � <br /> Shorelae�d Distri � NiCWD Permit Received /�vera e Lakeshoee S� back Met? Blu�f <br /> ��� � Yes 0 No 0 N/A '�. � Yes � No <br /> i7 Yes � No � Yes � No ��`�jV/A <br /> , Permit Number: � Setback: <br /> Storm ter Quality Existing Proposed ��riance Required CU`P Required <br /> Over District Tier Flardcover Eiardcover � <br /> 0 Yes � No � Ye Q No <br /> Type(s): Type(s): `� <br /> � <br /> �, <br /> �� Updated: January 2013 <br /> E: v:\forms\plan review checklist 2013.docx ��� ���� �' <br /> f <br /> s- <br /> k({�� <br /> d� .. . . . . . . . . ,. . . � ... . .. .. . . � . .. .. .. . � .. . . .. ,. . .. . , � <br />