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�LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: l('7 `� �9�, �d`'e�� Permit No.: <br /> Description of work: J`�C�(lQ l �' ���`�i�',d^ eC�7�4R Date Rec'd: <br /> Septic review by: � ti Date Approved: C� � <br /> Zoning review by: Date Approved: <br /> ✓ <br /> Building review by: Date Approved: � <br /> Grading review by: Date Approved: <br /> Zoning District: Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: SF/AC Width: Lot Coverage: SF °/a <br /> Survey Submitted: � Yes � No Date of Survey: Revised date ? : <br /> Landscape plan submitted? � es 0 No Landscaper: <br /> Proposed Setbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak Heig t: F FFE minus 6 feet = (Existing Contour; <br /> Perimeter(linear feet) = 50% = L.F. below grade <br /> Basement? � Yes � No, St ries <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPAC : FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between th lowest proposed Slab at or above grade— <br /> START WITH floor(of the basement ,rawl space)and measure from hiqhest existina <br /> the highest point of th ro f. START WITH rq ade to the highest point of the <br /> roof even if fill was brought in to <br /> If you have a... elevate home. <br /> SUBTRACTION • GABLE O HIPPED OOF(no Slab below grade—measure <br /> (BASED ON windows): Subtract h f the distance from highest existing grade to the <br /> ROOF TYPE) between he highest p nt of the roof hi hest oint of the roof. <br /> to the I point of the c rresponding If you have a... <br /> gable hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF <br /> • GAB OR HIPPED RO F(with (BASED ON (no windows): Subtract hatf <br /> win ws): Subtract half t e distance ROOF TYPE) the distance between the <br /> be een the top of the hig est highest point of the roof to <br /> wi dow and the highest po t of the the low point of the <br /> r f corresponding gable or <br /> hipped roof <br /> • LL OTHER ROOF TYPES flat, • GABLE OR HIPPED ROOF <br /> ansard,etc):No subtractio . (with windows): Subtract <br /> SUBTRACTION Sub act the distance between the half the distance between <br /> (BASED ON bas menUcrawl space floor and the the top of the highest <br /> EXISTING hig est existing grade adjacent to th window and the highest <br /> GRADES) fo dation OR 10 feet(whichever is I s). point of the roof <br /> • ALL OTHER ROOF TYPES <br /> (flat,mansard,etc):No <br /> EQUALS D fined building height subtraction. <br /> � Defined building height <br /> EQUALS <br /> Updated: May 2016 <br /> z:\forms\plan review checklist 5-2016.docx <br />