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� Cp-•cv —` <br /> ' • C"�l�.,� [�.������ '4�s�t��c����'�' ��'� l��� ���o.��i��'�.�� � ��'������'3� <br /> Address/Permit Number:__ /3'?6 /�/'d��� i��� �2 <br /> De�cription of work: ��/�OS=:7� �G C.B�- <br /> Septic reveew by: �� �� Date kpproved: <br /> Zoning redie�w by: � ��- Date Approved: � -��J;' �� <br /> ; Buildirtg review by: . Date APRroved:_ 7 �/:S "f � <br /> Grading revie�nr by: �� : . Date�►Pproved: .."„ <br /> � Zoning District: '� " ' Zoning� File#: Reso#: Reso Date: <br /> Zonin�: Lot krea: SF/AC 1h�idth: Lot Coverage: SF ,_% <br /> Survey Submitted: �0'`�Yes Q No Date of Survey: �< � ' �� Revised date,j?)� <br /> Pro osect Setbac�Cs: <br /> Front(�) R�ar(Street) ( N S E i!V ) ( N S � �f ) Other Suiidings Wetland <br /> ; Side Side <br /> f !' �� <br /> Def�ned Hefght: Peak Height: FFE: FFE minus 6 feet= ` (Exi�ting Contou� <br /> P�rirneter([inear fe�t)= 50%_ #of Stories Ok? -C]YES <br /> FOiZ A BUILDII�GlrVITH A BASEMEHT OR C.R/oINL'SPACE: <br /> , The d'�stance t�etween fhe IoV+rest FOR A BUIkDING ON A�SLAB,fOIJNDA�IOH: <br /> ' START WITH pmposed tioor(of the basement or crawl , ,. <br /> space)and the highest point of the roof: � The distaqce tsetween the top of slatl and <br /> START WITH �e hi hest <br /> If you have a... 9 point of the`raof. <br /> , . lf you have a,.: <br /> • GA$LE OR HIPP�D ROOF(no . GABLE OR HIPPED ROOF(no - <br /> wintlows): Subtract half the windpws): SabtrBct half the distanc <br /> diShance beM�een the highest point betweee fhe highest poir�t of tMe roc <br /> of the roof Yo the low point of the : te tFie low point of the oortespondin <br /> SUBTRACTION corresponding gable or hipped roof . SllBTRACT10N ; gable or hipped roaf� � '_ <br /> =(BAS�D ON ROOF ., GABLE OR HIRP�D ROOF(with - : (BASED ON . .'GAgLE'pF�HIpPED RbOF{with <br /> TYPE) >, windows): Subtract hetf the : - � ` ` ROOF TYPE) ;, v�dowsj: Subtract haiLthe distai�t <br /> , dfstance between the toP of tMe between the top ot the fifghest � <br /> hi,gh�st window and the highest window and the highestipoint of thE <br /> � " point of the�oof _ ` ;. ; . ` roof. - <br /> ' .:. ALL OTWER RODF TYRES(flat, ` - • ` ALL O7H€R R00�TYPES(flat,J <br /> ; mans8rd etc)�•No subtractlon. �n�� �.No"su 'on. <br /> ADDR�bN . Atld:the ili�Y�hce betweeri the top=of slab <br /> � SUBT1iF,GfiIOM ��btrac3 the distanCe betweeri the (BAS�D ON arid fhts higbest�xlsNng.grade a�lj�cent.b <br /> � (BASED OT�I EXI3TING ba8emenvcrawl$pace floor antl the � EXI3TIN6� the foundatio�l; <br /> � highest e�$ting grdde adjacent to tMe : , C�RADES . <br /> GWiDES) {a���n OR 10 fest(whichever is less)• ',EQUALS 'finc'd bu3ldin�heigl�t <br /> . , , , . . _ <br /> 'EQUAL$ _ Defined tiullding helght , , <br /> ; _ _ <br /> .� .., ,-. .,, _ . � ; " . , <br /> - Shoretanr# District NiC�fVlb Permtt Received Ave�a e L`ake�nre Seti�ack hffet� Btv�f , ; : <br /> fl Yes I] No . . N/A ;; � � Yes Na <br /> , � � <br /> �Yes � No - C! �'es . ` C] No �/A . <br /> Pe�mit Number: _ , Setback; <br /> Storm�rater Quality Exi�ting Prapo�ed Va�iance Required GUF� Required <br /> OveMa District Tier Ha�rdcouer Eiardcover <br /> :�► �.�,. G Yes . o � �Yes o : <br /> �. TYPetS)� . TYRe(S): <br /> t�'+J7� <br /> Updated: January 2013 <br /> v:\farms�plan review checklist 2013:docx <br />