HomeMy WebLinkAboutBLD1989-00488 Mill-NG '0.:'ERMIT APPLICATION
Jefferson County Building DepartmentP -0 -* Box 1220sPort Townsend, WA 98368
— —
_____LpcATIoN - -
SPECIFIC LOCATION SITE ADDRESS ' 7! "-1-(e C) le ,LAW
,
POSTAL DISTRIC14 /SUBDIVISION
LEGAL DESCRIPTION LOT BLOCK ruvisipp TAX NUMBER___
PARCEL NUMBER (-C) c1-1 cd,•2pPI / 4 SECTION
PLANNING AREA o SECTION 7 TOWNSHIP .3() NORTH RANGE. -7-7-7-- WM
BUILDING INFORMATION
__
)31714/LDING TYPE TYPE OF sMPROVEMENT SQUARE FOOTAG
SINGLE FAMILY ETNEW BUILDING MAIN FLOOR
.\, 0 MOBILE HOME 0 ADDITION 2ND FLOOR
c\t, 0 MODULAR HOME 0 ALTERATION BASEMENT
r"-- 0 DETACHED/ATTACHED 0 REPAIR CARPORT
GARAGE 0 REPLACEMENT iGARAGE
.......„
-NI 0 WOODSTOVE 0 WRECKING/DEMOLITION ' COMMERCIAL
E----- 0 MULTI - FAMILY 0 RELOCATION/MOvING INDUSTRIAL
.---, NUMBER OF UNITS--
MOBILE HOMES
0 COMMERCIAL SIZE
0 INDUSTRIAL . . . .
_I @ I 6
oo_
0 HOTEL/MOTEL/DORMITORY YEAR $
NUMBER OF UNITS _ „--
_
0 OTHER - SPECIFY 0 @ $8
ESTIMAT D COST OF
• IMPR EMENTS MARKET VALUE
UBC OCCUPANCy GROU // $ $
_ .
SELECTED CHARACTER STICS OF BUILDING
PRINCIPLE TYPE OF HEATING FUEL
PRXNCIPLE TYPE OF FRAME
• WOOD FRAME 0 ELECTRICITY E COLLECTIVE SOLAR
O MANUFACTURED 0 W ODSTOVE 0 PASSIVE SOLAR
O STRUCTURAL STEEL GAS 0 COAL
O REINFORCED CONCRETE 0 OIL 0 OTHER - SPECIFY ________
.-K.) 0 MASONRY ( WALL BEARING )
DIMENSIONS
0 OTHER - NUMBER OF STORIES, _TOTAL LAND AREA
C-\k,
N.. .- DEPARTMENTAL REVIEW
HEALTH DEPARTMENT TYPE OF SEWAGE DISROSAL, Nuo-- OF PROPOSED BEDRs• -
q//cv-(57 ql-i
O —' ' 0 /;;UBLIC OR PRIVATE NDIVIDUAL, ( SEPTIC ) NUmI3 ER OF EX I ST I NG BEDROOMS
NUMBER OF PROPOSED BATH it*
APPROVE DATE ....
I ND I V I DuAL WELL NUMBER OF EXISTING BATHROOM
PUD TYPE OF WATER SUPPLY
0 PUBLIC ( NAM.74 OF WATER SUPPLY
C,5cD
APPROVED DATE 0 PRIVATE ( r471/7", OF WATER SUPPLYj_
PLANNING DEFT .
WITHIN SHORELINE JURISDICTION
0 YES NAME OF ADJACENT WATER BODY
r NO
_E ..
-..o.. 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 E NO
IDENTIFICATION
NAME MAILING ADDRESS ZIP TEL NO
.,--
OWNER
' t • •. me., at._
. .
..,........_ — -
. /41
\ ,....,-
ARCH
— --- --_,
THE OWNER OF THIS BUILDING AND THE uNDERSIGNED AGREE TO CONFORM TO ALL APPLICABLE LAWS.
'''TURE ,F AP&ICANT 1APP ICATI 'N E tillIPT trDER CHCCK NeTER OR CASH '
.....e.......0..— "----03 o
/q7)
API,R•...E1:\.,:y . 7 P. RMIT -EES
A i 0 Ilf LI
,
R
DAsr,Gy F E E _ I NSpECT I ou
.-"- -
BLDG SURCHARGEGE PLAN CHECK
J EfISIDIC 1 ONO 1 ___LS,... ENE SURCHAR $ /4.
PLANNING&ROG DEPT
TOTAL
ill A it ..IC ' 6 I I NUME3ER REFUND DATE DATE ISSUED
BUILDING OFFICIAL 1
• *ilk
. . 9 Q, •
j 1
I I I o I
I
1 I j
I ;
I
I I I i I
I .
I 1 I
I -L----4---i
--- - ---1-7
1 I 1
I I .
—••••••I . I I .''I ...........-....... . I I i
1 •••••••••+..:"...It.....r'r... .....T , -' ..-1 11:1 I I I
I i I I i
• I I .. I ' 't.' " :I r I 1 I I I ,I • i '
i I
I I I
_4—--I—
i; ;.,:., i, • ; . 1
1 , ,
.....,„..Li ._....;,._.....,..!..3.,.1.4 >1...,.... .....,_ ....,,.. 4 d -4-.. .4 --4 --I- - ! -It- - -4- -, --4• 7 --k- -
kt •I ! 1 i 1 . . : 1
. .
; 1 ..:
.; _... _ ...1._ ..,.' _i. _4. ._f______: .....,... ...... _, . ....... ..., ...
1 •.. :,
, ,.. : ; __ _...... _ , ._, __ • ._• _
; I ,
• i. , 1 ;
, • -
......- , .
1 i ;
-. .., . i -• -•-.... .-. \•. ..
.1 i ; . .
. ';
--; . ;
--... .
. . .
_. _.L._ ,1 _i_
4.
, I V/ .a....
; i • --"<1." , ---1"
. :.1 •
. .• -
; —4-- -,------1- I I
i i
,
,
1 ; ; .. ,
..2t____ __ _.,... ... ; .._ ,t
,.... ; , t---
1 , ,. ,....r „_•,...--/...,,. -.. VI
: --,,- --4-- ;
., ; 1 1 •
; 1 .
i ; i- ',-e : , •- .
,7 , •-_ . 1..,...v. __,_. ......_ ,. --4.
_-_-.74.• 4-4
, • ! 7-7 570 . _FL. , i I\ t-t.- 1- ;
\ , 1 .,--•
; , ; ----- , -7---t- I-- ••---"•-/4
_
-..
i . .
, ..
ci; i !
j : *,,,,•4 ! ; ,.....! ;
- , i . '. ;•
i
____;_____T__ • .. ; ,_ . • •-16. , -4 •;01-I— • • .
i . ,or. i (L.` a$ , . • --T ,1 -
. .
. . <2,' S 4,7: • :...1 ! t i i •
Cri
; .___,......44.44....44, .__:tt: 4,-4-' ' -4- --...- 1. ...1
NE: • ..,
. Ot .:IP• :. 1
' I '
,
! •1 i idr,- ' 12.
i ; i
--7-----1------4---1---- `-t 7-----1-- -.\
, , , - I • ...."
I ,
--4---4---;- 1. _-:.... . _...._. ..... \ • .. .
. ; .3. .
__—
. ...._ . .
. . __. -.......-- _.-
1 i
, .
i, ". . , ; . . •
, , -7-7.4 7 . , --«---, --, -------4--- -4-- -4- --4- ----; --. --t--4" --' -4-7-----4------, 7.- .
; •r) ,
. :
i , •
1 . t .4_ ; . • ,•
1 --+ - ---.----
; t I
11 ii • , ; -.1 ii 1 !
•; I .
; I i I
• •• 1,.,;•' H
I I I!
;i I ; ! I i i i , •1 '; i
---I
1 ; ,-.--•.. . ____.4... _4__ ...i _...... ___...._. ....... ._i_. ...._ __._ ___;... ._.__ .
. 1
I .] i ; it
1
! i. I , ......-.....--.- ....---,--;
i I i.
I I ......4. .• ..,;... H.----•....--..---i.-----.1-
ii : : 11 ! 1
!
' 'T, •'•!, .;
----L--44.i _____.__ I .;___ __
,
;
, ; ----I____
1 I I -1,- ---7-
, I , i I t .1. 1 i 1 ; 1 1 1 I . . •
I I I
I 4 _,.......___.___, -4- ---...-..- : '. ---t----4- t -1 --4• -i-- 1 4 4 _ I . i . __.;1 I I
, 1 ;
1
i I I
I 1 ,
I 1
; 1
i I
. t
4 4 ---t li i I i i
I, . 4 ----4. -t4- -;-• 4.- , -4.--
i
I 1 i r 1 i 1 i -1-t-- i f 1; 1 1 , ----
; ;
;
1 1
i
--r- 4-- -1 -4- -41-- LI H--1-----t- —4-- -I •I ---r— 1
1 _
. I I I i I 1 I 1
I ; 1 ,
I 1 i 1 I ; I I I I i
I
4. 1.. i !, ' __.....—___!.. 1__ ...+...... _1....._......1 ___I .i....L___—;.' _.1.___i_.........4 __i
I i
I i I
I
—± I I i • I ; 1 I I
;
I , .
. .
—.4—__--i..----.1—
I i i
-
!
i i L I' 1 I I i --4--iu
:
i
i 1 : I
I
I I 1
I : , , , , , 1 „
,____ ...,.... ,
I
MILIIIIIRI 1. I I a 1
I I I 1 I I i I 1
-4-
1
! i 1
! ,
•
I i
e--1---- 'Irla'alIA-131 92, 1,.-',7-1-04-A-44tr"
11111111111.116,
1
1
1 1 .
I 1 .
.
,
. _
Q�NhiN�&
is76- 4 /42-140"4.cr- •-•--Y-1. 240/C 02
ei faqvZow
/ 7'
1 "-----;136:1%..50-... Lsalk_
S19 -I1-4
TT.il'r'c7U V/V Z4-.4 CC
®4-- rani ,, gi;- 2)- -r-s , G��-4ve- Fo,c Sy3" s4c cft
11.) U'��P 41 4..6e,4<%cs re, .,siap da_ r -L E .4c77:v6
�/I 2./0 - � ✓L� .-, 69,4
/12-3 76
5\3\\ k
,1/4--ram e
-Cp.)
0
(Ss-Ye CCa