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�P��I� RE�'IEW CHEC�(LlST FOR �E �1'i��CTUI�ES / �DDITlOi�� <br /> Address/Permit Nurrob�r:_.__ ��� �y���,��r -��us <br /> Description af wsork: ����s- (� � ,���. � <br /> Septic reviev►r by: __ 6LJ d s� Qate Approved: <br /> Zoning eeview by: � /� Date/ipproved: <br /> Building rediew by: D�te Appeoved: P � - �-�- e�' <br /> Craciing reviewr by: ,�/�- Date Approved: <br /> �oning Di�trict: Zonin� File#: Reso#: Re�o Date: <br /> Zoni : Lot Area: SF/AC l�lidth: Lot Goverage: SF °/ <br /> Suneey bmittecf: � Yes 0 No Date of Survey: Revised date ? : <br /> � Fro osed S backs: <br /> �' Fr�r�t(Lak�) Rear(Street) ( N S E Vil ) ( N S E VV ) Other Buildi s 1!�'etiand <br /> � � Side Side <br /> �. <br /> �> Definec� Height: Peak Height: FFE: FFE rninus 6 eet= (Existinc� Contour} <br /> Perimeter(linear feet) = 5Q% _ #of Stories Ok? � YES <br /> FOR A BUILQING WITH A BASEAAEt�T OR CRA SPACE: <br /> '=r The distance betwee the lowest FOR A B LDING ON A SLAB FOUNDATION: <br /> START WITH proposed floor(of the b ement or crawf <br /> space)and the highest po t 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 R00 no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract half the windows): Subtract half the distance <br /> distance betv✓een the highest p t between the highest point of the roof <br /> of the roof to the low point of the <br /> SUBTRACTION corresponding gable or hipped roof to the low point of the corresponding <br /> SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF . GABLE OR HIPPED ROOF(with (BASED ON . GABLE OR HIPPED ROOF(with <br /> TYPE� wi�dows): Subtract half the ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of t between the top of the highest <br /> highest window and the hi est windov,�and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF PES(flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc:No subtraction. <br /> mansard,etc):No btraction. ADDITION Add the distance between the top of slab <br /> SUBTRACTION Subtract the distan etween the (BASED ON and the highest existing grde adjacent to <br /> (BASED ON EXISTING basemenUcrawl s ce floor and the EXISTING the foundation. <br /> GRADES) highest existing rade adjacent to the RADES <br /> foundation O 10 feet(whichever is less). E ALS Defined building height <br /> 4 EQUALS Defined 6 ilding height <br /> �e: <br /> �horelanc� E�Bstirict Fi�CVilQ Permit I�ece�ved ��eea e �akesh�r� Setbac et? �fu� <br /> 0 Yes � No �] IV/A � Yes � No <br /> � Yes � 0 0 Yes 0 No � N/A <br /> Permit Number: etback: <br /> �tarmr�ate Quaiit� Exi�tirrg �r�P���� �ariance Required CUP Require <br /> Overla strict Tier Fla�rcicover Hard�over <br /> Q Y�s � �o �' Yes No <br /> Type(s): Type(s): <br /> Upd�ted: January 2013 <br /> v:\forms\plan review checklis4 2013.docx � �E-t'6�r��� <br />