Loading...
HomeMy WebLinkAboutBLD1987-00011r l. L I. LOCATION: pror-ephicname ___ S W SIDE OF FEET NE D (lq) �� _ht,c) r S W FROM INTERSECTION OF ROAD AND i ROAD other specific location or landmark: LEGAL DESCRIPTION: \ �` LOt Block Subdivision Parcel cel �` 9 3 1 F Tax Number Y.Section Section Township Range II.TYPE AND COST OF BUILDING • , TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY , ,-7 • )4New building 0 Single Family ❑New County Reesident • Addition 0 Multi-Family Is this structure to serve the residential number of unity or commercial needs of those employed ❑Alteration ❑Hotel,Motel,Dormitory at either the US.Navy's Trident or 0 Repair,replacement number of units Indian Island Facilities? . 0 Wrecking 0 Mobile Home ❑Moving(relocation) `Other—Specify 0 YES ONO ❑Foundation only \ 61-0 r'Q c ,cln ( ) u USE OWNERSHIP 0 Full-time Residence ❑Private(individual,corporation,nonprofit institution,etc.) A A ❑Second Home:Recreation Cabin,etc. ❑Public (Federal,State or local gov't.) UBC OCCUPANCY GROUP: O 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 thea bove cost department store,rental office building,office building at industrial plant. a. Electrical If use of existing buildingl isj being changed,enter proposed use.I�j b. Plumbing go X 0214 is 02L.1 ph : �� /j [lD 0 c. Heating,air conditioning 1 LI > I C, — B - 1 0 d. Other(elevator,etc.) (2'- t'oo- ) • • TOTAL COST OF IMPROVEMENTS > - 4 III.SELECTED CHARACTERISTICS OF BUILDING DIMENSIONS •"' PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Number of Stories El Masonry(wall bearing) 0 Public or Private / •Total square feet of floor area, i Wood Frame 0 Individual (septic ,eetc.) all floors,based on exterior dimensions Structural steel . TYPE OF WA SUPPLY •Total land area,sq.ft_ ❑Reinforced concrete D P is or private company ❑Other—Specify NUMBER OF OFF-STREET Individual (well,cistern) PARKING SPACES r Enclosed r PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors Gas Oil RESIDENTIAL BUILDINGS ONLY / eG: d 'u> Number of bedrooms �'t/1�rf�Lj 0 Electricity i Coal TYPE OF MECHANICAL Number o Fu1I I i* } her—Specify bam os Partialy P IDENTIFICATION- - Name Mailing Address—Number,street,ci and State I ZIP code I Tel.No. erI` CO `` -. __1.--111A /V d E r, _Or State License No. I I 1 - t er of this building and the undersigned agree to conform to all applicable laws. sf appl tit Address Alls+ iondatte E � 0 OS-.27-✓,? n ] o2L// ? G AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT - D BY x' COUNTY HEALTH DEPARTMENT Y: PERMIT FEE ISSUE DATE RECEIPT MJUBER 9a oo Lc Li Li Li . - FICIAL e2 Mo/�o�� . so/� , \7��,r�r�'Vi'ri` -- r•i:rt TGnnstnd — l 0 I'-1/1J iq--(X VI • r*.r�'F;FZ'� c�i - C:tc%T �siiT T.T1 i NYC-; Rr, i rn i Jefferson County Planning and Ru i 1 d i ng Department Courthouse, 3rd Floor PO Rnx 1220 Port Townsend, WA 9R36R 206-2 R5-a14 1 PERMIT # • R DR7-001 1 DATE TSSTTRT). : il5/22/R7 STT R. AfifRRSS : 6+79 SCHWARTZ RD 1 -NORDT,ANfi, WAgR35R OWNER -PATRTCK LTT,LY PHONE ! MA T LTNC ADT)R : 54 1 SCHWARTZ RD -NORDT.AND WA 98358 CONTRACTOR . . -NO CONTRACTOR PRONE ! MIA I'T,TNC AfJDR : CONTR . LTC #- R.XPTRATTON DATE ! PARCEL NO . . . : t021 291 04.1 LEGAL f)RSC. . : ST-R 29-3O-0 1 FWM, TAX # LOT RLOCK DFSCRTPTTON OF TMPROVR.MR.NT: Single family residence i ) Fontino/Setharizs (Shoreline Set hack j jMohi iP Home Rinri ing: i Foundation • i TTndercgrr nd Plulmhinn/TTndergrrnjnd insulation - i Framinn/Piumhiflo/Chimney - • i i insulation _ ._ i ShePtror:ie • i Sewage Disposal System Final : i Final/Occupancy Annrf Val /0 A U 56 / j g L '� 6 � �// `� 1.44.4. "' /'P �b'/"- /A �/y CALL 385-9 1 4 1 24 FOURS TN ADVANCE TO SCHEDULE T NSPRt 1 Office Hours 9 a .m. to 5 p. m. Inspector ' s Hours r-J - 10 a . m. 24 Hour Recorder for inspections. .IFEFFERSCDrq CDtJ BUI LDI DI-C3 APPT11. = CAZ' I ©IV Jefferson County Planning and Building Department Courthouse, 3rd Floor PO Box 1220 Port Townsend, WA 98368 206-385-9141 2/21 PERMIT # •BLD87-0011 DATE RECLIVED E . : O4•_- 7 - - - - SITE ADDRESS : 541 SCHWARTZ RD :NORDLAND, WA 98358 OWNER •PATRICK LILLY PHONE : MAILING ADDR: 541 SCHWARTZ RD :NORDLAND WA 98358 CONTRACTOR. . :NO CONTRACTOR PHONE : MAILING ADDR: CONTR. LIC #: EXPIRATION DATE : ARCHITECT/ . . : PHONE : DESIGNER MAILING ADDR: PARCEL NO . . . : 021291-041 SEPTIC : DATE : LEGAL DESC . . : STR 29-30-01 EWM, TAX # WATER : DATE : LOT , BLOCK SHORELINES : BY: DATE : DESCRIPTION OF IMPROVEMENT: single family residence BUILDING TYPE •RES BEDROOMS--- BATHROOMS-- MAIN FL. . . : 0 sf TYPE OF IMPROVEMENT:NEW EXIST. : 0 EXIST. : 0 ADDTL FL . . : 0 sf GARAGE/CARPORT PROP. . : 1 PROP. . : 1 HTED BSMT. : 0 sf WOODSTOVE TOTAL. : 1 TOTAL . : 1 UNHT BSMT. : 0 sf UBC OCCUPANCY GROUP:R3 SEWAGE DISP . . : CARPORT . . . : 0 sf TYPE OF CONST WATER SUPPLY. : GARAGE 0 sf UNITS . : 0 STORIES : O HEAT TYPES . : DECKS 0 sf DIMENSIONS : MOBILE HOME COMMERCIAL: 0 sf FRAME TYPE :WOOD MAKE : YR: INDUSTRIAL : 0 sf EST COST. $ : 0 SIZE: BANK HT. . . : 0 ft PROJ GRP. . : 1411 SH SETBACK:O ft Owner/agent FEES Signature: type amount by date recpt RENW $ 50 . 00 AK 05/15/92 66647 Date: Issued By: Date : Ziri�_ $ 50 . 00 TOTAL aob > FAIRLY LEVEL clop I k)CREftSnVG,SLOPE Iov' (To 3%) LXI ST/NH / \Mk lie.)L‘ss.- 41a1SnNEi 061. � l 70 56 .01P.7 c. SAW F7 LTER(/Ox/O) d10 Op(Z3xy0/ c 4 0 , PATRIC/< c L/A.),0 Ll LLV PRQLEL -(#002./o?9/' / I5CA[E 13o' DkSCGuEio cry .c7 )ET GJECLI7',R5- 1-----1 7-1-- —r 1----I I i I 0/ 10 17 ------- 1 e - i , i 1 •-.---- <-*--, wnpdviOS L 1 i 1 , tr 1 1, 1 , } I 1 I —1 . ....,.1 çj 4 "it 70....4.......4 t ; NJ›t Z 1 I rri I , , ci ..._ 7.......... _ I , I 1 1 igialF)/44 L— i -1- I 4 ....., _..,.• 4....A :_i .. t t Of)la kvniVARI -4 ' ---E -.----:`. 1.----- al 380 --- ...,..., 7 I Ik'"ikt4 111 , lei 's / 4 1 — ill Y g 1/4•/) 4' ka....- km op‘ci NI t ig - - MI _ 1 _ _ ,--, — 1 ! I 1 0 w I _ 1 , IL 1 III I —-- I st, 7.....j 1 1 ' T1 - t t } ti 96 • 1 1 i i+rI,i 0E_jpi i , i 1 ' f 1 I I .ON IN3MIlt13dk 3 9 bi -IL°? .3 0 1 J031 ul)a3CnOi (an U 31.41IN - — -- ,,7 h a 0 II 1 III w OQ 1 4 C lilIlIllIllIa i LI 1 Sn ��������MI �� 10 1- fF J I • Z ON INI IN3dX3 00�63 � X�01 3I VN