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<br /> {PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS
<br /> Address:, �1� �IV1l(�� Wl � Permit No.: �k� " ��1�
<br /> Description ofwork: N S� " . Date Rec'd: � ��' ��
<br /> :�" � :
<br /> Septic revievu by: I YU(� Yv� ' ' D�te AppraVed �S
<br /> � � . �1,
<br /> : Zoning review by: lQJ Daite;Approved: 2-� i �'' '�T
<br /> Building review by: p�,�,�,,� �Date A ��.�
<br /> pProved. 1..- Z �. ..
<br /> Grading review by: �.- 'Date Approved. ,�?�J��-'i`''g"� �
<br /> Zoning District:��� : Zoning File#: �teso#: .. :Reso Date: •
<br /> Zoning:.Lot Area: SF/AC 1Nidth: Lat Coverage: SF �%
<br /> Sunrey Submitted: ,�es � No Date of Survey: ��'�'�� f�evased,date(?l:.
<br /> 'Pro osecl'Setbacks:
<br /> Front�L�,`�� � Rear{�t t)30' ( N S E w ) (` N� 5 E Y#I )� Other:Buildings . ' � We�land . .
<br /> � � - � . �
<br /> Side. - 30". x�Si .de , 3e` ,,;
<br /> ��� � 2.�' ' ° I'��?� � � .�'
<br /> ' flefined Height: Peak�Height�:;xfFE:�� FFE minus$:fe�t;:: {�3��=�Existing�pntaur
<br /> � > � ���, � � '�'� � � _. .: � , ` ` ' �� �� ,��a���r��. 1}-�",.�� ,
<br /> Perimeter(linear f�et) = ° . . 50°� .��� 't L F;b��ow grade #_of Stones� �
<br /> � ��,�rl?�'���:==��'$* 7��� °�t�+���1�'3 -
<br /> FOR ABWLDING WITii A BASEM�NT OR CRAWL SPACE: �fpR AB�JrLbING�1,A'$LAB FOUNDATION;.
<br /> The distance behmeen tt�e iowest�roposed �: . The.Qistance betw8en the t�p of :
<br /> te
<br /> �,���*�� START W17H �floor(of the basement or GJ1wi spac��end STAi2T W1TH slati;and Ytae�higqest point of tF�B
<br /> ,
<br /> , x-� .� the�highes�poin#o�the rdof." ' . : ,_� � :; . _ �,raof'� :
<br /> � - If�you h8ve�a..: � ' . , � _ If y0a�h�V�a.:. � �
<br /> ��;� - ~' • GABLE Oa HIFPED ROOF(no` ` '
<br /> * G/IBLH OR HIPPE{)ROOF'
<br /> ���� t •-s. ��(no annndows) Subitact haif
<br /> 's��. wfnd'ows):.Subtract haff the,distance
<br /> j i. the tlistance between`the
<br /> _ ,.�� � ^�'r� betweeri,tMe highesf jSolnt of the roof hiehest poiM af ttle�oof to
<br /> � : to the low point of the co.�spcndit�g thelow,pomt�of the ...
<br /> SUBTR'ACT10N gable or hipped roof - corres�onding gabte ar
<br /> '"�� �(BAS�D ON . GABLE QFi hJIPPE{�ROQF(with ; - SUBTRACTION • ,niPp�l ydpf
<br /> °� � ,; l20pF Ti'PE) �!_ :�tw+een#he tb�dF�fie fii�hest�� � ROQF�E � wiEh v�ilYitlowsl��ED�?�OQE�
<br /> `�'r' � � ��' � � �
<br /> � 4p .9 ) .,( .� t
<br /> �niintlow and th��fgh��i'point bf th8 '!' �`half ftfe distAnce°beivi�n '
<br /> �of �: _ � ': � � ' � .-the top o{H►e hi�hi;sf
<br /> ,: .,
<br /> - .'.. ALL QTHEf�RpOF 7YPES(flat, wrnqoW�nd tNQ highest �
<br /> : man.sard,et�):.No subtracUon. •;pomf o#;tlie roof - '
<br /> $U�fi CTION Subtiact tFie distance betweeri tfie , • �fl7MER R{�OF Tj'P�$;
<br /> ��,� � {�AS�D ON basemer�t/crawf space floor antl the {..; ,`s�btra�f� etc} No
<br /> �� + � ; EXISTING 'highest exf�ting'g�atle adJac�nt to'd�ie : ADDR'IQN Add the disiapCe betoveen Yhe top;' ;
<br /> � GRADES): foUndaUon OR 10 feet(whichever ls le5s) ; (SAgED�N ofslab ar�ti the°highV;sf�Xis#ipg .;'
<br /> EQUALS. ��fined building he�ght �T��. . � grade a�acen�3o th��for�fldapoA.: ,
<br /> ��{�� ' " �,. `
<br /> � : ,:.- ,
<br /> : . � EQUl1�LS 4 - "D.� ���f bl�iltl(ng3�$l�ht " s
<br /> Shorsland Dlstrict :� MCWD PePmi# �►ve`rag��.a[c�$1►bre Setb�ck<<
<br /> , � ,,., . . , � _� � m _� ��
<br /> � �Met?� ,. 81uff ��
<br /> Rermit Nurnber. � „ �fl Yes`� �;��No N�A � O Y'2s � ��No �
<br /> �� �� 1'e� ��.0 No���. . � � ,
<br /> , � :
<br /> / � � 0 WA��see attached � � _ . _ �:� � , �. _ � � : '���. � � �Sstback: ���� _ .
<br /> Stor+nwater Quality Existing i�ardcover �roposed ` ` : ' �
<br /> Overiay District , ., , Hardcover , Variance R�quired , CUP Required.
<br /> Tier circle one (Is and sfl %and s
<br /> "'�...i t� G Yes � No p Yes � No
<br /> 1 2 �3 4 5 .�"` TYPe�s); r Y Pe(S);
<br /> �1,J
<br /> ��1�
<br /> Updated: January 2015
<br /> r.tfi�rms�plan review checklist 2015.docx.
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