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LAN REVTEW Ct-ECKU T FOR KEW aT UCTL RES / ADDririONS <br /> Address/Permit Number: 20 OittV ®vr i. 1 <br /> Description of work: Nem/ Viortg - <br /> Septic review <br /> p by: Date Approved: <br /> Zoningreview b : L - ' l� 1 Date A df/ <br /> y Approved: <br /> 40,pi <br /> • ' <br /> Building review by: i.,,,...---- Date Approved: °1" Z$-0-01 Grading review by: ,� yiff Date Approved: NY r <br /> • <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF _% <br /> Survey Submitted: jeYes CI No Date of Survey: 5 .31. I if Revised date(?): <br /> Proposed Setbacks: 5 0( 515 <br /> Front(Lake) Rear(Street) ( N S E 1111 ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> iy <br /> Defined Fleight: 3.-,, (am' Peak Height: " FFE: cit':::,,,-_,,,< FFE minus 6 feet= C: -,) : (Existing Contour <br /> Perimeter(linear feet)=at Ii 50%= Its4N5 #of Stories Ok? ®YES <br /> Wat -0 Ata/ Regi <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: r,we, <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATION: <br /> Yi- START WITH proposed floor(of the basement or crawl <br /> - r") space)and the highest point of the roof itli The distance between the top of slab anc <br /> START WITH the highest <br /> If you have a.. 9 point of the roof. <br /> If you have a... <br /> • GABLE OR HIPPED ROOF(no GABLE OR HIPPED ROOF.(no <br /> ,.,, • `- ' • • windows): Subtract half the • windows): Subtract half the distant <br /> distance between the highest point hest between the hi of the roof to the low point of the to the lowpoint point of the txxreof s the ro <br /> spondin <br /> SUBTRACTION corresponding gable or hipped roof ,_YY.: SUBTRACTION gable or hipped roof <br /> !: ". (BASED ON ROOF GABLE OR HIPPED ROOF(with (BASED ON • GABLE OR HIPPED ROOF(with <br /> +,? :.,' TYPE) :A windows): Subtract half the ROOF TYPE) windows):.SubtraCthalf the distant <br /> distance between the top of the between the top of the.highest <br /> highest window and the highest window and the highest point of tht <br /> point of the roof roof <br /> t. , • ALL OTHER ROOF TYPES(flat , ALL OTHER ROOF TYPES(flat, <br /> j. iii.r mansard,etc).No subtraction. `I mansard,etc):No:n the r ion• <br /> i ADDITION Md the distance between the top of slat <br /> i "' Subtract the distance between the io ,!-� <br /> SUBTRA°CTTON (BASED ON and the highest existing grade adjacent <br /> -.4 basement/crawl space floor and the - EXISTING the foundation. <br /> . (BASED ON EXIST NG <br /> l`�' highest existing grade adjacent to the GRADES) <br /> „., r GRADES) foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height 2'� i A <br /> Shoreland District CWD Permit Received Average Lakeshore Setback Met? Bluff <br /> Yes 0 No 0 N/A ® Yes Nc <br /> ® Yes o -® Yes ® No N/A X <br /> Permit Number: 1 ., 1 Setback: <br /> Stormwater Quality Existing Proposed <br /> Variance Required CUP Required <br /> Overlay District Tier Hardcover Hardcover <br /> ® YesNo CI Yes7 No <br /> Type(s): Type(s): <br /> I <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 013 docx <br />