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� PLAI�,REVIEV�d CHECFCLIST FOR NEW �TRUCTURES / ADDITIOIVS <br /> ..� � ,, � <br /> Address/Permit Number: �:� `�::-`� �.a,;�,.����"���-� C�a-�� �- <br /> r-; .- <br /> Description of work: ����� `�-� � a�_�`� <br /> Septic revie�nr by: Date Approvect: <br /> Zoning review by: � Date Approved: � ' � '��' <br /> Building review by: ���� `����,�� - Date Approv�ecl: � � �- ° C � <br /> -- -- ------—___ <br /> . - - -- - -------- <br /> Grading review by: � •«. Date Approved: �� � <br /> Zonin� District: �oning File#: Reso #: Reso Date: <br /> r' Zoning: Lot Area: 1� ; `F V AC Width: Lot Coverage: SF _% <br /> � Survey Submitted: �es �f � No Date of Survey: �"�� ��=% � Revised date(?): <br /> Pro osed Setbacks: <br /> Front(l,ake) Rear(S eet) E � �,�� W 1 ( � S E /� ) Other Buiiding� 1�letlanc4 <br /> � Sit�`' Side <br /> ���� � ! � ^ �C, (✓`� ��ji�r��� �9�c o�p E 6�d';�,�'�a l�� �, `�� <br /> �� Defined Height: �� � � ��'� Peak Height: �� FFE '��`�� !`�� FFE rninus 6 feet= I`������< �`�"��� (Existing Contour) <br /> Per�cneter{lir�ea�feet) = 1 �% G 1 #�of Sgorie��Ok? �YES <br /> C � 50% _ � ,'1 <br /> (j Y?��„y�/ .' ` �� i'��� � .. �f� �, .F � '..,*f_.. -�- <br /> FOR A BUILDING WITH A BASEMEI�T OR Cf�AWL SP�CE: � �. ___- � "` "�'� -- <br /> The distance between the lowest � �� <br /> ��;` START WITH proposed floor(of the basement or crawt f �� <br /> ✓'• �_--- space)and the highest point of the roof. of slab and <br /> If you have a... � 0��� �O,l� � <br /> • GABLE OR HIPPED ROOF(no �OF(no <br /> �F� windows): Subtract half the � he distance <br /> distance between the highest point �' �t of the roof <br /> of the roof to the bw point of the �� � rresponding <br /> SUBTRACTION corresponding gable or hipped roof <br /> (BASED ON ROOF e GABLE OR HIPPED ROOF(Wlth F(Wiih <br /> NPE) windows): Subtract half the 1� � � he distance <br /> + distance between the top of the 0 l �,.i' hest <br /> ` highest window and the highest oint of the <br /> � point of the roof �� � r�J��� <br /> • ALL OTHER ROOF TYPES(flat, �p/ �S(Flat, <br /> �' mansard,etc):No sub4raction. �^,. /�/,/ �/�n/�/� ion. <br /> ��1� �f/�fj►Y �op of slab <br /> � Subtract the distance between the ��� . djacent to <br /> SUBTRACTION basemenUcrawl space floor and the <br /> � '� � (BASED ON EXISTING N` P <br /> GRADES highest existing grade adjacent to the �!� � <br /> � � � foundation OR 10 feet(whichever is less). % <br /> ���`" EQUALS Defined buitding height ��L�� � �� <br /> 1 � <br /> � , . . �� <br /> � <br /> �` Shoreland District M 1MD Permit Received Avera e Lakeshore Setback Met? �tuff <br /> Yes 0 No C] N/A / � Yes �' No <br /> �; � Yes 0 No � Yes � No ,0 N/A <br /> Permit Number. , — (�� / Setback: <br /> �tormwater Q�ality Exisitir�g Proposed �r�riar�ce F�ee�uirecf Ct�� �equired <br /> Overla District Tier Hardcover Harcicover - <br /> � Yes I�`��Eo � Yes - � No <br /> / � '' )('t r. TYpe�s)� f f TYpe�S)� �� <br /> I � �' I A '�L �1� .. <br /> Updated: January 2013 , - <br /> v:\forms\plan review checklist 2013.docx � ,�;. :�' �. <br />