HomeMy WebLinkAboutBLD1989-00031 .TF: r-F:RF;i,T\3' C77 (73T31Ni `T v i�iTr i T.i)T TTC r'�- F.F TviTI -i-
Jefferson County Planning and nii i i d i nor Department
Courthouse,. 3rd Floor
Pi) i=Sox 1 %%11
Port Townsend, WA 98368
20 -3R5-q 1 4 1
PF.RMTT 7' • r')LIJ89-O031 DATF TSS JFD. : 07/09/M9
STTR AIJIJttr.nn - %340 F MARROJWSTOJNF. RI)
•.iORDLANf . WA 98358
OWNFR .JOHN nONFY PHONF:
_. MA'I T, I Nh Ai1DR.,: 2-340 F. TVIARROWSTONF RD
N11R LAN1) WA 98358
CONTRACTOR . . -NO CONTRACTOR PHONF
TVIA TT, INC ADDR :
•
CONTR . T.T C: #: FXPTRATTON DATF
PART;FT. NO. . . - a76200)70
T.F.OA T nFSC . _ :STR 33-30-01 FWM TAX #
LOT 4ti oC:K ,
DFSC;R T PT T O N OF T J•IPROV RMF.IY T ' single family residence
Foot i no/Sethac-ks (Shoreline Setback) /iVloh i i e Rome. 1S i ock i nci :
i Foundation :
1 Underground Plumbing/Underground insulation :
i ) r minor/Piumhincr Chimney: 62A, 2r
1 • 3--1(e'C�
Ot''.' Va.? trboi.,nr�.
i Sheetrock-
-- � �
1 Sewage Disposal System Final :
i r i na i /Ciccunancv Approval
CALL 385-91 4 1 24 HOURS TN ADVANCF TO SC;HRDUT,F. TNSPRCT T ONS .
Office Hours 9 a .m . .to 5 p.m.
inspector ' s Hours 9 - 10 a .m.
24 Hour Recorder for Inspections_
r 1
f3U]•ING` 'FRMIT APPLICATION
fferson County Building DepartmentoP .O . Box 1220'Port 1 id. WA 98368
LO AT I(IN
�
�
SPECIFIC LOCATION SITE ADDRESS /40 _. 1b }17Cra)S
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT 1BLOCQK ` DIVISION TAX NUMBER
PARCEL NUMBER -(7LY eD 706 1 / 4 SECTION
PLANNING AREA SECTION TOWNSHIP �& NORTH RANGE WM
BUILD G INFORMATION
BUI ING TYPE TYP OF IMPROVEMENT SQUARE FOOTAGE >`
SINGLE FAMILY EW BUILDING MAIN FLOOR
�` `
❑ MOBILE HOME 0 ADDITION 2ND FLOOR / 12
❑ MODULAR HOME 0 ALTERATION BASEMENT
❑ DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT GARAGE 7(,,-) 4
❑ WOODSTOVE 0 WRECKING/DEMOLITION COMMERCIAL
❑ MULTI -FAMILY 0 RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS MOBILE HOMES p
❑ COMMERCIAL SIZE 6 =-71Li @ $3 5 53�C?n
❑ INDUSTRIAL
YEAR P-`// @ $ 1 6 �o7-Y�
❑ HOTEL/MOTEL/DORMITORY MAKE `{ ,-f, @ $g
NUMBER OF UNITS ��f!'/�
❑ OTHER SPECIFY ESTIMATED COST OF t a1 $8 0 g
IMPROVEMENTS TOTAL FAIR ARKET VALUE
UBC OCCUPANCY GROUP $ $
`, ly
SELECTED CHARACTERISTICS OF BUILDING
PR CIPLE TYPE OF FRAME PRI IPLE TYPE OF HEATING FUEL
WOOD FRAME ELECTRICITY 0 COLLECTIVE SOLAR
❑ MANUFACTURED 0 WOODSTOVE 0 PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS 0 COAL
❑ REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE O SEWAGE DISPOSAL NUMBER OF PROPOSED BEDi400MS3
O P LIC OR PRIVATE NUMBER OF EXISTING BEDROOMS
1 L V I DUAL ( SEPTIC ) NUMBER OF PROPOSED BATHROOM
APPR VEi DAT INDIVIDUAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
O PUBLIC ( NAME OF WATER SUPPLY) -__,.
APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WI IN SHORELINE JURISDICTION
YES NAME OF ADJACENT WATE BODY
❑ NO
APPROVED DATE BANK HEIGHT ..' SETBACK„.—
PUBLIC WORKS DEPT ROAD RIGHT-OF -WAY WIDTH
NAME OF PUBLIC ROAD
NAME OF PRIVATE ROAD
APPROVED DATE ROAD ACCESS PERMIT REQUIRED 0 YES ❑ NO
IDENTIFICATION
NAME MAILING ADDRESS ZIP TEL NO
OWNER ti ..ja.)n i I I , ,,2--2-3/.G 644 0A-f-- a de2_0 , .
CONT r 7
T
ARCH
THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
OF PLICANT _ APP ICA 10 ATE RECEIPT NUMBER CHECK NUMB OR CASH
416
. r t ire• MI
( 7a
R
APPROVED BY P MI FEES
��
A P ® , o�a
BASE FEE INSPECTION
Y 8 �� BLDG SURCHARGE PLAN CHECK
' / a ENERGY SURCHARGE ..C5(p//'
�-6 TOTAL
Etdli fit, ,;I's�
er"DEFT 9 1 1 NUMBER REFUND DATE I g ( jS/(BUILDING OFFICIALIlk 7�
' �4 /6)9 +
SHORELINE SETBACK EVALUATION
APPLICANT :
ADDRESS: �� `(0 41/1.t4
7
TELEPHONE: (home ) (business )
PROPERTY DESCRIPTION
PROPERTY SITE NUMBER:
LEGAL:
Owner :
Address :
Tax ParceL Number:
ReaL Property Description:
ADJACENT WATER BODY:
EVALUATION
i
BLUFF HEIGHT: _ SOURCE: /
BLUFF STABILITY:
S l_f__ SOURCE: CZ if
D STANDARD SETBACK: feet
This minimum setback shaLL be measured from the ordinary high water
mark to the most waterward edge of the proposed structure .
BLUFF SETBACK: feet
This minimum setback shaLL be measured from the bank' s edge to the
most waterward edge of the proposed structure .
0 AVERAGE SETBACK: 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: feet
Left House (facing waterward) :
• Setback from bank or ordinary high water : feet
• Distance to the proposed structure: feet
0 SUBDIVISION SETBACK: feet
This minimum setback shaLL be measured from:
This setback was estabLished by the approvaL and fiLing of the pLat.
VARIANCE
REQUEST:
0 APPROVED 0 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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