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� PLAN REVIEW CHECKLIST FOR NEW STRUCTURES / ADDITIONS <br /> Address: �(G(l� ( /c�CQO``�'�( r�U�'(. �c� � Permit No.: ���� � Q('���_ <br /> Description of work: (����i� , l/�� i�- �WS, ,Ci(y(�!/'y' Date Rec'd: <br /> Septic review by: Date Approved: <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: F/AC Width: Lot Covera e: SF % <br /> Survey Submitted: � Yes � No Date of Survey: Revised date ? : <br /> Landscape plan submitted? � es � No Landscaper: <br /> Proposed Setbacks: <br /> Front (Lake) Rear(Street) ( N S E W ) ( N E W ) Other Buildings Wetland <br /> Side Side <br /> Defined Height: Peak eight: FFE� FFE minus 6 feet= (Existing Contour; <br /> Perimeter(linear feet) = 50%= L.F. below grade <br /> Basement? � Yes � No, Stories <br /> FOR A BUILDING WITH A BASEMENT OR CRAW SPACE: FOR A BUILDING ON A SLAB FOUNDATION: <br /> The distance b ween the�owest roposed Slab at or above grade— <br /> floor(of the bas ment or crawl s ace)and measure from hiahest existina <br /> START W ITH the highest poin of the roof. ro ade to the highest point of the <br /> START WITH roof even if fill was brought in to <br /> elevate home. <br /> If you have a... <br /> SUBTRACTION • GABLE OR IPPED OOF(no Slab below grade—measure <br /> (BASED ON windows): S btract alf the distance from highest existing grade to the <br /> ROOF TYPE) between the �ghes point of the roof hi hest oint of the roof. <br /> to the low poin of e corresponding If you have a... <br /> gable or hippe r of SUBTRACTION ' GABLE OR HIPPED ROOF <br /> GABLE OR HIP ED ROOF(with (BASED ON (no windows): Subtract half <br /> � the distance between the <br /> windows): Su r ct half the distance ROOF TYPE) highest point of the roof to <br /> between the t p the highest the low point of the <br /> window and e hi hest point of the corresponding gable or <br /> roof <br /> hipped roof <br /> • ALL OTH ROOF TYPES(flat, . GABLE OR HIPPED ROOF <br /> mansard etc):No s traction. (with windows): Subtract <br /> SUBTRACTION Subtract the stance betw n the half the distance between <br /> (BASED ON basemenUcr wl space floor nd the the top of the highest <br /> EXISTING highest exi ting grade adjace t to the window and the highest <br /> GRADES) foundatio OR 10 feet(whiche er is less). point of the roof <br /> • ALL OTHER ROOF TYPES <br /> (flat,mansard,etc):No <br /> EQUALS Defi d building height subtraction. <br /> Deflned building height <br /> EQUALS <br /> Updated: May 2016 <br /> z:\forms\plan review checklist 5-2016.docx <br />