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PLAN /REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: Gt �l l/`(✓i Permit No.: 2V1 F9— ? ZA3Z <br /> Description of work: CA9,0 r Date Rec'd: <br /> Septic review by: Date Approved: <br /> Zoning review by: Date Approved: <br /> Building review by:14LDate Approved: <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coveerne: SF % <br /> Survey Submitted: 13 Yes No Date of Survey: %/ Revised dateM: <br /> Landscape plan submitted? 0 Yes 0 No Landscaper: <br /> Proposed Setbacks: i <br /> Front(Lake) Rear(Street) ( NS E W ) ( IV S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FE: FFE minus 6 feet= (Existing Contour) <br /> Perimeter(linear feet)= 50 0= L.F. below grade <br /> Basement? 0 Yes 0 No, Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between t e lowest proposed Slab at or above grade— <br /> START W ITH floor(of the basement r crawl space)and measure from highest existing <br /> the highest point of th�roof. START WITH grade to the highest point of the <br /> roof even if fill was brought in to <br /> If you have a... <br /> elevate home. <br /> SUBTRACTION GABLE OR�HIPPED ROOF(no Slab below grade—measure <br /> (BASED ON windows):/Subtract half the dist! from highest existing grade to the <br /> ROOF TYPE) between the highest point of the r-2 1 highest point of the roof. <br /> to the low point of the correspondin If you have a... <br /> gable of hipped roof SUBTRACTION GABLE OR HIPPED ROOF• GABLEOR HIPPED ROOF(with (BASED ON (no windows): Subtract half <br /> the distance between the <br /> wind s): Subtract half the distance ROOF TYPE) <br /> n the top of the highest highest point of the roof to <br /> be <br /> win ow and the highest point of the the low point of the <br /> r corresponding gable or <br /> hipped roof <br /> • L OTHER ROOF TYPES(flat, GABLE OR HIPPED ROOF <br /> ansard,etc):No subtraction. (with windows): Subtract <br /> SUBTRACTION Subtr ct the distance between the half the distance between <br /> (BASED ON base ent/crawl space floor and the the top of the highest <br /> EXISTING high st existing grade adjacent to the window and the highest <br /> GRADES) fou dation OR 10 feet(whichever is less). point of the roof <br /> • ALL OTHER ROOF TYPES <br /> (flat,mansard,etc):No <br /> EQUALSD ned building height subtraction. <br /> Defined building height <br /> EQUALS <br /> Updated: October 2015 <br /> z:\forms\plan review checklist 10-2015.docx <br />