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PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � !�4 GtfC�fSt.� Permit No.: �129'' ��d�� <br /> Description of work: Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: r �� <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 /> \ <br /> Survey Submitted: 0 s � No Date of Survey: Revised date ? : <br /> Landscape plan submitted. � Yes 0 No Landscaper: <br /> Proposed Setbacks: <br /> Front (Lake) Rear(St et) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side ide <br /> Defined Height: P ak 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 CR WL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distanc between the lo est proposed Slab at or above grade— <br /> floor(of the b sement or cr�vl space)and measure from hiQhest existina <br /> START WITH the highest po t of the ro . ra ade to the highest point of the <br /> START WITH roof even if fill was brought in to <br /> elevate home. <br /> If you have a... <br /> SUBTRACTION • GABLE OR I PED 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 i hest point of the roof hi hest oint of the roof. <br /> to the low oint f the corresponding If you have a... <br /> gable or pped r of SUBTRACTION ' GABLE OR HIPPED ROOF <br /> • GABLE R HIPP ROOF(with (BASED ON (no windows): Subtract half <br /> windo s): Subtract alf the distance ROOF TYPE) the distance between the <br /> betw en the top of th highest highest point of the roof to <br /> win w and the highes oint of the the low point of the <br /> ro corresponding gable or <br /> hipped roof <br /> • L OTHER ROOF TYPE (flat, . GABLE OR HIPPED ROOF <br /> ansard,etc):No subtracti . (with windows): Subtract <br /> SUBTRACTION Sub act the distance between the half the distance between <br /> (BASED ON ba emenUcrawl space floor and the the top of the highest <br /> EXISTING h' hest existing grade adjacent to the window and the highest <br /> point of the roof <br /> GRADES) undation OR 10 feet(whichever is less . 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 />