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t <br /> �LAIV I�E�/IE1lV CF�ECaCE.IST �OR �EW STRUCTUR�S / ADDITIONS <br /> Acidress: �� � ���� � Permit No.: ��'� � o���(Q � <br /> Description of work: ,� ' �� Date Rec'd: � �'�(� ' t� <br /> Se tic revi�wr b �� �— 9ii0�I � .��= �� �' ���e���� .� �°� �� � <br /> P Y� Date Approved: �� <br /> Zoning revie`nr by: Date�4pproved: <br /> Building review by: Date�lpproved: � Z� l� <br /> �, Grading review by: �i Date Approved: �,�i <��, �� <br /> �` <br /> �:. Zoning District: �1�"'�� Zonirrg File#: Reso#: Reso Date: <br /> �� <br /> ' Zoning: Lot Area: S /AC 1lVidth: Lot Coverage: � SF % <br /> Survey Submitted: �es � No Date of Survey: S� ' ��• �� Revised date(?): <br /> Landscape plan submitted? � Yes � Landscaper: <br /> Proposed Setbacks: ��� <br /> Fr t (Lalce) R r(Stre�� ( N S E ) ( N S E � Other Buildings Wetland <br /> � � <br /> Side Si e <br /> `.�3 0 0 <br /> Defined Hei�ht: Peak �Eeight: FFE: FFE rx�inus 6 feet= (Existing ContourJ <br /> Perimeter(linear feet) = 50% ! L.F. ��6�w gr�de <br /> Basemen4? � Yes 0 No, Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A S�AB FOUNDATOON: <br /> The distance between the lowest proposed Slab at or above grade— <br /> START W ITH floor(of the basement or crawl space)and measure from hiqhest existina <br /> ��;��� the highest point of the roof. START WITH �9—ade to the highest point of e <br /> �� roof even if fill was brougYt in,o <br /> If you have a... elevate home. <br /> � <br /> ` SUBTR,4CTION • GABLE OR�MIPPED ROOF(no Slab below�de—measure <br /> � (BASED ON windows,�:"Subtract half the distance from highe�t existing grade to the <br /> ROOF TYPE) betw�en the highest point of the roof hi hesS oint of the roof. <br /> to the low point of the corresponding If yp�f have a... <br /> �able or hipped roof SUBTRACTION GABLE OR HIPPED ROOF <br /> ' GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half <br /> �`"� windows): Subtract half the distance ROOF TYPE) the distance between the <br /> ' s% 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 /> �8 hipped roof <br /> � e ALL OTHER ROOF TYPES(flat, /� . GABLE OR HIPPED ROOF <br /> mansard,etc):No subtraction. �� (with windows): Subtract <br /> S TRACTION Subtract the distance between the ,/ half the distance between <br /> ASED ON basemenUcrawl space floor and the f` 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 buiYding height <br /> EQUALS <br />�>; <br /> Updated: October 2015 <br /> z:\forms\plan review checklist 10-2015.docx <br />