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� ' PLAN REVIEW CHECKLIST FOR N W STRUCTURES / ADDITIONS <br /> Addcess: � �SG�� � Permit No.:�(/l(O`'��7�� <br /> Description of work: n Date Rec'd: � <br /> Septic review by: 1 V � Date Approved: '�-- <br /> Zoning review by: Date Approved: �• � • <br /> Building review by: Date Approved: <br /> Grading review by: �� Date Approved: �� <br /> Zoning District: ��f� �1=J Zoning File#: Reso#: Reso Date: <br /> ,.. � .. � <br /> Zoning: Lot Area: � S /AC Width: Lot Coverage: ✓�� SF l���� % <br /> _ _.. <br /> _. <br /> Survey Submitted: Yes � No Date of Survey: � � i � Revised date(?): <br /> ✓ w� <br /> Landscape plan submitted? 0 Yes No Landscaper: _�.� ., ' �� <br /> Proposed Setbacks: <br /> ,�J� �, � ip i�� <br /> F nt (Lake) R r(Street) ( N E W ) ( N S E W ) Other Buildings Wetland <br /> Side Side <br /> �L.' ,+ <br /> �;, <br /> �?'��; ;` '� � �`, __•---•-�-___�--�.. <br /> Defined Height: Peak Height: F F inus 6 feet= �( xis -�ontour; <br /> Perimeter(linear feet)= 50%= L.F. below grade <br /> Basement? � Yes � No, Stories <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 W ITH floor(of the basement or crawl space)and measure from hiqhest existinq <br /> the highest point of the roof. ra ade to the�ighest point of the <br /> START WITH roof eyvrtifi�fill was brought in to <br /> ate home. <br /> If you have a... <br /> SUBTRACTION • GABLE OR HIPPED ROOF(no r'� Slab below grade—measure <br /> (BASED ON windows): Subtraet'half the distance .J°� from highest existing grade to the <br /> ROOF TYPE) between the highest point of the roof "' hi hest oint of the roof. <br /> to the low point of the corresponding If you have a... <br /> gableor hipped roof 'SUBTRACTION • GABLE OR HIPPED ROOF <br /> GABLE OR HIPPED ROOF(with r'� (BASED ON (no windows): Subtract half <br /> � the distance between the <br /> �'windows): Subtract half the distance .�' ROOF TYPE) highest point of the roof to <br /> between the top of the highest the low point of the <br /> window and the highest point of the corresponding gable or <br /> roof <br /> hipped roof <br /> • ALL OTHER ROOF TYPES(flat, • GABLE OR HIPPED ROOF <br /> mansard,etc):No subtraction. (with windows): Subtract <br /> SUBT CTION Subtract the distance between the half the distance between <br /> (BA$ED ON basemenUcrawl space floor and the the top of the highest <br /> E�CISTING highest existing grade adjacent to the window and the highest <br /> U�RADES) 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 />