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S'� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> ¢ <br /> �� � d � �� Permit No.: ��� ' �k.�7J� <br /> Aildress: I <br /> i <br /> Description of work: �� S �1 H�� 2�'� ate Rec'd: �� ' Z� •� <br /> �� FS S <br /> � <br /> Septic review by: Date Approved: � Z� � <br /> Zoning review by: Date Approved: 2'�'� <br /> Building review by: Date Approved: / Z � <br /> Grading review by: I"T� Date Approved: (L'�d '� <br /> Zoning District: 1`' �� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF�r/AC;� Width: Lot Coverage: ����' SF -''����- % <br /> Survey Submitted: �'es � No Date of Survey: Revised date(?): � �"I � - � <br /> {�urha� C�- h:o e(al�e, <br /> Landscape plan submitted? 0 Yes p�No Landscaper: <br /> / <br /> Proposed Setbacks: <br /> 'Rai Y� ,, <br /> Front (L e) Rear(St t) J ( N S �E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side {-p <br /> �`�x j ' ,�' ' ` ��,�" t �---� �, � , ��� , <br /> �- �- _.� <br /> CH le.d �W- <br /> , Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> ° Perimeter(linear feet) = 50% = L.F. below grade <br /> Basement? � Yes ❑ No, Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed Slab at or above grade— <br /> floor(of the basement or crawl space)and measure from hiphest existinq <br /> START WITH the highest point of the roof. ra ade to the highest point of:he <br /> START WITH roof even if fill was brought in to <br /> elevate home. <br /> If you have a... <br /> SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure <br /> (BASED ON windows): Subtract half the distance from highest existing grade to the <br /> ROOF TYPE) between the highest point of the roof hi hest oint of the roof. <br /> to the low point of the corresponding If you have a... <br /> gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF <br /> �` GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half <br /> windows): Subtract half the distance ROOF TYPE) the distance between the <br /> between the top of the highest highest point of the roof to <br /> window and the highest point of the the low point of the <br /> roof corresponding gable or <br /> hipped roof <br /> • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF <br /> mansard,etc):No subtraction. (with windows): Subtract <br /> SUBTRACTION Subtract the distance between the half the distance between <br /> (BASED ON basemenUcrawl space floor and the the top of the highest <br /> EXISTING highest existing grade adjacent to the j�� window and the highest <br /> GRADES) foundation OR 10 feet(whichever is less). ` point of the roof <br /> j • ALL OTHER ROOF TYPES <br /> (flat,mansard,etc):No <br /> EQUALS Defined building height subtraction. <br /> Defined building height <br /> EQUALS <br /> Updated: October 2015 <br /> z:\forms\plan review checklist 10-2015.docx <br />