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� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: QI'Wt f'fi�� �. Permit No.: ���' ��4� <br /> Description of work: �r[,�1 �� ��i'1� � � �. Date Rec'd: �'� '��0 <br /> Septic review by: ✓X ev � Date Approved: f <br /> Zoning review by: Date Approved: <br /> Building review by: Date Approved: � � l <br /> Grading review by: N � Date Approved: <br /> Zoning District: -� Zoning File#: Reso#: Reso Date: <br /> Zoning: Lot Area: . SF/AC Width: Lot Coverage: SF % <br /> Survey Submitted: p�Yes � No Date of Survey: D �� 2-• �V Revised date(?): <br /> / <br /> Landscape plan submitted? ❑ Yes � Landscaper: ��t <br /> Pro osed Setbacks: <br /> Front (Lake� Rear(Street� N S E W ) ( N S E W� Other Buildings Wetland <br /> � Side Side <br /> �z r � -�_:`.__ � <br /> �� � - . � <br /> fined Height: Peak Height: F FFE minus 6 feet= _. Existing Contour; <br /> P rimeter(linear f = 50% L.F. below grade <br /> Bas ent� Yes � No, ories <br /> FOR A BUILDING WITH A BASEMENT OR CRAWL SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance between the lowest proposed Slab at or above grade— <br /> START WITH floor(of the basement or crawl space)and measure from hiahest existino <br /> the highest point of the roof. START WITH rg 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 OR PED ROOF(no Slab below grade—measure <br /> (BASED ON window . Subtract half the distance from highest existing grade to the <br /> ROOF TYPE) betw n the highest point of the roof hi hest oint of the roof. <br /> t e low point of the corresponding If you have a... <br /> �,�'gable or hipped roof SUBTRACTION ' GABLE OR D ROOF <br /> GABLE OR HIPPED ROOF(with (BASED ON (no wi ws): Subtract half <br /> windows): Subtract half the distance ROOF TYPE) t istance between the <br /> between the top of the highest ighest point of the roof to <br /> window and the highest point of the the low point of the <br /> roof corresponding gable or <br /> hipped roof <br /> • ALL OTHER ROOF TYPES(flat, . GABLE OR HIPPED ROOF <br /> mansard,etc):No subtraction. (with windows): Subtract <br /> SUBTRACTION 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 /> • 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 />