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P LA ��' Vl�i� Sj <br /> N REVIEW CHECKLIST FOR g <br /> Address: _�� S�r l�� Ip� • Permit No.• �d��—v���� <br /> Description of work: ��ImQ 1 S� Date Rec'd: � t'�ZL �� <br /> Septic review by: Iv T� Date Approved: <br /> Zoning review by: Date Approved: `t"`lU 'L�j <br /> Building review by:_ �� Date Approved: <br /> Grading review by: N � Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: � Yes I�No Date of Survey: Revised date(?): <br /> / � <br /> Landscape plan submitted? � Yes �No Landscaper: <br /> Pro osed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50%= L.F. below grade <br /> Basement? � Yes O 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 /> START WITH floor(of the basement or crawl space)and measure from hiahest existina <br /> the highest point of the roof. START WITH rade to the highest point of the <br /> roof even if fill was brought in to <br /> elevate home. <br /> ff you have a... <br /> SUBTRACTION • GABLE OR HIPPED ROOF(no Sta ow grade—measure <br /> (BASED ON windows): Subtr al he distance � m highest existing grade to the <br /> ROOF TYPE) between the ' est point of the roof ' hi hest oint of the roof. <br /> to the lo oint of the corresponding If you have a... <br /> gabl - hipped roof SUBTRPiCTION ' GABLE OR HIPPED ROOF <br /> • 6�BLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half <br /> �windows): Subtract half the distance �OOF TYPE) the distance between the <br /> �Y between the top of the highest highest point of the roof to <br /> �� window and the highest point of the f• 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 /> UBTRACTION 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 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 /> Deflned building height <br /> EQUALS <br /> Updated: October 2015 <br /> z:\forms\plan review checklist 10-2015.docx <br />