HomeMy WebLinkAboutBLD2003-00295 0 •
MANUFACTURED/MOBILE HOME INSTALLATION PERMIT
Jefferson County Department of Community Development
621 Sheridan Street, Port Townsend, WA 98368
(360)379-4450 FAX (360)379-4451
PERMIT #: BLD03-00295 Received Date: 5/8/2003
SITE ADDRESS: 82 N DUQUESNE AVE Issue Date: 6/19/2003
PORT TOWNSEND, 98368
APPLICANT: JAIME KOZELISKEY
1112 S JACOB MILLER RD
PORT TOWNSEND WA 98368
SUBDIVISION: IRONDALE Block: 126 Lot: 40-43
PARCEL#: 962112616 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/
DEALER
INSTALLER: JAIME KOZELISKY WAINS0626 Expires: 7/31/2004
1112 7 OB MILLER RD PORT TOWNSEND WA 98368
(.7PROJECT DESCRIPTIONS MANUFACTURED HOME INSTALLATION
MAKE: FLEETWOOD
YEAR: 1982
SIZE: 24 X 48
THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED.
THE FINAL INSPECTION MUST BE SCHEDULED AND PASSED WITHIN THAT YEAR.
THE EXPIRATION DATE IS 6/19/2004.
REQUIRED INSPECTIONS:
[ ] Setbacks/Footing (CONTINUOUS FOOTING, SLAB or PADS USED):
[� Blocking/Plumbin '7--e_.--0--(
[ ] Zoning Approval:
[ ] Septic System Approval:[41' Final/Skirting/Vents/Porches/Steps: 4C---C/r rd—O`f
HEALTH DEPARTMENT APPROVAL REQUIRED PRIOR TO FINAL INSPECTION
BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS.
Office Hours 9:00 a.m. -4:30 p.m.
SPECIAL CONDITIONS APPLY-SEE REVERSE
HOT-LINE AVAILABLE 24 HOURS A DAY
0 • MLA03-
00254
Review Type: I
MANUFACTURED/ MOBILE HOME INSTALLATION APPLICATION
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT#: BLD03-00295 Received Date: 5/8/2003
SITE ADDRESS: 3). N DUQUESNE AVE
PORT TOWNSEND, 98368
APPLICANT: JAIME KOZELISKEY PHONE: (360)385-3215
1112 S JACOB MILLER RD
PORT TOWNSEND WA 98368
SUBDIVISION: IRONDALE Block: 126 Lot: 40-43
PARCEL NUMBER: 962112616 Section: 34 Township: 30 N Range: 01 W
CONTRACTOR/
DEALER:
INSTALLER: JAIME KOZELISKY WAINS0626 7/31/2004 (360)385-3215
1112 JACOB MILLER RD PORT TOWNSEND WA 98368
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTION , "MANUFACTURED HOME INSTALLATION
TYPE OF WORK MOB MANUFACTURED HOME: SHORELINE:
TYPE OF IMP NEW
MAKE: FLEETWOOD SETBACK:
VALUATION 7,500.00
YEAR: 1982
LABOR & INDUSTRIES APPROVAL? SIZE: 24 X 48 BANK HEIGHT:
SEWAGE DISPOSAL: OSS
WATER SYSTEM: PUD
BEDROOMS: BATHROOMS: PARCEL TAGS: YES NO
Exist: Exist: STORMWATER: YES NO
Prop: 2 Prop: 2 AREA Plat Conditions
Total: 2 Total: 2 Wetland Erosion
Seismic Streams
Flood Way Floodplain
Routing Date:• 51/3 t F&W Landslide
!/ 03 Shoreline Aquifer
DType Amount Paid By: Date: Receipt: AppfOVeoe
Manufactured Homes $151.00 MAM 05/12/03 JUN 1 9 2003
Potable Water Application $51.00 MAM 05/12/03
Total: $202.00 Jefferson County Planning
& Building Department
•
JEFFERSON COUNTY COMMUNITY DEVELOPMENT 621 SHERIDAN ST, PORT TOWNSEND WA 98368
MANUFACTURED HOME INSTALLATION PERMIT APPLICATION
NEW BUILDING 0 REPLACEMENT
SIZE 2 t Y
YEAR E?-
MAKE F L
cosT -7SDO � MAY - 2003
BEDROOMS: BATHROOMS:
EXISTING Z EXISTING
PROPOSED Z- PROPOSED
TOTAL Z-- TOTAL
TYPE OF SEWAGE DISPOSAL: WATER SUPPLY:
0 SEWER 0 COMMUNITY SYSTEM 0 PRIVATE WELL 0 TWO PARY WELL
ti INDIVIDUAL SYSTEM E9` Conventional to PUBLIC
PERMIT#SEP 0 Alternative Name of water system: .(A .
IF WATERFRONT PROPERTY,
DISTANCE TO BANK OR HIGH WATER LINE ft BANK HEIGHT ft
By signing the application form, the applicant/owner attests that the information provided herein is true and correct to the best of their
knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application packet
may result in this permit being null and void.
I further agree to save, indemnify and hold harmless Jefferson County against all liabilities,judgments, court costs, reasonable attorney's fees
and expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and it's employees, representatives or agents for the purpose of
application review and any required later inspections. Access and right of entry to the applicant's property or structure shall be requested and
shall occur during regular business hours.
SIGNATURE ter ) `�;L DATE - Z.
NAME(PLEASE PRINT) pr I Vl4 (
FOR OFFICE USE ONLY
CONSISTENCY REVIEW FEE _47.00 RECEIPT#
BASE FEE IS l cDD
ADDITIONAL SECTIONS CASH/CK#
SUBTOTAL , ‘ DATE / /
POTABLE WATER ,C7•3
911/ROAD APPROACH
Q'J�
TOTAL ep�O t/ ,
H:WOMEIPLNCNTRVNFOBLD\FORMSUNOBILEAP.1 v26/01
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SPECIAL CONDITIONS CASE # BLD03-00295
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on 5/16/03 for the potential presence of Environmentally Sensitive
Areas (ESAs) under the provisions of the Unified Development Code (UDC). After an
initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Aquifer Recharge Area, and Airport Noise Overlay.
2.) Aquifer Recharge Areas in Jefferson County are characterized by porous geological
formations that allow percolation of the surface water into the soils and the underlying
zone of saturation. Aquifers are geologic formations that contain sufficient saturated
permeable material to yield significant quantities of water to wells and springs. Aquifers
serve as the source of drinking water within most of the rural portions of Jefferson County.
3.) Susceptible Aquifer Recharge Areas are those with geologic and hydrologic conditions
that promote rapid infiltration of recharge waters to groundwater aquifers.
4.) Critical Aquifer Recharge Areas may require special protection measures to mitigate water
quality degradation. The submitted proposal does not require additional aquifer
protection measures. However, during construction the project shall follow the Best
Management Practices (BMPs)and facility design standards as identified and defined in
the Stormwater Management Manual for the Puget Sound Basin.
5.) The applicant is proposing to create or add 1,940 square feet of impervious surface.
Sections 6.6 and 6.7 of the Jefferson County Unified Development Code requires that
your proposal adhere to Best Managment Practices (BMPs)to control sedimentation and
erosion on the subject property.
6.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
7.) The site plan as submitted with the building application on 5/08/03 has been reviewed for
consistency under the UDC, and has been approved by Jefferson County Department of
Community Development. Any modifications, changes, and/or additions to the stamped,
approved site plan dated 5/21/03 shall be resubmitted for review and approval by
Jefferson County Department of Community Development.
8.) This approval is for a manufactured dwelling only. Any future permits on this site are
subject to review for consistency with applicable codes and ordinances and does not
preclude review and conditions which may be placed on future permits.
9.) The applicant has recorded a Declaration of Restrictive Covenant to combine lots 40-43
for development. The document was recorded with the Jefferson County Auditors Office
on 5/7/03 under Auditors File No. 469441.
10.) The building height is not to exceed 35 feet.
11.) North Duquesne Avenue is classified as a local access road and thus requires a minimum
20-foot setback. The remaining side and rear lot lines require a minimum 5-foot setback.
All setbacks shall be measured perpendicularly from the lot line to the proposed
development.
12.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined by the amount of
impervious surface which includes roof tops, concrete, etc.
13.) The subject property is near an airport where a variety of airport dependent uses occur
that are not compatible with development. Potential discomforts of inconveniences may
include, but are not limited to: noise, aircraft take-offs and landings.
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