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� � t�LAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: � �V S� Permit No.: ��� —Q�Q�I,�/ <br /> Description of work: ! a� Date Rec' � D L ��_� <br /> t y�, <br /> � . � <br /> Septic review by: " v� I ' -� " Date Approved: � �r�'' � <br /> Zoning review by: ' Date Approved: '�c,� ' � <br /> Building review by: Date Approved: <br /> Grading review by: /4dll�,� G(�fwa� � Date Approved: • a' � � <br /> Zoning District: Zoning File#: ' t Reso#: lY�l'L Reso Date:✓'R.lY� <br /> Zoning: Lot Area: Z.JO SF AC Width: Lot Coverage: SF % <br /> Survey Submitted: �Yes � No Date of Survey: �• �(D• �� Revised date(?): �b '�Q'��D <br /> Landscape plan submitted? 0 Yes �No Landscaper: � Q� <br /> Proposed Setbacks: <br /> Fr t (Lake)"'� ar(Street) ( N S E W ) ( N E W ) Other Buildings Wetland <br /> Si� �ide <br /> � �, , � <br /> �Ir; � l 7 r �—� � , i <br /> " , ; � � -%r_o� (.�!� � � ��' <br /> Defined Height: Peak Height: , FFE: FFE minus 6 feet= (Existing Contour; <br /> Perimeter(linear feet) = 50% = L.F. below grade <br /> Basement? � Yes 0 No, Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> i at or above grade— <br /> sure from hiQhest existinQ <br /> ST __ ' � �� e to the highest point of the <br /> /� �j �Q /�'�r�Q' � y /�7 even if fill was brou ht in to <br /> ��7���� �l�l�l� !.C/ ` Q/ CJ�- � • 9 <br /> y��`-�'"C," �te home. <br /> SU � ��1 �/' � � �' , �below grade—measure <br /> �BF ,(��J CJ/j(Q �.e e d U C fU � � � � highest existing grade to the <br /> .-c ( c <br /> Rp -J �� � / � � la� � est oint of the roof. <br /> � v � v rc� � c a have a... <br /> -��� � GABLE OR HIPPED ROOF <br /> ��� U n � /� � n (no windows): Subtract half <br /> rv � f'j f�T �� � the distance between the <br /> highest point of the roof to <br /> the low point of the <br /> corresponding gable or <br /> �� hipped roof <br /> GABLE OR HIPPED ROOF <br /> (with windows): Subtract <br /> SU: half the distance between <br /> �gp � �-, ,l the top of the highest <br /> EXI % ,Y window and the highest <br /> GR ��/-)��"+t� � point of the roof <br /> � ' ALL OTHER ROOF TYPES <br /> � : (flat,mansard,etc):No <br /> En subtraction. <br /> Defined building height <br /> EQUALS <br /> Updated: May 2016 <br /> z:\forms\plan review checklist 5-2016.docx <br />