HomeMy WebLinkAboutBLD1989-00400 C..DING HERMIT APPLICATION 0 , _ ....„
Jefferson County Building Departme nt'P .O . Box 1220sPurt Townsend . WA 98368
LOCATION //�
SPECIFIC LOCATION SITE ADDRESS t - ,
POSTAL DISTRICT /SUBDIVISION
LEGAL DESCRIPTION LOT BLOCK DIVISION TAX NUMBER
' PARCEL NUMBER F'Y)1 O7-2) 1 / 4 SECTION
PLANNING AREA SECTION TOWNSHIP ? 1 NORTH RANGE / / WM
BUILDING INFORMATION
BUILDING TYPE TYPE--OF IMPROVEMENT SQUARE FOOTAGE
0/SINGLE FAMILY YEW BUILDING MAIN FLOOR ! '11. -)
❑ MOBILE HOME ❑ ADDITION 2ND FLOOR
❑ MODULAR HOME ❑ ALTERATION BASEMENT
❑ DETACHED/ATTACHED ❑ REPAIR CARPORT
GARAGE ❑ REPLACEMENT GARAGE
❑ WOODSTOVE ❑ WRECKING/DEMOLITION ( COMMERCIAL
❑ MULTI - FAMILY ❑ RELOCATION/MOVING INDUSTRIAL
NUMBER OF UNITS '
MOBILE HOMES - ,.-{{, i i,�
❑ COMMERCIAL SIZE _„_u @ $35 -2-4 ->
❑ INDUSTRIAL YEAR 0 @ $ 16
❑ HOTEL/MOTEL/DORMITORY MAKE A a7 $8
NUMBER OF UNITS '
❑ OTHER - SPECIFY ESTIMATED COST OF 0 @ $8
IMPROVEMENTS TOTAL FAIR MARKET VALUE
UBC OCCUPANCY GROUP) �*4 _ $ $ 4J74')7 --)________
SELECTED CHARACTERISTICS OF BUILDING
PRINCIPLE TYPE OF FRAME PRINC LE TYPE OF HEATING FUEL
(,' WOOD FRAME LECTRICITY ❑ COLLECTIVE SOLAR
❑ MANUFACTURED ❑ WOODSTOVE ❑ PASSIVE SOLAR
❑ STRUCTURAL STEEL ❑ GAS 0 COAL
❑ REINFORCED CONCRETE ❑ OIL ❑ OTHER - SPECIFY
❑ MASONRY ( WALL BEARING ) DIMENSIONS
❑ OTHER - NUMBER OF STORIES TOTAL LAND AREA
DEPARTMENTAL REVIEW
HEALTH DEPAR E T TYPE OF SEWAGE DISPOSAL NUMBER OF PROPOSED BEDROOMS
, -'� S� � ` ❑�,�PUBL I C OR PRIVATE NUMBER OF EXISTING BEDROOMS
,—_., - ND I V I DUAL ( SEPT I C ) NUMBER OF PROPOSED BATHROOM c� .,
APPROVED DATE I❑� I ND I V I DUAL WELL _ NUMBER OF EXISTING BATHROCV
PUD TYPE OF WATER SUPPLY
0 PUBLIC ( NAME OF WATER SUPPLY —
APPROVED DATE ❑ PRIVATE ( NAME OF WATER SUPPLY
PLANNING DEPT . WITHIN SHORELINE JURISDICTION
❑,YES NAME OF ADJACENT WATER 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 T E L NO
OWNER
♦ � l �I-Y P /DTISO ('� `S T—\
CONT J= utl�ld,(._ -i4 r L/ - 1 ✓ 4- �� 7
., \\ ,, ARCH
/�.. THE OWNER OF THIS BUILDING AND THE UNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
�,)_ SIGNATURE O'i�' A PL 1 CANT APPLICATION� DATE I RECE T NUM I CHECK NI,IMjER�OR CASH
'
7/1
APP OVE BY PERMIT
ERMIT FEES
W' `f`- / BASE FEE INSPECTION
BLDG SURCHARGE PLAN CHECK
�� Y 1 9 � U� I�� sv
////���� / ENERGY SURCHARGE C < }/ 6 TOTAL
ANNINf;JEFFER &SLOG
/ /_ P 1111111.GLL.LL.
PL.,1D! 'ING&BIOG OEP7 U
911 NUMBER REFUND DATE 1 E I
BUILDING OFFICIAL f / C La b �. rJ
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CRITICAL AREA STANDARD WAIVER
APPLICANT: ROBERT FORSBERG
2150 CAPE GEORGE RD
PORT TOWNSEND WA 98368
CRITICAL AREA REVIEW CASE NO. CAR99-0434
BLD97-0458,BLD99-0694 SEP87-0109, SEP97-0107
PARCEL # 001073004
SITE ADDRESS : 2153 CAPE GEORGE RD
PROJECT DESCRIPTION: garage alteration/remodel
garage alteeration/remodel
FINDING: The development, as proposed and portrayed on the
Universal Plot Plan, does not encroach on an
identified critical area nor any associated buffers .
CONCLUSION: The proposed development meets the waiver
requirements established in Jefferson County
Ordinance 05-0509-94 .
CONDITION: The development shall be as proposed and portrayed
on the Universal Plot Plan. Deviation, additions or
relocation of proposed development activities will
require further review pursuant to the Jefferson
County Critical Areas Ordinance .
October 18, 1999
(carwaivr. txt)
JEFFERSON COUNTY
PLANNING&SLOG OEPT
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