HomeMy WebLinkAboutBLD1988-00073 BUILDING PERMIT APPLICATION
Jefferson County 8uildineWartment• County Cour[;uuse • Port TownsaWash.98368 • 385-9141
t N E
i I. LOCATION: geographic name _ S W SIDE OF ROAD FEET
NE Ir
S W FROM INTERSECTION OF ROAD AND N t t�ertch DIy�LVCo, ROAD
other specific location or landmark: 1 a,
C •I
LEGAL DESCRIPTION: 1 —I r L d3 e hac,ven a V 7
PQrCe( Lot Block Subdivision
oi35 �o0O( I (� � ► ng
Tax Number %.Section Section Township Range
II. TYPE AND COST OF BUILDING -
TYPE
/OFIMPROVEMENT BUILDING TYPE MOBILITY
1�9,�Jew building Sinyle Family 0New County Resident
/❑Addition ❑Multi-Family Is this structure to serve the residential
number of units
❑Alteration or commercial needs of those employed
❑Hotel,Motel, Dormitory at either the U.S.Navy's Trident or
❑Repair,replacement number of units
Indian Island Facilities?
❑Wrecking ❑Mobile Home
❑Moving (relocation) ❑Other—Specify
❑YES El NO
❑ Foundation only
USE
OWNERSHIP ❑Full-time Residence
❑Private (individual,corporation,
nonprofit institution,etc.) - pv5_. CISecond Home: Recreation Cabin.etc.
❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: ❑Second Home: Future conversion to
permanent residence
COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e.g.,food
• Cost of improvement $ processing plant, machine shop,laundry building at hospital,elementary
To be installed but not included school,secondary school,college,parochial school,parking garage for
in the above cost department store,rental office building,office building at industrial plant.
a. Electrical If use of existing building is being changed,enter/ proposed use. ^
b. Plumbing r lith : 8 -IO i ce X35 „29 Lin )
c. Heating,air conditioning (2_,IrNC'1^, 11 410 I '1 1 (o .- . 7 , OH 0
d. Other (elevator,etc I ' 3(P J y HO
• • TOTAL COST OF IMPROVEMENT $
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL DIMENSIONS
❑Masonry (wall bearing) ❑Public or Private •Number of Stories
•Total square feet of floor area,
Wood Frame Dll Individua (septic tank etc.) all floors,based on exterior
Structural steel /`� - dimensions
TYPE OF WATER SUPPLY •Total land area,sq.ft
❑Reinforced concrete �J❑Other—Specify IXLPublic or private company
//❑Individual (well,cistern) NUMBER OF OFF-STREET
__ PARKING SPACES
Enclosed
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
0 Gas Outdoors
El •il RESIDENTIAL BUILDINGS ONLY
►1 lectricity Number of bedrooms
❑Coal TYPE OF MECHANICAL
Number of Full
❑Other—Specify bathrooms
Partial
IV. IDENTIFICATION -
Name Mailing Address— Number,street,city and State ZIP code Tel.No.
1. Mike 4 0ebbl'e 1' 818 SE. 3n9 `14-' 1riIn fr lit)A 98051 €18 -
Owner
Chrl;Sten gon at.1415
2. SeI-P
-\IV c....,...72t,50)..41.4ws
'Coni �
. ,,,
D„enn Annl,.rson i-P you hay e_ cony rpueStlnn.c, .-IC7')h—
rChitect q 103
Tho er of this building and the undersigned agree to conform to all applicable laws.
ign tore of applicant Address Application date
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT_ WATER DISTRIC
APPROVED BY°,
S - pAsc_.ea IAfie-/
A -----,\N
JPEFFFERR^� ^Cpplea HEALTH DEPARTrdENT S / L//
E �J PERM FEE ISSUE DATE j RECEIPT NUMBER
33D, 00 ?7�/
Ni
JUL 5 ( , IS . DO l ' � � �3
BUILD 13gRif 'hre l _
PIANNING&BIOG OEf T ��3 ;3 50
The Printery—Port Townsend /'To
V 644 -`
• •
SHORELINE SETBACK EVALUATION
Cil -
APPL I CANT : ril /C�_ ` i l r --,-�� J
ADDRESS: .32 81,f C : Z) (/'
57715 L„ .. niaj--/
TELEPHONE: (home ) pt . 74/L(S (business )
PROPERTY DESCRIPTION
PROPERTY SITE NUMBER:
LEGAL:
Owner :
Address :
Tax Parcel Number: , ;S- /c;;_; c:/ ;t'
Real. Property Description: l-._"'/ / V , 1>s ig.,2 ... <.:1-`
i�l TZ -7 4/ 2 /6.-- ---, .
ADJACENT WATER BODY: /1'i` z t. ' '
EVALUATION
Wit/
BLUFF HEIGHT: R' (ICA e.4 (-4( SOURCE: _SSj"� ` At.x..i fi � 6fo,^;
BLUFF STABILITY: SOURCE:
❑ STANDARD SETBACK: feet
This minimum setback shall be measured from the ordinary high water
mark to the most waterward edge of the proposed structure .
0 BLUFF SETBACK: feet
This minimum setback shall be measured from the bank' s edge to the
most waterward edge of the proposed structure .
VG/
3/_ 3 S
Nv, /
45"&23J
gC ' 44!
AVERAGE SETBACK: c feet
` This minimum setback shaLL be measured from the bank' s edge to the
most waterward edge of the proposed structure . This setback is
based on the foLLowing caLcuLations of adjacent residentiaL
structures .
Right House (facing waterward) :
• Setback from bank or ordinary high water : feet
• Distance to the proposed structure: ! C- i feet
Left House (facing waterward) :
• Setback from bank or ordinary high water : feet
• Distance to the proposed structure: � � ,.re -te feet
❑ SUBDIVISION SETBACK : feet
This minimum setback shaLL be measured from:
This setback was estabLished by the approvaL and fiLing of the pLat.
VARIANCE
REQUEST:
❑ APPROVED ❑ DENIED DATE:
ACKNOWLEDGEMENT
The above evaLuation was determined on information provided by the
applicant. ShouLd any of this information be found inaccurate, the
setback requirement may be re-evaLuated.
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