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� w PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> �s�� �� <br /> Address: �7,/�7 U2����1(l� �G" ���C�-�� Permit No.: ��((— 0��� <br /> Description of work: Date Rec'd: <br /> Septic review by: Date Approved:_ Z/ l.�/ <br /> Zoning review by: Date Approved: <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 % <br /> Survey Submitted: � Ye�s 0 No Date of Survey: Revised date ? : <br /> Landscape plan submitted? � Yes ❑ No Landscaper: <br /> Proposed Setbacks: � <br /> � , <br /> Front(Lake) Rear(Street)� ( N S E W ) ( N � E W ) Other Buildings Wetland <br /> Side / Side <br /> Defined Height: Peak Height: FFE� FFE minus 6 feet= (Existing Contour; <br /> � <br /> Perimeter(linear feet) _ � 50%= L.F. below grade <br /> / <br /> Basement? � Yes � No, Sto�ies � <br /> � / <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE:\ FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the I we �proposed Slab at or above grade— <br /> START WITH floor(of the basement or awl s @ce)and measure from hiqhest existinq <br /> the highest point of the r of. \ START WITH rade 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 OR IPPED ROOF(no Slab below grade—measure <br /> (BASED ON windows): ubtract half the distance from highest existing grade to the <br /> ROOF TYPE) between t e highest point of the roof hi hest oint of the roof. <br /> to the lo point of the corresponding If you have a... <br /> gable o hipped roof SUBTRACTION ' GABLE OR HIPPED ROOF <br /> GAB OR HIPPED ROOF(with (BASED ON (no windows): Subtract half <br /> • win ws): Subtract half the distance ROOF TYPE) the distance between the <br /> be een the top of the highest highest point of the roof to <br /> the low point of the <br /> w' dow and the highest point of the corresponding gable or <br /> r of <br /> hipped roof <br /> • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF <br /> mansard,etc):No subtraction. (with windows): Subtract <br /> SUBTRACTION S btract the distance between the half the distance between <br /> (BASED ON asemenUcrawl 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: May 2016 <br /> z:\forms\plan review checklist 5-2016.docx <br />