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PLAN REVIEIlV CHECKLISI' FOR �EVN �TRtJC1'URES / �4�DITIOI�S <br /> �Address: � ��� ��;����� �'�'�'-�J� ��.'`�� Permit No.:_ �e=��- ��'��' �. <br /> Description of work: ��r��',�'� ��`� ���'''���-��=�- Date Rec'd: .�` �-� � !� <br /> Septic review by: �`1!'�`d'=1 Date Approved: <br /> �' Zoning revievv ta��: ,;>�,,°, �°� � Date ApprovecE: <br /> � Building review by: r,�.d--- Date Approved: .�"�� - �i�j <br /> �" Grading review b�: �4� Date Approvec4: <br /> � <br /> �''' Zoning District: Zoning File#: E�eso#: Reso Date: i" <br /> � ning: Lot Area: SF/AC V!►idth: Lot Cawerag�: SF % <br /> �: <br /> Su Submitted: Q Yes � No Date of Survey: Revised date ? : <br /> Propose Setbacks: <br /> Front(La Rear(Street) � � S E W ) ( N S E W ) pther Buildi s Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 f et= (Existing Contour; <br /> Perimeter(linear feet) = 50%_ .F. below grade #of Stories <br /> FOR A BUILDING WITH A BASEM1AENT CRAWL SPACE: FOR A BUILQIN N A SLAB FOUNDATIOt�: <br /> The dista e between the lowest proposed The distance between the top of <br /> START W ITH floor(of the asement or crawl space)and START WITH slab and the highest point of the <br /> �.; the highest po t of the roof. roof. <br /> If you have a... If you have a... <br /> e GABLE OR HI ED ROOF(no • GABLE OR HIPPED ROOF <br /> � (no windows): Subtract half <br /> f; windows): Subtra half the distance the distance between the <br /> -i between the highest oint of the roof highest point of the roof to <br /> � to the low point of the c responding the low point of the <br /> �r SUBTRACTION gable or hipped roof <br /> corresponding gable or <br /> (BASED ON . GABLE OR HIPPED ROOF 'th SUBTRACTION hipped roof <br /> ROOF TYPE) windows): Subtract half the di ce (BASED ON • GABLE OR HIPPED ROOF <br /> � between the top of the high ROOF TYPE) (with windows): Subtract <br /> � window and the highest p t of the half the distance between <br /> roof the top of the highest <br /> window and the highest <br /> • ALL OTHER ROOF YPES(flat, point of the roof <br /> mansard,etc): subtraction. . ALL OTHER ROOF TYPES <br /> SUBTRACTION Subtract the dista between the (flat,mansard,etc):No <br /> (BASED ON basemenUcrawl pace floor and the subtraction. <br /> EXISTING highest existi grade adjacent to the ADDITION Add the distance between the top <br /> GRADES) foundation R 10 feet(whichever is less). (BASED ON of slab and the highest existing <br /> EQUALS Define uilding height EXISTING grade adjacent to the foundation. <br /> GRADES <br /> UALS Definet!building height <br /> Shorelanci District MC4'UD Permit Averag� Lakeshore Setb k Bluff <br /> h7et? <br /> �°� Permit Number: ❑ Yes � No � N/A � Yes a No <br /> :° � Yes No <br /> � � N/A—see attached Setb k: <br /> �: <br /> E. <br /> � Stormwate uality �������� ��r�e�`��, Proposec! <br /> �: Overlay istrict o FBardcover �ariar��e E�ec@uireci CUP Re tred <br /> �- Tier cir e one ��a and sfl %and s <br /> e � Yes E3 No � Yes CI o <br /> � 1 2 3 4 5 Type(s): Type(s): <br /> Updated: January 2015 <br /> z:\forms\plan review checklist 2015.docx <br />