The URL can be used to link to this page

Home My WebLink AboutBLD2013-00184 CERTIFICATE OF OCCUPANCY Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 Carl Smith, Director/Building Official PERMIT#: BLD13-00184 SITE ADDRESS: 702 KENS WAY Issue Date: 07/10/2013 Final Date: 8/29/2013 APPLICANT: STEVE DATE PHONE: 1015 MAPLE ST EDMONDS WA 980203331 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601102017 Section: 10 Township: 26 N Range: 01 W PROJECT DESCRIPTION: Pole building, garage, no plumbing THE PROJECT LISTED ABOVE COMPLIES WITH THE REQUIREMENT OF THE BUILDING CODE 2012 EDITION. OCCUPANCY GROUP: TYPE OF CONSTRUCTION: SPRINKLER SYSTEM yes (o THE PROJECT PASSED ITS FINAL INSPECTION AND RECEIVED FINAL SIGN OFF ON 8/29/2013 \\tidemark\data\forms\F_BLD_Occupancy.rpt 9/12/2013 BUILDING PERMIT APPLICA BLD13-00184 Review Type: Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD13-00184 Received Date: 6/18/2013 SITE ADDRESS: 702 KENS WAY OWNER: STEVE DATE PHONE: 1015 MAPLE ST EDMONDS WA 980203331 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601102017 Section: 10 Township: 26 N Range: 01 W CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 8/19/2014 REPRESENTATIVE: PHONE: PROJECT DESCRIPTION Pole building, garage, no plumbing TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 8,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: OTHER: CONST TYPE: GARAGE: 432 SHORELINE: CONST TYPE: DECK: SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: BEDROOMS: BATHROOMS: Exist: Exist: Prop: Prop: Total: Total: Routing Date: ry _ f? ,/ i ('//3 Type Amount Paid By: Date: Receipt: Approved/Date Permit $167.25 MEB 06/18/13 142189 APPROVED State Building Code $4.50 MEB 06/18/13 142189 Plan Check $108.71 MEB 06/18/13 142189 JUL 1 Q 2013 Total: $280.46 Jefferson County GCE \\f ir4cmork\rlo4o\forme\F RI fl 4nn Rid rn4 F/1R/9f 1 • BUILDING PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT#: BLD13-00184 Received Date: 6/18/2013 SITE ADDRESS: 702 KENS WAY Issue Date 7/10/2013 Expiration Date 7/10/2014 OWNER: STEVE DATE PHONE: 1015 MAPLE ST EDMONDS WA 980203331 SUBDIVISION: Block: Lot: PARCEL NUMBER: 601102017 Section: 10 Township: 26 N Range: 01 W CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219 3546 THORNDYKE RD PORT LUDLOW WA 98365-8229 Contractor's License SOUNDBS027NM Expires 8/19/2014 PROJECT DESCRIPTION: Pole building, garage, no plumbing TYPE OF WORK GAR SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: VALUATION 8,000.00 ADD'L: HEAT TYPE: CODE EDITION: 2012 HEAT BASE: HEAT TYPE: OCCUPANCY: OCCUPANCY: UNHEATED: #OF STORIES: CONST TYPE: OTHER: SHORELINE: CONST TYPE: GARAGE: 432 SETBACK: DECK: BANK HEIGHT: SEWAGE DISPOSAL: WATER SYSTEM: Type Amount Paid By: Date: Receipt: BEDROOMS: BATHROOMS: Permit $167.25 MEB 06/18/13 142189 Exist: Exist: State Building Code $4.50 MEB 06/18/13 142189 Prop: Prop: Plan Check $108.71 MEB 06/18/13 142189 Total. Total. Total: $280.46 Directions to Site: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTION THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED BUILDING INSPECTION HOT-LINE 379-4455. Request must be received by 3pm the day before the inspection is needed. Office Hours 9:00 am -4:30 pm MONDAY - THURSDAY HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY - SEE ATTATCHED Jefferson County Building Daion Permit Nurer: BLD13-00184 Applicant: DATE BUILDING PERMIT INSPECTION APPROVALS Applicable Code: 2012 International Building Codes To schedule inspections, call (360)379-4455 no later than 3:00PM the day before the inspection is needed. Requests received after 3:00 PM will not be scheduled for the next day's inspections. ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries. The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection Inspection Item Date Approval Signature Notes Setbacks 1 34/3' Erosion Control Post Holes 7/30 /j Sri Foundation Stem Wall Framing �2`� '3 Blocking Drywell/Alt Drainage _2`�._t 3 Address Posted FINAL INSPECTION 0"7A-9 --- FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED THIS PERMIT IS VALID FOR ONE YEAR • • CONDITIONS for Building Permit# :BLD13-00184 1.) Jefferson County has determined that the use of real property for agriculture and forestry operations is a high priority and favored use in the county. The county will not consider to be a nuisance those inconveniences or discomforts arising from such operations, if such operations are consistent with commonly accepted best management practices in compliance with local, state, and federal laws. If your real property includes or is within five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20, Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to inconveniences or discomforts arising from such farming and forestry operations, including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the operation of farm and forestry machinery during any 24-hour period, the storage and disposal or manure, and the application of permitted fertilizers and permitted pesticides. One or more of these inconveniences may occur as a result of agricultural and forestry operations which are in conformance with existing laws and regulations. 2.) DWJ 3.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater, erosion and sediment during construction. BMPs shall address permanent measures to stabilize soil exposed during construction, and in the design and operation of stormwater and drainage control systems. 4.) The site plan as submitted with the Building Permit application on June 18, 2013 has been reviewed for consistency under the UDC, and has been approved by Jefferson County Department of Community Development. Any modifications, changes, and/or additions to the stamped, approved site plan dated June 19, 2013 shall be resubmitted for review and approval by Jefferson County Department of Community Development. \\tiriemark\rlata\fnrmc\F RI rl Permit Rlrin rnt 7/1(1/7f11. • Front Parcel Review Parcel 601102017 Printed: June 19, 2013 STEVE DATE Site Address: 1015 MAPLE ST 702 KENS WAY EDMONDS WA 980203331 EDMONDS, WA 980203331 WA, Parcel Number: 601102017 S-T-R: 10-26N-01W Total Acreage 5 Legal Description S 10 T26 RI W TAX 32 BOUND BY BLA#96129 Land Use: 9100 Flood District: Fire District: 2 Planning Area: Flood Map (FIRM) Panel No: School District 48 Zoning: M COMP PLAN DESIGNATION: COMMUNITY PLAN: UGA: UGA Trans [ VI Plot plan states "property line" [ Assessor's Map (Property lines on submitted plot plan must match the property lines as identified on the Assessor's 1/4 map) [ 1� Legal Access to Property ES NO - [ iI Parcel Tags or Scanned Document YES NO ________Ca____ / [ l/r ESA's: Special Reports Nearby YES NO J [ t/V Designated Ag YES 1\1 ` [ Shoreline Designation: YES NO [v]/ Shoreline Slope Stability: YES 0 Stream Type:YES NO Fish& Wildlife:YES NO Wetlands: YES NO Rare Plants:YES NO Seismic: YES NO Landsli ES O 5 c- u--( Flood: YES NO Erosion: YES NO Aquifer Recharge Ar .YES NO S ()—!) SIPZ: none ArRisTc High Risk Coastal CMZ: none High Risk Moderate Risk Disconnected CMZ Stormwater site ataQ submitted: YesNo [(I Forest Lands: Ni.. ES l NO b --((,.._ P_ .{-/c, < o_c_p,_J--- Adjoining Forest Lands: Commercial/ Rural/ Inholding [ V1 Mineral Lands: YES 611 [✓J Agricultural Lands: YES [ t - Archaeology: YES • [ C Stormwater: New Im Surface 0` If Land Disturbing Activity (/ 2? ESA's Stormwater Req' .Min Req# Min eq#1 thru#5 Min Req#1 thru#10 Engineering [ ' J Notice Provisions 1sc osure:Ai ort YES NO MRL YES NO Forest Lands YES NO [ Ji] Landscaping Required: Yes o [ V( Parking Spaces Re ' e'0 2 Other j4[ ' Building Height: 5' UBC Standard [ ] 'Impervious Surface coverage tentage: / • Resource Lands&Public: 10% WRural Residential: 25% Rural Industrial UDC Sec 6.7 Rural Commercial: 60% Area of Building Coverage:60%in Rural Industrial ands only [ .,.'- Total Building (s) Size: RVC: 20,000 SF CC: 5 00 SF NC:7,500 SF GC: 10,00 SF All others:subject to seei<water constraints/None specified [ t( Setbacks: Front: '� Left Side: Right Side: Rear: lc-- Shoreline Setback: LSHA Setback: [ 14 Road Classification: Road Approach: FISTING NOT REQ'D RAP [ t. r SEPA Required: YES E IPT [ Flood Certificate: [ L.,K Existing Case(s) & Condition(s): Violations: Yes No [ ( Recorded Date of Subdivision: AFN Over 5yrs=UDC Plat Conditions: <5yrs=Plat Conditions on plat or Old Ordinance [ Lots/Require Declaration of Restrictive Covenant YES0ubmitted: YES NO [ UGA No Protest Agreement YES 0 ubmitted: Y1S NO [ t'r Site Visit conducted YES [ 1 Require Final Zoning Approval YES C� [ ADMIN: Setbacks entered in Permit Plan case /A YES New Parcel Tags entered in Permit Plan /A YES Special Reports Scanned . YES Title Notes Updated Parcel tags found for parcel 601102017 1.) WSRC Coaching - geotech 05/06/2013 CAO Parcel tags found for parcel 601102017 2.) WSRC Coaching - website, permit fees etc 05/06/2013 Other Cases Associated with APN 601102017 Cases Name Review Type Status Planner ADR13-00028 DATE F Application Received: 5/8/2013 Permit Issued/Case closed: Case Finaled: 5/29/2013 911 BLD13-00184 DATE P Application Received: 6/18/2013 Permit Issued/Case closed: Case Finaled: Pole building, garage, no plumbing MLA02-00553 SUB02-00029 MLA02-00553 GALANTI 1 F M FARFAN Application Received: 10/22/2002 Permit Issued/Case closed: 11/27/2002 Case Finaled: 12/23/2002 Boundary Line Adjustment \\tidemark\data\forms\R_Parcel_CRMLA.rpt 6/19/2013 Page 2 of 2 • • 4 ("1----, ON coe> JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT ; [--\ W E II V E J1 4, 621 Sheridan Street • Port Townsend • Washington 98368 f 4„ K.O 360/379-4450 • 360/379-4451 Fax ! nl J U N 1 8 2013 LNG` http://www.co.jefferson.wa.us/commdevelopment/ ' Ll i J JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT Stormwater Calculation Worksheet MLA# PROJECT/APPLICANT NAME: Ste ve Oa tE. DETERMINING STORMWATER MANAGEMENT REQUIREMENTS:This stormwater calculation worksheet should be completed first to classify the proposal as"small,""medium,"or"large." The size determines whether a Stormwater Site Plan is required in conjunction with a stand-alone stormwater management permit application, building permit application, or other land use approval application that involves stormwater review. The basic information will also be helpful for completing a Stormwater Site Plan,if required. PARCEL SIZE(I.E.,SITE) Size of parcel 3-,lily 0`I acres An acre contains 43,560 square feet. Multiply the acreage by this figure. Size of parcel in square feet �-log 3 I sq/ft / Land-disturbing activity is any activity that results in movement of earth, or a change in the existing soil cover(both vegetative and non-vegetative) and/or the existing soil topography. Land disturbing activities include, but are not limited to clearing, grading, filling, excavation,and compaction associated with stabilization of structures and road construction. Native vegetation is vegetation comprised on plant species, other than noxious weeds,that are indigenous to the coastal region of the Pacific Northwest and which reasonably could have been expected to naturally occur on the site. Examples include species such as Douglas fir,western hemlock,western red cedar,alder, big-leaf maple,and vine maple;shrubs such as willow,elderberry,salmonberry, and salal;herbaceous plants such as sword fern,foam flower, and fireweed. LAND DISTURBING ACTIVITY,CONVERSION OF NATIVE VEGETATION,AND VOLUME OF CUT/FILL Calculate the total area to be cleared,graded,filled, Answer the following two questions related to excavated,and/or compacted for proposed development conversion of native vegetation: project. Include in this calculation the area to be cleared for. Does the project convert 3/4 acres or more of Construction site for structures c' sq/ft native vegetation to lawn or landscaped areas? Drainfield,septic tank,etc. sq/ft Circle: Yes �o; Well,utilities,etc. sq/ft Does the project convert 21 acres or more of native vegetation to pasture? Driveway,parking,etc. S 7/o sq/ft — Circle: Yes No ') Lawn,landscaping, etc. sq/ft -- Other compacted surface, etc. sq/ft Indicate Total Volumes of Proposed: Total Land Disturbance /5-2 fl sq/ft Cut Fill (cu/yd) [over] stormwater caic worksheet—REV.10/1/2003 1 • I Impervious surface is a hard surface that either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A hard surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development. Common impervious surfaces include, but are not limited to roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater. STORMWATER CALULATIONS—IMPERVIOUS SURFACE NEW EXISTING Structures (all roof area) - sq/ft Structures (all roof area) sq/ft Sidewalks sq/ft Sidewalks sq/ft Patios sq/ft Patios sq/ft Solid Decks sq/ft Solid Decks sq/ft (without infiltration below) (without infiltration below) Driveway sq/ft Driveway sq/ft Other sq/ft Other sq/ft Total New / _sq/ft Total Existing sq/ft TOTAL NEW+TOTAL EXISTING* / sq/ft 'This amount will be used to check total lot coverage. The following questions will help determine whether the proposed project is considered development or redevelopment. DEVELOPMENT v. REDEVELOPMENT Divide the total existing impervious surface above by the size of the parcel and convert to a percentage: Does the site have 35%or more of existing impervious surface? Circle: Yes No FURTHER INSTRUCTIONS: If the answer is yes, the proposal is considered redevelopment and the attached Figure 2 should be used to determine the applicable Minimum Requirements. If the answer is no, the proposal is considered new development and the attached Figure 1 should be used. At this juncture,the applicant should refer to the applicable Flow Chart to determine the Minimum Requirements for stormwater management. DCD staff will help verify the classification of the project and the application requirements. For proponents of "small" projects who must comply only with Minimum Requirement #2—Construction Stormwater Pollution Prevention—an additional submittal is not required. The proponent is responsible for employing the 12 Elements to control erosion and prevent sediment and other pollutants from leaving the site during the construction phase of the project. Pick up the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet. Proponents of "medium"projects—those that must meet only Minimum Requirements #1 through #5—and for "large" projects—those that must meet all 10 Minimum Requirements—are required to submit a Stormwater Site Plan. DCD has prepared a submittal template of a Stormwater Site Plan, principally for rural residential projects. Complete the template in the Stormwater Site Plan Instructions and Submittal Template or prepare a Stormwater Site Plan using the step-by-step guidance in the Storm water Management Manual. APPLICANT SIGNATURE _ Bysigning the Stormwater Calculation Worksheet, I as the applicant/owner attest that the informationprovided herein is true and 9 9 PP correct to the best of my knowledge. I also certify that this application is being made with the full knowledge and consent of all owners of the affected property. (LANDOWN R OR AUTHORIZED R PRESENTATIVE SIGNATURE) (DATE) / — - 1 A ^, 'lazc �' 1' Ei 7 -- �� t~ •� stormwater talc worksheet—REV.10/1/2003 2 1---'ik. °N f °�, JEFFERSO UNTY 0 C= OV DEPARTMENT OF COMMUNITY DEVELOPMENT I *-' ` ''4 621 Sheridan Street • Port Townsend •Washington 98368 i 360/379-4450 • 360/379-4451 Fax `j Zd 13 i'it i, Is N0�0� www.co.jefferson.wa.us/commdevelopment ..,. Master Permit Application MLA: _ Project Description(include separate sheets as necessary): Cons frw c t#o,t of / 'XY'X/0 Palms I7a, lc/,n ,<./ur'aq e. •-17C plua,E7lnc;J Tax Parcel Number: CCU/ / 0 , 7 �l 1 Property Size: C, pK,e)(71 (acres/square feet) Site Address and/or Directions to Property: 70-1 Ken., k.I4y , (Ju.IGenF Property Owner(s)of Record: 5 t e✓e, 13,t e. Telephone: Fax: email: Mailing Address: to 5 /Tapir Stre_e f-, E.1."non._I5, IA 98-0.40 Applicant/Agent(if different from owner): 1-4, .i Telephone: 3eo-‘/77-/2- 9 Fax: 346 -4-77 -/21 email: ")„ 6,,')1l,;,.,, _ s Q 1,", Mailing Address:�,,,.,,`,�Q [3 L.), (4' 4r�; S 7 t- �l 5 3 s-vz 7--A,,, �-) c- RA, f f P . 1,ul/�Z346 , `o. . What kind of Permit?(Check each box that ap lies ®Building 0 Critical Areas Stewardship Plan 0 Demolition Permit 0 Variance(Minor, Major or Reasonable Economic Use) ❑ Single Family ll Garage Attache Detached ❑ Conditional Use [C(a), C(d),or C]** ❑ Manufactured Home 0 Modular ❑ Discretionary"D"or Unnamed Use Classification ❑ Commercial* ❑ Special Use(Essential Public Facilities)** 0 Change of Use 0 Boundary Line Adjustment 0 Address 0 Road Approach 0 Short Plat** 0 Home Business 0 Cottage Industry 0 Binding Site Plan** 0 Propane ❑ Long Plat** ❑ Sign 0 Planned Rural Residential Development(PRRD)/Amendments** 0 Allowed"Yes"Use Consistency Analysis 0 Plat Vacation/Alteration** ❑Stormwater Management 0 Shoreline Master Program Exemption/Permit Revisions** ❑ Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Substantial Development** D Temporary Use 0 Shoreline Management Variance ❑Wireless Telecommunication* 0 Comprehensive Plan/UDC/Land Use District Map Amendment 0 Forest Practices Act/Release of Six-Year Moratorium 0 Jefferson County Shoreline Master Program Amendment *May require a Pre—Application Conference ❑Tree Vegetation Request **Requires a Pre-Application Conference Please identify any other local, state or federal permits required for this proposal, if known: DESIGNATION OF AGENT I hereby designate 56 uAct a, fCI,,,y Sy t to,43 Inc to act as my agent in matters relating to this application for permit(s)./ OWNER SIGNATURE - Date: 6-- I '1 —ZV I S By signing this application form,the owner/agent attests that the information provided herein, and in any attachments,is true and correct to the best of his,her or its knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may result in this permit being null and void. I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attorney's fees and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit. I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application review and any required later inspections. Staffs access and right of entry will be assumed unless the applicant informs the County in writing at the time of the application that he or s E ants prior notice. Signature: — fj - 1 7_Zv # S Date: The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the "Endangered Species Act"or"ESA."Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-transferable resp nsibility for adhering to and complying with the ESA. The Applicant has read this disclaimer and signs and dates it below. Signature: Date: 6 11— Z(:) G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc • BUILDER STATEMENT • The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that they will be assuming the responsibility of the General Contractor for the proposed project. Signature: Date: GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX: Jro.Ancl L ..i Idrnj Sys/ flu in� (3(cv)4137- f<2I ? (344) 937-/,2Ir MAILING ADDRESS: j sy4, a rn d y k e Road EMAIL: CONTRACTOR'S LICENSE Inc r t /.ad l e w, w' 4 95'3 e." WAINS NUMBER: SO U N11 R SOd 7 N NI NUMBER ARCHITECT/ENGINEER: Berke/ E„3,nee r,.u3 PHONE (jp?) 73 ,- 7S;3j FAX:(So)73b- 7,..,- MAILING ADDRESS:,bQO N Ccl.u.,i,a cedTer 8i,j Ste.t'Dy, god„,,a. u.,9"3s.z EMAIL Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal: tg New ® Wood Existing: 0 ❑ Sewer i i0r2e ❑ Addition ❑ Steel Proposed: 0 Bank ❑ Community System ❑ Alteration/Remodel ❑ Concrete Total: U Height: ❑ Individual System ❑ Repair ❑ Masonry SEP Permit# ❑ Demolition ❑ Other: Bedrooms: Water Supply: Existing: Ci Setback: ❑ Private well 0 Two Party Type of Heat: Proposed: v ❑ Public ,tic i1 Total: (I Name of System: If this is a Commercial Project you must answer the following: Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces: Number of occupants(includes owners,tenants,employees,etc) Current Proposed IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No If this is a Propane Tank and/or Appliance Installation permit,mark all items below that apply: 1 Underground Tank 1 Above ground Tank Size of Propane Tank: i Heat Stove 1 Cook Stove 1 Woodstove 1 Fireplace Insert 1 Hot Water Tank i Pellet Stove 1 Other Is this appliance being installed in a Manufactured/Mobile Home? Yes / No When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property lines, tank location and size,distances from the propane tank to all property lines,buildings and septic system components, including the reserve area. Square Footage Current Proposed For Office Use Only Amount Revision Main Floor Heated EH Bld App Review: _.. 2nd Floor Heated Consistency Review: 2 2s r 00 Other Heated Base fee: 1-.25" Mezzanine Additional Section: _ .------ Heated Basement Plan Check fee: I °v r \ Unheated Basement State Surcharge fee: 4. � Other Unheated Pot Water Review fee: Garage/Carport SUBTOTAL (/C 9 3 2 1%0 Decks � ;�e 911/Rd Approach fee: ><....._ Other `` C, TOTAL: $ ��O Receipt Number: 1 L,(2y b `"1 Cash/Check Number: C+ tO ESTIMATED COST(REQUIRED) Date: CO •Fair market value of all labor and materials foundation to finish 1 g, QOO.OD Initials: G:\PermitCenter\###FORMS###\DRD FORMS\Master Permit Application 5-29-08.doc -0 z 0 1 m z v rn y c.....4s,6,6..s..72%.\\ \\ 9 (1 fr i �� o� 0 ® m /4% °.� im 0Cr ce ' I c OP i / / •I m i r Ill W 0 14t I / flit/ -0 1 Cr% i v :rr o Q t-,7 F z t ) O 1 -10 ,r . . acn ;? nl -- rt t toaN :Ef....14 .., k cr t Fp, t P r-el --r i 0 ti :1 '41 1 S --I gi iii),47•-) C 7N (f-C ja *t /(L'* a'z' "C7' V\ rn z % yr n ,� G IN lc6 I , ' ? �� C:54° R-E , 9-) li\I P "- rc z -3 i Irrit- r=.' >,.,.,< 1 5 IT, T, CE- ic,"1: h-.`" - -2t 0 ' .-_,_-.‘ ra, 11 r . r ly: / I: Z 0 H 1 �t� � �F mil. Ic 4v 1-6 CO cr 0 2.fryt,..6.4.....:NT A' D.- '' . 7 ' - �' 1.-" '-' ro, 7--D 1 / ( ..i....:>.7,0N, 2 , iv ! e ,.../i...<....: / . . — f. — - -- - - --(E-- ---bt,CP/-‘,74/. -:'- - - - - - - - - - - - -'' - ;‘°. :- 14'.- EAt /) PC'qit g tial.f oig, i ' ‘,"1--------------> rtle-40(4.5 .e‹: • '' NJ 1 p. / E iy1,N ,-. D�t�E A.`f io( 70.6 K �5 L.JJAy...' -P 1 <, Z..9 b ,gyp' �, �` v'