HomeMy WebLinkAboutBLD1987-00356 •
N E
I. LOCATION: pro9rfphic nerve S W SIDE OF ,r OAD
N E [� FEET
S W FROM INTERSECTION OF ROAD AND / I1
q ROAD
other specific location or landmark: \611/11/11l'l
LEGAL ESCRIPTION: 1 /2 3E 5( . &)
J
f 0
rj. Lot Block 'v Subdivision
6A0Q �s,Q 0 V q Tax Number %Section s i ?(t)
e
Township Range
II.TYPE AND COST OF BUILDING -
TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY
•
.,New building ❑Single Family ❑New County Resident
❑Addition ❑Multi-Family 1
Is this structure to serve the residential
❑Alteration number of units or commercial needs of those employed
0 Hotel,Motel, Dormitory at either the U.S.Navy's Trident or
❑Repair,replacement
number of units
❑Wrecking Mobile Home Indian Island Facilities?
O❑Moving(relocation) t
„liqOther Specify
0 Foundation only � it Q J U C. n• YES ONO A
-) o ors le E
1
7
OWNERSHIP USE
ti
❑Private (individual,corporation, 0 Full-time Residence
nonprofit institution,etc.) �7'��S El
Home:Recreation Cabin,etc.
v" ❑Public(Federal,State or local gov't.) UBC OCCUPANCY GEIOUP: F`" l 0 Second Home:Future conversion to
permanent residence
lido COST (Omit cents)
Nonresidential— Describe in detail proposed use of buildings,e.g.,food
V • Cost of improvement $ processing plant,rnachine shop,laundry building at hospital,elementary To be installed but not included school,secondary school,college,parochial school,parking in the above cost Pa g garage for
411.
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 //,,rr.,, \ _ ���0
c. Heating,air conditioning 30 K' --- ` ccb € y `,t/ G-0
d. Other(elevator,etc) (� !/ i"f°
•
,n5• TOTAL COST OF IMPROVEMENT $ l
III.SELECTED CHARACTERISTICS OF BUILDING -
PRINCIPAL TYPE OF FRAME DIMENSIONS A TYPE OF SEWAGE DISPOSAL F
0 Masonry(wall bearing) •Number of Stories
0 Publice
"1:-:.f.:.11-.
Wood Frame �'( dvidual (septic •Total square feet of floor area,
tank,etc.) all floors,based on exterior
Structural steel dimensions
❑Reinforced concrete TYPE OF WATER SUPPLY-
•Total land area,sq.ft.
❑Other—S ❑Public or to company
pecify
�i dividual (well,cistern) NUMBER OF STREET
PARKING SPACES
PRINCIPAL TYPE OF HEATING FUEL Enclosed
TYPE OF FIREPLACE
❑Gas Outdoors
0 oil
RESIDENTIAL BUILDINGS ONLY
O Electricity Number of bedrooms
❑Coal TYPE OF ,-CHANICAL t
❑0 er—Specify Number of Full --
bathrooms
•
Partial
IV. IDENTIFICATION-
•
Name Mailing Address—Number,street,city and State ZIP
Tel.No.
c t ' 0
Owner V - % r
r
2. titILIAA 3 OZ ( 3 ) [0 (5 �'8330
Contracto Stag i se No. -
�v+) ta1-ri 9 ( VVVV I
3. .
-
Architectfr
The owner of this building and the undersigned agree to conform to all applicable laws. •
I Sisture o applicant e /.7 to e_Address
! I Application date
/7x1.66 ./„.."54zild..1/7/...,
PLANNING AREA FIRE DISTRICT CHOOL DISTRICT WATER DISTRICT
APPROVED BY / 1/&Q.?, � ��
JEFFERSON C ��(iAi m DEPARTMENT i.'
APPROVED BY: ' V J\ PERMIT/�FEE
2 '7 3O t l V V P ISSUE DATE RECE t PT NUMBER
BUILDING OFFICIAL
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FRANK AND PATRICIA CROSBY
EXPANSION;OF EXISTING HOME BUSINESS
MITIGATIVE MEASURES
The following mitigative measures, along with the site plan provided
constitutes the "binding site plan" upon which the building permit is issued.
Any changes or modifications to the proposal resulting in new, additional, or
altered impacts will require further review and mitigation as appropriate.
1. Security and other lighting shall be hooded or directed away from adjacent
streets and properties and not create glare to passing traffic.
2. Illumination of signs shall only be by indirect means.
3. Adequate means for the efficient ingress and egress of emergency vehicles
shall be provided on the project site.
4. Parking and loading areas shall be designed in such a manner that all
traffic will be travelling in a forward motion when entering or Ieaving the
project site.
S. No off-premise signs shall be permitted.
C.