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�Lt�� E�E�lIE1�1 �l�ECKLiST FOF� �E1AI �TI�EJC�I�RES / 14DDITIQf�� <br /> Addres�: � � Permit No.: d� 1�tU � �_�.A�O a <br /> � <br /> � De�cription of work: �"� + � Date Rec'd: E � ��' t �D <br /> � <br /> :� �� ;%��� �� <br /> Septic review by: ���'� '�- ��,�� aate Approvec�: <br /> Zoning review by: Date Approved: <br /> ��'" �' <br /> Builciin review b ��'"'_r�'" f 4 1 <br /> g y: '� �.,�'�'j"�' Date Approved: <br /> y ` � r <br /> Grading rev.iew by: � Date Approded: �'fqe4l � (T— <br /> �z' Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Q►rea: SF/AC Width: Lot Coverage: �`�` SF % <br /> Survey Submitted: �es ❑ No Date of Survey: � •� •�� Revised date(?): <br /> . �'1 `p L <br /> Landscape plan submitted? Yes ❑ No Landscape�- ��� �f'►� �,�(�C��-- (�',�tl��T� <br /> � N �. <br /> � �roposed S�tt�acks: �E.gY� • �.�. F'� '� � ����°�'1 '�� I t6�'i h�-- <br /> O � �� <br /> Front(L e) Rear(Str ) ( N S � W ) ( N S E W ) Other Buildings l�Vetland <br /> Side Side �00 i <br /> J��.� � ` ��` lc�` �I,'> . <br /> � <br /> Defined Height: Peak Height: FFE: �`' FFE m'snus C feet= (Existing Contour <br /> _ , . -�... <br /> _ �, , : �.i , ., <br /> P�rimeter(linear feet) _ ;; '� : 50% _ . .` _ L..F..�el�.�:grade- <br /> Basement? ❑ Yes ❑ No, Stories <br /> FOR A BUILDING WITH A BASENfENT OR CRAWL SPACE: FOR A BUILQING ON H SLA� FOUNDATIOPl: <br /> The distance between the Iowest proposed Slab at or above grade— <br /> floor(of the basement or crawl space)and measure from hiQhest existinq <br /> START WITH the highest point of the roof. rq ade to the highest point of the <br /> , START WITH roof even if fill was brought in to <br /> elevate home. <br /> If you have a... <br /> ;' SUBTRACTION • GABLE OR HIPPED ROOF(no Slab below grade—measure <br /> (BASED ON windows): Subtract half the distance from highest existing grade to the <br /> ROOF TYPE) between the highest point of the roof hi hest oint of the roof. <br /> to the low point of the corresponding If you have a... <br /> y�"�'' . gable or hipped roof • GABLE OR HIPPED ROOF <br /> SUBTRACTION <br /> � GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half <br /> t,�` windows): Subtract half the distance ROOF TYPE) the distance between the <br /> between the top of the highest <br /> 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 TYP S(flat, s <br /> s•`, GABLE OR HIPPED ROOF <br /> �: mansard,etc):No subtrac . (with windows): Subtract <br /> SUBTRACTION Subtract the distance between the half the distance between <br /> (BASED ON basemenUcrawl space floor and the 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 building height <br /> EQUALS <br /> Updated: October 2015 <br /> z:\forms\plan review checklist 10-2015.docx <br />