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�LAN I�E�'IE1oV GF�ECKLIST FOI� �E1N ��RUCTURES / �4DDITION� <br /> �.: Address:' ��� Permit No.: <br /> �: <br /> 4; Description of work: Date Rec'd: <br /> ,,, f ���� `4� • �� � <br /> Septic review by: �� Date Approved: �� <br /> Zoning review by: Date Approved: <br /> � Builciing review by: Date Approved: <br /> �� <br /> � <br /> Grading review by: Date Approved: <br /> � <br /> �' Zoning District: Zoning File#: Reso#: Reso Date: <br /> �,` <br /> ��` Zoning: Lot Area: SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: ❑ Yes ❑ p Date of Survey: Revised date(?): <br /> \ <br /> '' Landscape plan submitted? � Yes �� 0 No Landscaper: <br /> ,� <br /> Proposed Setbacks: <br /> e <br /> � <br /> Front(Lake) Rear(Street) ( N E W ) N S E W ) Other Buildings Wetland <br /> 'de Side <br /> ,4 <br /> Defined Height: Peak Height:�_ FFE: FFE minus 6 feet = (Existing Contour <br /> s <br /> Perimeter(linear feet) = 50° - L.F. below grade <br /> Basement? 0 Yes � No, Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between t e lowest p oposed Slab a4 or above grade— <br /> START WITH floor(of the basement r crawl spad,e)and measure from hiqhest existinq <br /> the highest point of t roof. rp 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 O HIPPED ROOF(no� &lab below grade—measure <br /> (BASED ON windows)�, Subtract half the dist�ce from highest existing grade to the <br /> ROOF TYPE) between he highest point of the rpof hi hest point of the roof. <br /> to the I point of the corresponding If you have a... <br /> gable hipped roof �- SUBTRACTION ' GABLE OR HIPPED ROOF <br /> '', GAB OR HIPPED ROOF(with � (BASED ON (no windows): Subtract half <br /> • wind ws): Subtract half the distanciq, ROOF TYPE) the distance between the <br /> �� bet een the top of the highest " highest point of the roof to <br /> wi ow and the highest point of the �; the low point of the <br /> ro f corresponding gable or <br /> hipped roof <br /> • L OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF <br /> �,ansard,etc):No subtraction. (with windows): Subtract <br /> SUBTRACTION Subtr ct the distance between the half the distance between <br /> (BASED ON bas�inenUcrawl space floor and the the top of the highest <br /> EXISTING high�st existing grade adjacent to the window and the highest <br /> GRADES) four#fation 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 />