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��' PLAN �E�OIEV1� �HECKLlS�T FOR �EVII STRUCTURES / ADDITt4NS <br /> � Address: E 1 �� ��Q� � Y� Permit No.: �6�� -Q{��- <br /> Description of v000rk: � 'f-► O�o Date Rec'd: �� '{� •�� <br /> Septic review by: ��,�C,� �--VV��� Date�4pproved: <br /> Zoning revie�nr t�y: Date Approved: � � �� �' � 1� <br /> Builc�ing revievv by: ';� Date Approved: / � l <br /> � <br /> Gradin� review tay: � � Date approveci: �:-�,��� f� <br /> 9 9 � �' �� ' l.1 <br /> Zonin District: �..•��� � �onin File#: �� ' ���.3 Reso#: ���� Reso Date: <br /> Zoning: Lot Area: g �� /AC Vilidth: Lot Coverage: �� t � SF �t % <br /> Survey Submitted: �Yes C1 No Date of Survey: ��?J�'�,� Revised date(?1: �,_ <br /> Landscape plan submitted? Q Yes � No Landscaper: <br /> Propased Setbacks: <br /> i '��� �0 a � �, <br /> Fr t (Lake� r(Street) ( N S E ) ( �E � E 1�V ) Other Buildings Wetiand <br /> � Side Side <br /> �t�° ��3 ` �d � ���� , <br /> Defined �leight: Peak Height: _ FFE: FFE minus C feet= (Existin� Cantour <br /> Perimeter(linear feet) = 50% = L.F. below grade <br /> Basement? � Yes Q No, Stories <br /> �` <br /> �� <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: � FOR A BUILDING ON A SLAB FOUND,4TION: <br /> The distance between the lowest proposed Slab at or above grade— <br /> floor(of the basement or crawl space)and measure from hiqhest existinp <br /> START WITH the highest point of the roof. rg ade to the highest point of the <br /> START W ITH 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 exiating grade to the <br /> ROOF TYPE) between the h�est point of the roof hi hest oint of the roof. <br /> to the low pofnt of the corresponding If you have a... <br /> gable or hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF <br /> o GABLE OR HIPPED ROOF(with (BASED ON (no windows): Subtract half <br /> the distance between the <br /> windows): Subtract half the distance ROOF TYPE) highest point of the roof to <br /> between the top of the highest the low point of the <br /> ' window and the Fiigliest point of the <br /> ; roof corresponding gable or <br /> hipped roof <br /> o ALL OTHER ROOF TYPES(flat, � GABLE OR HIPPED ROOF <br /> mansard,etc):No subtraction. (with windows): Subtract <br /> SUBTR,4CTION 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 /> e ALL OTHER ROOF TYPES <br /> (flat,mansard,etc):No <br /> EQUALS Defined building height subtraction. <br /> Defined building height <br /> —1 EQUALS <br /> �' <br /> r�'a <br /> Updated: October 2015 <br /> z:\forms\plan review checklist 10-2015.docx <br />