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<br /> PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADQITIONS
<br /> . , ��� ���!'td�� �d 1J � 2.��J "'C�6�
<br /> Address: � Permit No.:
<br /> Description of work: � � � Date Rec'd: �'' �i '��
<br /> Septic review by: Da#�Approved: :: �� . r7'.'
<br /> � —�,_
<br /> zomng review by: .,Date;Apprbved: : �-� �
<br /> Building review by: � �- -� �ate'Appr�v,ed: S �� �L� "�-=-Y�� -i�
<br /> �rading review by:, '. Da�e Appro�ed , :: �I. Z���� � �>�'j
<br /> Zoning District: '� � . � - Zoning File#: Reso-# ,:� Reso Date
<br /> Zoning: Lot Area ` � '` SF/�4C . Wadth: '` � tbt"Co�erage � SF . %
<br /> �
<br /> Survey Submitted: _ Yes G No Date of:Survey � '+�.'+� f�evise�i�d�fe(?) , -
<br /> . : _
<br /> Pro osed`Setbacks:
<br /> _ . � :: : . , �
<br /> Front(Lake) Rear�)�5 ( �1 S :',E W ( �N S E : Othec St�ildir�gs ; � �IV'etland.
<br /> � �Side ` - . �itle.
<br /> �� � �� ��
<br /> r�� _
<br /> � Defln�d.�leight.-'. -�- . Peak Height: . � f��.: :. �. ���E;��hurs�6f�et�' __ _���xistiii��oht4ur';
<br /> , � . .. � w
<br /> -�� � • - � ,��; � � � =
<br /> �Perim�t�r(i�neat�feet)= : �0°�-. �¢�,____�_ =T,L f -�eiprnr grfide. ,_�of,Stor�es .
<br /> . ..
<br /> � .
<br /> FOR A BUILDING WITH A:B�4SEMENT QR CRAWL S.PA�E: - FQRA B,�i1LDlNG ON A SLAB FOUNDATlON:
<br /> The.distance bettive�n the lowest proposed �-;' : The dlstancE:betV�Bea t#ie top of<;
<br /> � £ _ SfiART YVITW , #loor(of the baserr4ent or;crawl space)antl �� ; �Tl�'f2T WITli,,; �lab>and the,�ighest;polnt bfihe-`
<br /> the highest poinf.Of the;Foof: 1• =ro9f'
<br /> Jt'you have a . , ✓ , If you 4�av�a r� f n'
<br /> � �� . � � ' � : � - + ��GA84E�F2 HIP{'ED ROOF�
<br /> � � _ � . :� GA�SLE�R HIPPED ROOF{no ��� � �� �`�
<br /> ,_ _ , r ; . ;' � " (no Krii}�low5):- b3ra�t hali• -
<br /> windows) S�bVact half:.the d oe the digtA fuveen�lte �
<br /> � between the,;high�est .. Y#�e roof� �'�' •. :� h�gF�est�� af�h�ro�f t9 ; ��
<br /> � to the Iow po�n4 �oResporstling ' th�i�3,.pouit of�he
<br /> SUBTF7ACTION . 9�bl�orhip' f "� �� � ' �spz�et��g�ati�e�r �
<br /> (BASEQ ON � • GA�L 71fP�'�b i200�(witfi ' � = SU�1�1�►C71C5N. x . ��#p�tl ro6� � "�
<br /> ROOF TNRE) �nn v6s) fiv,titta�fi�N the distance • � (BA$�I�LSPt '� * ��L��R k�iR� ��bOF: :.
<br /> t�aeen�th�top ot�tne nt�hest �: � k�o9�t'�'�� ;w� 'tv�7tt�wFndd� �bnacc ,'.
<br /> wintlov�ahd�ae�i�gh�st�oint ofi th� h�iPthe di'�'`s`tar�°"�etween2-'
<br /> � roof.� ` " �� _� ��h�T�P�"�'���f��pN�e�t t,• -�
<br /> �.� ALLO'GH�RROOF�fYR�S{flat ; • � ��� `��d�?���I��e�tg"hest ,.
<br /> ; . : �nansard et�).;T�o subt►'ac�on � ;'point��roo.f
<br /> SU C71�N- $nbfract the distance bei�veen:the . ' :��L'�� ������` �
<br /> . �flgt��nans��d�ato,�No
<br /> SED ON ° basdmenUcr�wi space flcbr arld ttie � L - � �subtra�"CUon �;z �
<br /> X�STING- fitghest ewstsng gr'ade adjacent to the � a � t DQ ibH ;Add the di5t$nce be�een#�e tq�
<br /> GRJkDES) ' .fou�dat�on OR 1 U-fe�t(rithichever ls les§) (SASE�bTi ofsleb an�3 fhe Bi�hest:qxast3ng �, '
<br /> EQUAiS ; Deftn�d buitding height � �5��� gi�de�d��be"`�t t�}the fpiind�tipr�r�: V
<br /> , � i , t
<br /> ' - - ; ,,
<br /> �„ , ... .
<br /> -, : _ . , _
<br /> � „a . ��� �4�t��L� DeBn�,bulMing .eag
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<br /> �. � A�: ",
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<br /> ` �� � ' �►Vetra��8�k��h�re Setb�+ck:: :, `��
<br /> Shoretand 1�)strict MCyVD Perrrtit x�: Bluff =
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<br /> . ,- ����. :
<br /> � ` Permit Number�� ���_� fl �'�;s; � No N/A'� q Yes � � No �
<br /> O Yes . �o ; - . , "
<br /> �� . , ,G WA�=see a�tacMec`i. ___ �_° -� �„� .�,_'�� n ,.: ;Se�tback: _
<br /> � �, n, ���;,
<br /> Stormwater Quality �� � � �� � Proposed - �� '� ��' "`� �� '��
<br /> Ezisting liardcover
<br /> Overlay�District , - Hardcover Variance Required GUP�Requ�red .
<br /> Tier circle one (/o and s� ' %.and s _ � ; - � :
<br /> O Yes No G,Yes :, No
<br /> 1 2 3 4 5 Type(s):`. ' T�pe($�;
<br /> Updated: January 2015
<br /> z:\fonns�plan review checklist 2015.docx `
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