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� <br /> 4 <br /> � PLi4N FZE�IEVN CH�CK�IST FOR IV�VI/ STRUCTIlRE� f ��DITIOI�� . <br /> � Address/Perrnit Number: ��"�� ,, � <br /> � o <br /> p Description of work: ! �� S� <br /> � <br /> �� <br /> � <br /> � �e tic eeview b Q� S I� � Date A <br /> p Y: pproved: <br /> � Zoning review by: Date Approved: <br /> � Building review by: � Date Approved: ��� @ <br /> Grading review by: «i Date l�pproved: � �a / <br /> �` <br /> � Zoning District: '� Zoning File#: Reso�: �eso �ate: <br /> �: <br /> � Zoning: Lot Area:� F/AC 1Midth: Lot Coverage: SF �% <br /> � Survey Submitted: �es � No Date of Survey: �•� "��° Revised date(?): <br /> � Pro osed Setbacks: <br /> �`. Front(Lake) Rear(� et) l � � E � E � S� � � Other�uiidinc�� 111letlanc! <br /> �; � Side Side <br /> � (�� ° �5� ° 1.b` � ��' <br /> Defined Fleight: Peak Height: FFE: FFE minus 6 fe�•._ (Existing Contour) <br /> Perimeter(linear feet) = 50% _ #of�' a YES <br /> FOR A BUILDING 1NITH A BRSEMENT OR CRAWL SPACE: • <br /> The distance between tf ,�� rID,4TIOR�: <br /> START WITH proposed floor(of the ba �� �1 V <br /> space)and the highest pc \`' �2 distance between the top of slab and <br /> If you have a... �� �1` �ighest point of the roof. <br /> u have a... <br /> • GABLE OR HIPPED 1 `�GABLE OR H1EP�D ROOF(no <br /> windows): Subtr�¢2�s ndows}r�Subtract half the distance <br /> distance behye�en the h, o� �twQen the highest point of the roof <br /> of the roof fo the low poi. � . .�� \t�e low point of the corresponding <br /> SUBTRACTION corresponding gable or h � � le or hipped roof <br /> (BASED ON ROOF a GABLE OR HIPPED ROG �J��� LE OR HIPPED ROOF(with <br /> TYPE� windows): Subtract half th� �f�( � ws): Subtract half the distance <br /> distance between the top ot �✓- en the top of the highest <br /> highest window and the high and the highest point of the <br /> point of the roof <br /> e ALL OTHER ROOF TYPES(fl, �FiER ROOF TYPES(fl8t, <br /> mansard,etc):No subtraction. V;etc:No subtraction. <br /> e between the top of slab <br /> SUBTRACTION Subtract the distance between the ,,.,esf existing grade adjacent to <br /> (BASED ON EXISTING basemenUcrawl space floor and the __�oundation. <br /> GRADES) highest existing grade adjacent to the <br /> foundation OR 10 feet(whichever is less _., Defiraed building height <br /> EQURLS Defined building height <br /> ShorelancE District �lE�'C� F�erm'st�e�eive� �vera e Lakeshore Setf�ac�C f�ie�? Bluff <br /> Yes � No ❑ N/A � Yes No <br /> � Yes �o � Yes � No N/A <br /> Permit Number: ��°_ �� Setback: <br /> Stcsrmwr�ter G��ality ExisfBng �roposec! �arianc� Rec�uired Ct1� I��quir�� <br /> �verla �dstrict Tier FEardcover Fiardcover <br /> � Yes No � Yes No j <br /> - _ F, .-w. ype�S)� Type(s). <br /> Updated: January 2013 <br /> v:\forms\plan review checklist 2013.docx <br />