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`` P'Li41V F�EVIEUI�' CHECFCLiST FOR NEVII STRUC�URES / /4DDITIOIVS <br /> Address/Permit Number: 0 � �� ���fA�.�c � � <br /> Description o#work: '� `��-- <br /> � <br /> Septic review by: /�d /� Date Approved: <br /> Zoning review by: 4� Date Approved: <br /> Builciing review by: Date Approved: � �' �� '� <br /> Grading review by: �/ d�a Date Approved: <br /> Z ing District: Zoning File#: Reso#: Reso Date: <br /> Zoni : Lot Area: SF/AC Width: Lot Coverage: _% <br /> � Survey ubmitted: ❑ Yes 0 No Date of Survey: Revised d e 7 : <br /> Pro osed tbacks: <br /> Front(Lake) Rear(Street) ( N S E W ) ( N S E � � Other uildings Wetland <br /> Side Side <br /> Defined Height: Peak Height: FFE: FFE rni s 6 feet= (Existing Contour) <br /> Perimeter(linea�feet) = 50% _ �'of Stor' s Ok? 0 YES <br /> FOR A BUILDING WITH A BASEMfENT OR RAWL SPACE: <br /> The distance tween the lowest FOR UILDIPIG ON A SLA�FOUNDATlOfV: <br /> START WITH proposed Floor the basement or crawl <br /> space)and the hig st point of the roof. START WITH The distance between the top of slab and <br /> If you have a... the highest point of the roof. <br /> If you have a... <br /> . GABLE OR HIPPE OOF(no . GABLE OR HIPPED ROOF(no <br /> windows): Subtract h the windows): Subtract half the distance <br /> distance between the hi est point between the highest point of the roof <br /> of the roof to the low point the to the low point of the corresponding <br /> SUBTRACTION corcesponding gable or hippe oof SUBTRACTION gable or hipped roof <br /> (BASED ON ROOF e GABLE OR HIPPED ROOF(with (BASEO ON • GABLE OR HIPPED ROOF(with <br /> NPE) windows): Subtract half the � ROOF TYPE) windows): Subtract half the distance <br /> distance between the top of the between the top of the highest <br /> highest window and the highe window and the highest point of the <br /> point of the roof roof <br /> • ALL OTHER ROOF TYP (flat, • ALL OTHER ROOF TYPES(flat, <br /> mansard,etc):No sub ction. mansard,etc:No subtraction. <br /> ADDITION Add the distance between the top of slab <br /> ' SUBTRACTION Subtract the distance be en the (BASED ON and the highest existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space or and the EXISTING the foundation. <br /> GRADES) highest existing grad adjacent to the GRADES <br /> foundation OR 10 f et(whichever is less). EQUALS Defined building height <br /> EQUALS Defined buildi height <br /> Shorelancf Destrict MCV�D Permit Received Avera e Lakeshore etback Met? Bluf# <br /> t' 0 Yes � No Q N/A C3 Yes 0 No <br /> � Yes Q No � Yes C� No N/A <br /> Permit Number: Setback: <br /> Stormwatec Q lity Existing Froposed Variance Required CUP equired <br /> Qverla Dist 'ct Tier Hardcover Hardcover <br /> � Yes � No � Ye Q No <br /> Type(s): Type(s): <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br /> ,, <br /> _ x,�,.� .�*�, _ ��,w_.-, kU ,.��_: . .::,e .......:..... <br /> ;:� , ... , . _ :-�� :_�.,_� . . �w-. <br /> ^��:.w�..��__.�..:,�.�_._�._._.____�f._<_...____..__...__� ,..�.��.�._ . <br />