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PL�IV RE\/IEV1f CHECKLIST FOR �E1l1/ STRUCTURES / A�DITIQNS <br /> Address/Permit Number: � � � � ����'��°� � � � � <br /> Description of work: � � � i � ���� <br /> �: <br /> Septic review by: Date Approved: � ` ' <br /> Zoning review by: Date Approved: �� <br /> Buiiding review by: �- Date Approved: � � � �- � r � <br /> Grading review by: ..f�f« Date Approved: S6 i3 <br /> Zoning District: "l� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: �� S /AC Width: �ot Coverage:� SF � <br /> Surve Submitteci: Yes � No Date of Surve : �� " I� � � �� <br /> y y � Revised date(.). <br /> Pro osed Setbacks: ��Q�i(,�,1�(j� — e ��r n <br /> Front�' Rear(S�) � ��� E W j ( N S E W ) Other Buildings Wetland <br /> i Side • Sicle <br /> �� r <br /> _ Defined He6ght: Peak Height: FFE: FFE minus 6 feet= (Existing Contour) <br /> � Perimeter(linear feet)= 50% _ #of Stories Ok? 0 YES <br /> F <br /> FOR,4 BUILDING M/ITH A BASEMENT OR CRAWL SPACE: <br /> The distance between the lowest FOR A BUILDING ON A SLAB FOUNDATIOf�: <br /> START WITH proposed floor(of the basement or crawl <br /> space)and the highest point of the roof. START WITH The distance between the top of slab and <br /> the highest point of the roof. <br /> If you have a... If you have a... <br /> • GABLE OR HIPPED ROOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> �; distance between the highest point between the highest point of the roof <br /> of the roof to the low point of the to the low point of the corresponding <br /> SUBTRACTION corresponding gable or hipped roof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE) windows): Subtract half the ROOF TYPE) windows) Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window and the highest window and the highes4 point of the <br /> point of the roof roof <br /> . ALL OTHER ROOF TYPES(flat, • ALL OTHER ROOF TYPES(Flat, <br /> mansard,etc:No subtraction. <br /> mansard,etc):No subtraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distance between the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space floor and the EXISTING the foundation. <br /> GRADES) highest existing grade adjacent to the GRADES <br /> foundation OR 10 feet(whichever is less). EQUALS Defined building height <br /> EQUALS Defined building height <br /> < <br /> Shore€and Distric� fV6'C1lVD �ermit Receive A�r�ra e Lalseshore Setback IVlet? �IufF <br /> � 0 Yes � No , N/A � Yes No <br /> '� � � No Yes � No N/A <br /> x Permit Number: Setback: <br /> Storrn�noat�r(�uality Existing P�'�R�S�� �ar6ance Required CU� Required <br /> Overla Distri�t fier liardcover F�ardcoder <br /> ' � Yes o � Yes No <br /> � �� .�Q � �� .� TYPe(S)� TYpe(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />