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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> -� �, r <br /> Address: �. :�..(i� Permit No.: <br /> �. � <br /> Description of work: ����; {�1 ��t ��' ,����� �i� Date Rec'd: <br /> Septic review by: - Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: - Date Approved: 7 � l' <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: 0 Yes � No Date of Survey: Revised date(?): <br /> Landscape plan submitted? ;��Yes � No Landscaper: <br /> Proposed Setbacks: \ � <br /> Front (Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> � Side Side <br /> Defined Height: Peak He��ht: 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 betwee�the lowesT proposed Slab at or above grade— <br /> ' START WITH floor(of the basement or crawl space)and measure from highest existinp <br /> " the highest point of the roof, START WITH ra ade to the highest point of the <br /> roof even if fill was brought in to <br /> 9 �� elevate home. <br /> If you have a... / � <br /> SUBTRACTION • GABLE OR H�ED ROOF(no Slab below grade—measure <br /> (BASED ON windows): S tract half the distance from highest existing grade to the <br /> ROOF TYPE) between th�highest point of the roof hi hest point of the roof. <br /> +� to the low�Aoint of the corresponding If you have a... <br /> gable or hipped roof � SUBTRACTION ' GABLE OR HIPPED ROOF <br /> P • GABL�OR HIPPED ROOF(with (BASED ON (no windows): Subtract half <br /> windbws): Subtract half the distance ROOF TYPE) the distance between the <br /> betWeen the top of the highest �� highest point of the roof to <br /> w ndow and the highest point of the the low point of the <br /> �of � corresponding gable or <br /> ' hipped roof <br /> • �ALL OTHER ROOF TYPES(flat, � • GABLE OR HIPPED ROOF <br /> ' i mansard,etc):No subtraction. (with windows): Subtract <br /> E SUBTRACTION btract the distance between the half the distance between <br /> (BASED ON }�asemenUcrawl space floor and the the top of the highest <br /> EXISTING highest existing grade adjacent to the window and the highest <br /> GRADES) foundation OR 10 feet(whichever is less). point of the roof <br /> • 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 />