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HomeMy WebLinkAboutBLD2020-00445 - 01 PERMIT APPLICATIONUp Front Parcel Review Parcel Date Completed: Owner Name: Add. Name: Mailing Address: Site Address(es): Parcel Number: S-T-R: --Total Acreage Legal Description Land Use: Flood District:Fire District:Planning Area: Flood Map (FIRM) Panel No: School District Zoning: [ ] Zoning ________________________________________________________________________________ [ ]Setbacks:Front:_______Left Side:__________Right Side: __________ Rear:_______________ Informed by JCC 18.30 or Title 17 for Master Planned Resorts: Shoreline Setback:____________Critical Area Buffer__________________________________________ Building Setback: ______________________________________________________________________ Adjoining Forest Lands: Commercial/ ____________ Rural/______________Inholding_______________ [ ] Lots/Require Declaration of Restrictive Covenant YES NO, submitted: YES NO __________________ [ ] Legal Access to Property YES NO _____________________________________________________ [ ] Parcel Tags or Scanned Documents YES NO List:_________________________________________ [ ] Sepcial Reports Nearby YES NO List:____________________________________________________ [ ] Shoreline Designation: YES NO _______________________________________________________ [ ] Critical Areas Geologically Hazardous Areas YES NO Shoreline Slope Stability:____________Landslide____________Erosion_____Seismic___________ CMZ: none High Risk Moderate Risk Disconnected CMZ__________________________ Report Submitted________________________________________________________________________ FWHCA: YES NO Stream type: __________________________ Pond or Lake < 20 acres________ Marbled murrelet/Spotted owl_____________ marine nearshore______________ Wetlands:YES NO ___________________________________________________________________ Flood:YES NO List FIRM map:_______________________________________________________ Flood Certificate: ______________________________________________________ Aquifer Recharge Area:YES NO___________________________________________________________ SIPZ: none At Risk High Risk Coastal ________________________________________[ ] Site Visit conducted YES NO _____________________________________________________ [ ]Notice Provisions/Disclosure Forest Lands:YES NO Airport YES NO MRL YES NO Agricultural Lands: YES NO No Shooting Zone:YES NO [ ] Archaeology:YES NO _____________________________________________________________ 4 No 4 No No None No None None 1100 24-30N-2W N/A None No Yes No 4 No No REBECCA NERISON MARY EGGERT 155 KRUSE ST PORT TOWNSEND, WA 98368 No 977100839, BLD20-00445 977100839, BLD20-00445 No 4 4 NONE 4 Yes No 155 KRUSE ST PORT TOWNSEND, WA 98368-9270 No 4 No 4 None No 4 4 2 No RR-5 9/17/2020 4 No No OCEAN GROVE ESTATES #2 BLK 8 LOT 37 none Land Use Requirements [ ] SEPA Required:YES EXEMPT _________________________________________________ [ ] Landscaping Required: Yes No_______________________________________________________ [ ] Parking Spaces Required NO 2 Other_______________________________________________ [ ] Building Height: 35' UBC Standard __________________________________________________ [ ]Stormwater: New Impervious Surface_____________Land Disturbing Activity ________________ Min Req #1 thru #5Stormwater Req's: Min Req #2 Min Req #1 thru #9 Engineering ________________ Drainage District Review Required___________ [ ] Stormwater Pollution Prevention Plan Submitted: Yes No __________________________________ [ ] Impervious Surface coverage percentage: __________________________________________ Resource Lands & Public: 10%Rural Residential: 25%Rural Industrial: Per UDC Sec 6.7 Rural Commercial: 60%Area of Building Coverage: 60% in Rural Industrial Lands only [ ] ADMIN: Setbacks entered in Permit Plan case N/A YES ________________________________ New Parcel Tags entered in Permit Plan N/A YES ____________________________________ Special Reports Scanned N/A YES _________________________________________________ [ ] ADU Proposed YES NO Square Footage: ______________________ [ ] Total Building (s) Size:____________________________________________________________ RVC: 20,000 SF CC: 5,000 SF NC: 7,500 SF GC: 10,000 SF All others: subject to septic & water constraints/None specified [ ] Road Classification:_______________________________________________________________ Road Approach:EXISTING NOT REQ'D RAP__________________________________________ [ ] Require Final Zoning Approval/inspection YES NO __________________________________________ [ ] UGA No Protest Agreement YES NO, submitted: YES NO _____________ [ ] Recorded Date of Subdivision:_______________AFN____________________________Over 5yrs=UDC Plat Conditions:_____________________________________<5yrs=Plat Conditions on plat or Old Ordinance 5HYLHZHG%\ $GGLWLRQDO1RWHV No No 4 4 4 The proposed developed is located in a NO SHOOTING AREA. N/A 4 N/A Amanda Hunt Existing 4 No 4 No No N/A 4 2 4 538 sq/ft 4 4 4 4 No No Exempt4 4 No 4 September 20, 2020 REBECCA NERISON 155 KRUSE ST PORT TOWNSEND WA 98368-9270 RE:SITE ADDRESS: 155 KRUSE ST CASE #: BLD20-00445 JEFFERSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street | Port Townsend, WA 98368 360-379-4450 | email: dcd@co.jefferson.wa.us www.co.jefferson.wa.us/commdevelopment Dear REBECCA NERISON: The Department of Community Development is in the process of reviewing your application. The following information is needed to continue review of your project. The proposed project classifies as a "small" project under Jefferson County Code (JCC) stormwater requirements. JCC 18.30.060 and 18.30.070 requires your proposal to comply with Minimum Requirement #2 of the Department of Ecology Stormwater Management Manual for Western Washington. Jefferson County is therefore requesting the applicant must complete and submit Worksheet S (Small Project Certification) to satisfy JCC requirements for small stormwater projects. Please submit the above information to the Department of Community Development within 90 days of the date of this letter which would be 12/19/2020. Please call 360-379-4450 to speak with the assigned planner if you have any questions. Sincerely, DONALD CHARLTON Filec: _____________________________________ Department of Community Development Staff Amanda Hunt \\tidemark\data\forms\F_MLT_AddInfo_Requst.rpt 9/20/2020