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PLAN ( c REVIEW CHECKLIST/ , + L �FOR NEW STRUCTURES / ADDITIONS <br /> Address: 2-0b d a 4ku \(,V S Permit No.: 215 - o( ZVI <br /> Description of work: PO(al Mdi hon v- lc( h i_ Nuidrmin Date Rec'd: 10 (0 13 <br /> SQpitu v 1Nut- <br /> Septic review by: 4 G-. Date Approved: �� 7 <br /> Zoning review by: 0) i• I Date Approved: 1 • 2., ' <br /> Building review by: ice( Z /0 Date Approved: G f' l J <br /> Grading review by: I. (1.1. ...i. •S \U'; W Date Approved: <br /> Rocyr <br /> Zoning District: R(Z o3 Zoning File#: Reso#: Reso Date: <br /> 2� I3� 43QI/c�53LC SF 7L % <br /> Zoning: Lot Area: (p ,3 /AC Width: Lot Coverage: �p. <br /> Survey Submitted: Yes 0 No Date of Survey: q -L"----L3 Revised date(?): <br /> Landscape plan submitted? 0 Yes 0 No Landscaper: <br /> Proposed Setbacks: <br /> .3(2) <br /> Front(L e) Rear(S ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Thi Ni <br /> 4 ) <br /> Defined Height: Peak Height: FFE: FFE minus 6 feet = (Existing Contour) <br /> Perimeter(linear feet) = 50% = L.F. below grade <br /> PliE3asement? 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 the lowest proposed Slab at or above grade— <br /> START WITH floor(of the basement or crawl space)and measure from highest existing <br /> the highest point of the roof. START WITH grade to the highest point of-the <br /> roof even if fill was brought in to <br /> elevate home. <br /> If you have a... <br /> SUBTRACTION • GABLE OR HIPPED,200F(no Slab below grade—measure <br /> (BASED ON windows): Subt act half the distance from highest existing grade to the <br /> ROOF TYPE) between the highest point of the roof highest point of the roof. <br /> to the lo7point of the corresponding If you have a... <br /> gabl or hipped roof • GABLE OR HIPPED ROOF <br /> SUBTRACTION (no windows): Subtract half <br /> • BLE OR HIPPED ROOF(with (BASED ON the distance between the <br /> /windows): Subtract half the distance ROOF TYPE) <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 basement/crawl space floor and the the top of the highest <br /> 0STING highest existing grade adjacent to the window and the highest <br /> GRADES) foundation OR 10 feet(whichever is less). point of the roof <br /> / <br /> • ALL OTHER ROOF TYPES <br /> (flat,mansard,etc):No <br /> EQUALS Defined building height / subtraction. <br /> /j Defined building height <br /> EQUALS <br /> Updated: October 2015 <br /> z:\forms\plan review checklist 10-2015.docx <br />