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HomeMy WebLinkAboutPermit File 2208 Cascade Court 9r3D.1s- e\ Catetha jet . V k (..r---..„ T Y ;: CITY OF ANACORTES F+'- - WASHINGTON k'i - lit BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY t':.' This is to certify that the(Description of Building or Structure): i': .1k pp..- `iiyg!c' Patti 1Y Rd Sid is-as t t' Located At: 220E C Isc d Cou rt 'urt - SMEET MANSES �I (; - Owner: Vint:a cre _:tucw;:Wea;,t; it' :- Constructed By: Owner I, OWNER OR CONTRACTOR (1 °' Bldg. Permit#: COI712003n-0O0 ; C.: .- Date Issued: ihwl-"'—U- f'a Occ.Group: Use Zone: g Has Been Inspected And Occupancy Is Hereby Authorized. it y c:.tq This Da of 20 • - .1 N ii. t ^1 1 I AUTHORIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. •I R i j s L , \i ofm CITY OF ANACORTES\ { WASHINGTON -v OPS¢ BUILDING DEPARTMENT !f !` CERTIFICATE OF OCCUPANCY j This is to certify that the(Description of Building or Structure): € SnP1e Family Residence Located At: 2210 Cascade Court R' GIP EETB NUMBER F. - - Owner: Vintage Investments Constructed By: Owner OJMEP.OH CONTRACTOR l` Bldg. Permit#: COM2000-00034 ( Date Issued: 4-7-00 . I- Occ. Group: R3 Use Zone: R2 Has Been Inspected And Occupancy is Hereby Authorized. This 27th- Day of, March 20 022 r„ 'AUTHORIZING OFFICIAL t G SEE REVERSE ME FOR SPECIAL REQUIREMENTS. 0 0 COMBINATION PERMIT CITY OF ANACORTES PERMIT NO: COM2000-00034 P.O. BOX 547 APPLIED: 00-02-25 ANACORTES, WA 98221 ISSUED: 00-04-07 (360)293-1901 EXPIRES: 01-04-07 SITE ADDRESS: 2210 CASCADE COURT ASSESSOR'S PARCEL NO.: 3772-255-005-0005 PROJECT DESCRIPTION: Construction new condo. OWNER CONTRACTOR LENDER VINTAGE INVESTMENTS,INC P.O.BOX 973 ANACORTES,WA 98221 293-2596 TYPE OF WORK: NEW AREA(SF) VALU: $150,000 FEES TYPE OF USE: MF LOT: 0 REQUIRED SETBACKS CENSUS CATEGORY: 1ST FLR: 1,842 FRONT: Type By Date Receipt Amount ZONING: 2ND FLR: SIDE(1): ESPL MRD 00-04-07 -$100.00 BASEMENT: SIDE(2): PLCK MRD 00-04-07 $32.27 OCCUPANCY GROUP: GAR/CARPORT: 519 REAR: INSP MRD 00-04-07 $50.00 R3 OTHER: REQUIRED PARKING PRMT MRD 00-04-07 $558.00 TYPE OF CONSTRUCTION: TOTAL: PMEC MRD 00-04-07 $95.60 5N NUMBER OF UNITS: ACCESSIBLE: PPLM MRD 00-04-07 $125.00 OCCUPANT LOAD: STORIES: COMPACT: STBC MRD 00-04-07 $4.50 BUILDING HEIGHT: IMPRV SURF: SEWR MRD 00-04-07 $3,796.00 IMPT MRD 00-04-07 $400.00 MechanicalEquipment Plumbing Fixtures STRM MRD 00-04-07 $1,126.00 Equipment Type Quantit Fixture Type Quanti PARK MRD 00-04-07 $615.00 Furnace<100k btu 1 Bath Tubs 1 Total $6,702.37 Clothes Dryers 1 Dishwashers 1 Ventilation Fans 3 Hose Bibs 2 Exhaust Hoods 1 Hose Bibs.. . 2 ' Hot Water Tanks 1 Laundry Tubs or Trays 1 Gas Outlets 1 Lavatories 3 i • Showers 2 Kitchen Sinks,w/Disposal 1 I Water Closets(Toilets) 2 / ' _ • r • I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all ordinances and laws regulating activities covered by this permit. Issued by Applicant or Owner's Signature 24 Hour Notice Required For All Inspections C C - COMBINATION PERMIT CITY OF ANACORTES PERMIT NO: COM2000-00035 P.O. BOX 547 APPLIED: 00-02-25 ANACORTES, WA 98221 ISSUED: 00-04-07 (360)293-1901 EXPIRES: 01-04-07 SITE ADDRESS: 2208 CASCADE COURT ASSESSOR'S PARCEL NO.: 3772-255-005-0005 PROJECT DESCRIPTION: Construct new Condo Unit B OWNER CONTRACTOR LENDER VINTAGE INVESTMENTS,INC P.O.BOX 973 ANACORTES,WA 98221 293-2596 TYPE OF WORK: NEW AREA(SF) VALU: $150,000 FEES TYPE OF USE: MF LOT: REQUIRED SETBACKS CENSUS CATEGORY: 1ST FLR: FRONT: Type By Date Receipt Amount ZONING: 2ND FLR: SIDE(1): ESPL MRD 00-04-07 -$100.00 BASEMENT: SIDE(2): PLCK MRD 00-04-07 $36.27 OCCUPANCY GROUP: GAR/CARPORT: REAR: INSP MRD 00-04-07 $50.00 R3 OTHER: REQUIRED PARKING PRMT MRD 00-04-07 $558.00 TYPE OF CONSTRUCTION: TOTAL: PMEC MRD 00-04-07 $99.00 5N NUMBER OF UNITS: ACCESSIBLE: PPLM MRD 00-04-07 $111.00 OCCUPANT LOAD: STORIES: COMPACT: STBC MRD 00-04-07 $4.50 BUILDING HEIGHT: IMPRV SURF: SEWR MRD 00-04-07 $3,796.00 _ IMPT MRD 00-04-07 $400.00 MechanicalEquipment Plumbing Fixtures STRM MRD 00-04-07 $1,126.00 Equipment Type Quantit Fixture Type Quanti PARK MRD oo-oa-o7 $615.00 Furnace>=100k btu 1 Bath Tubs 1 Total $6,695.77 ' Clothes Dryers 1 Clothes Washers 1 Ventilation Fans 3 Dishwashers 1 Exhaust Hoods 1 Hose Bibs.. 1 Hot Water Tanks 1 Laundry Tubs or Trays 1 Gas Outlets 1 Lavatories 3 Showers 2 Kitchen Sinks,w/Disposal 1 Water Closets(Toilets) 2 I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all ordinances and laws regulating activities covered by this permit. 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Mailing Address: City: T e iz7Z State: Ulfill-- Zip: q$7iZf City: State: Zip: Phone No.: g Q 3 - .?59', Phone No.: Contractors License No.: ,.... a.. .. .». _u:,.T;:,o.�,,r.:.»..... .,.tea.... ...:......x.....n,.<:..,,:,^..:.. x:......�........ ..,...::Y. . � .,. : . . .�3�i hA:::::. 4n F:a/::n:y:::u :.!J.....:.i..:. ..ry :a:.:l...n . .:::^<.. . ....v:.:v,..:..>':.rv^...1, ...,. .:.:naay.:.. ....::a.3 : Uia�.k.f> v<.,., rv:[..w a...:, h. ..yr-.. .v(K..<,}.;. :.ei ln..:%.n,.. ..i/..5. , :. .!t..,a<:.3 ..a Yr..f.,o... f<rvf`v.:::^a .!:�i:�uf:/C;ii"Q;"`�^Jf „<.: ,.3< �ys : :c..: ..z ^ .x,>, .a;.« ,:. F% ^.�CCI1<�tgMCA�'., : �9.gs '::a.s�. .w,11r+��� .:>,>';r..'!>...�..0 .,..,:�":.:..:.:aai,L.^Y::ir.::&'9a .,.Y!:��, rn9q,'wb:An:n`ffi'Qn tl a.k.::..::.A'<:waa9`...::•3' ...... .:.. ...... .. ...,.a...:. ....... .. :.... .... .... ...... .. .� NO: Type of Fixture NO: Type of Equipment a Water Closet 1.5 GPF `e,5-- Air Cond. Unit HP ' ' Bathtub r_g- Refrigeration Unit HP Z Shower 2.5 GPM 9- Boiler BTU/HP Dishwasher 2.5 GPM I Forced Air System BTU 1V.w °��-� 3 Lavatory 2.5 GPM Floor Furnace 1 Kitchen Sink 2.5 GPM 9_ Wall Heater t Clothes Washer l Clothes Dryer -g- Urinal 1.0 GPM 1 Ventilation Fan ICJ Drinking Fountain } Range Hood re- Floor Sink or Drain Air Handling Unit CFM I Slop Sink ' - Pre-Manf. Stove or Fireplace Water Piping Gas Fireplace Z- Hose Bibs ) Gas Water Heater ,,fa." Back Flow Prevention Device 1 Gas Piping Other(Describe) Othere(De cribe) CG____,H7CS:)y ELEC: OTHER: THIS APPLICATION IS RECEIVED BY THE BUILDING DEPARTMENT UNDER THE PROVISIONS OF THE UNIFORM PLUMBING AND MECHANICAL CODES AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS ' , APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCE GOVERNING THIS TYPE OF WORK WILL BE COMPLETED W .THER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTION. SIGNATURE? K 1 4,7 DATFz _ ..:re:cc:. ... ....:: •;.'::9:;e!,.>c,.n:;:x..:.<:.:::?::<j:• ?':? %%r�¢::i '.', y5":•;'.,an,.,.�,:`i"•.F,:,ugy:..f.>,(%.i.r '.:/ 3 .:.:, g3:uv,s.. ,(.:,.L1:.4$n.,l.>/i.,y3N::3asy3,..:v J^. .q" .i . >ir,F.>xr-,q<<...e:�:,;o SAW- ,.:.._ ...,.: e..�.:.:::.:<:Y.,..,..:<...,....,.:.e..:..:... c..>.,,...:....:. ":.xYe:.;ik`s�„(:i<?;����f�Y<:4`::<..1,:,....<. t<. ..,. d„ ..a.....w.. : ,.. ,..� c, , .. . .. .o... .. Y, ....;... r.i.:...... ..:. ...... ..ar "^' ,k`o%' frr ja�p ,:..».Y,. ./a.... ,,:.... f"d.:�> .r .d. ..w.;,.,,...rv..;..,.>/,),.:,..:..:...n... ....�..... ..w...3...pI/. f>:jpb <'Nm...:3.'':�: Hwy,.,,�...acSY",vy .,dyn>' _ er .ai , - 2;.',�i.'.a"'�r; ..,..>�s�,:y iF(�:�a.-,..,w�es• i:E :'d#C'Sn.y.,� n?yv:i.4_c,.� d .p <;�<. 2>�'<y:':i..'r?SIS:'>/.... 'Ar /��r�.. 7.`r,. s./ -72'.%' `U" .✓ r , << '3^ ,c •s'<f ,.r te: tie r^ l?ie biafjv:'Y:(+ �d>:��K"9:dS�h>=�//>...y.:?P:..,:.rkd$<:n" .;.:..,u�i... �Y. ,.... „r (zy.-.:y/:�.?`>y ::hx..e,,.�,.Y^.:/sf1.wowy<..,.xew:.noe<..t.;..,..<.:v.>::,..i,.>:3;»..n<>w::a.:d�,.�fs..,.Y..: ....,z;y:r. �?: <!<-�:>.�>s:�;:ii%z�Y<Sirl; SITE ADDRESS:0 UviT ray p7Op OiGead 0. - ASSESSOR NO.:377Z'a5 J00 5 C)035 LOT: BLOCK: DIV: ADDITION: :>.�:-izci.-,..........:.......:...:^.;;::n:...,e<Y.`raw->-.Y:.r:. ..:o£- .,}). > .?>::...-::?;v..r<k<„.,o-S>^L wex<S . _,>:w,-,.S=c y.,,.-.x..u . ..:,.�„r,.:„..,:.ys. :.. : ..... . . .. . :. .. ..:_...:;ax.�::i:�.x„>:Lii.::.p>tz:::_.;.�: qa>... :. r, . .Y{y.�.,�y,ny�•L,.a:c.-.u..t/.<.•f__....;....w..C.Ze^n.k2,y J....... .H.:<:R,.,�.;i..>.ci..pn .<J..: :14 : :Roe.:> �.YFS.l FfAV � ea y<..a�n �YVW1 i..J.r.:y...�.. ..... . •wu�.:�btl _ ..��...,p<.,�3" ..c.:e>a C[:>x.;>yr.�.J.r......e;>'c:.�.>a':';u \J✓A'rJl� „y,.�� ...';'a,.. ,.N .:�:. .,.;VVs:.3; t>x:.A�{J e ... ,<„'�;c..:......:..:,.:. .orvcr.,.Y.r,.x.::.�xx.e C,•.. . .:..»...:..... . .... ..... .. .. .... .. . ...<c.:... :... ...rv:... .. ... . . . .. .. ,. :c Name: Name: Name: Mailing Address: Mailing Address: Mai ilng Address: Thoa .744I City: State: Zip: City: State: Zip: Ci : State: Zip: ki i Phone No.: Phone No.: Phone No.:- 2 t(3 - 2 5 t Contractor License: Contact Person: Phone No.: .....,,.a.:.o,-.;.:xeo*.:.^».,.e,�.w.•xe::Y""br t•e>:>+: v ): _.<w,.::y ..?w>..:kx>Y..>::,_.:>..;>;.<r�.�.;zza"><.>^>.<Y:.:,.y:ra::.<:r :Y::::.«<o::.:.r.Y.�^.s�..>;r>':•aY. ,,,),y.D..f->,.._.,.,,:.:....r,.err<-,...,m�.< :rYr..,..db<z.:p¢aY<_Y:nx>a>::£'....<<.,: ?. .z,.- .r>.. ..;E, ..a, ,;. s..,. x _ : WK: , ^ :.. : `>.••?<r. < 5nd;. axY,._h.Lz:,<".,>::`Y>:">S•c.ixe;o.r?o>>:<�`.:-^.°as><•..:.ux.4 ;e . .:an<^vsw, .e.. ,>. >d....o 't. ... ^ >...�Rx.>.:>,;...-sfy�5:-.:,r..., :..n.,iD_. c.w<pirii;i['A"n',.<o ..i<Y uY .,... ..Y ry e..ry .;.q ......:>,.;..n_••<. .e.::_�.,.�__�:r .._ .f. .; . a o. .2...:; :-...... ..w ... a<. »,.._ ,. .> _. 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(Check One) Single Family:cam Multi-Family: Apartment:_ Condominium: X Senior Housing: ' Retail: Office: _ Restaurant: Manufacturing: Storage: Bank: Assembly: Accessory: Automotive Repair: / Other(Specify): DESCRIBE OF WORIt: 0(fYI,�972CLtr _MUD oU(fZ7� k-U-I9-ebi- CCl-tr ,n ,. <c<c,..>..-.w.;..<><,:e::.:..>.Yc>::: .<..,.c.:.>.<a<.c..,...:;c.>,>.;ec:.>£,: . . . : �y< .. ..:.Y.r..,..;<.wrs<.,....>i...::i.... :..:.....:,. ..._.. : ..' ° $li ."' ?.':?;`;r'ia`::.:::.i�o^<;::.._:.: ":_.,S¢e:,>:.dn.r..>�>'...<:.>,.LY:e:;.....�,..:.,.::.:<.:.;..`. °. ..,.>z:::^,..:,.).z�cA;;:<L»..w,.?,.,.,.,.s<.„:.:,ts.i".»:.,.:,::s::.,ww.;.,:'.a:f..:r::�`�s '.tI",f .0i� Q .:......, <:... �.. >ra_. ,_. . . ,............... .. ... ........k :... ...a...<. ...... _..Y.':.'_>.S:yc:_:�i:'i�j`<k:"�:$"`:.L.y:�`f ,.at.,..aa .r .u:.,, ua. w.,.:.-:.,..atarv..au:.:.uL,_w.,.,.v..,.w..,:.. . . :,.::... ..:». ... ...: Street Setback: .X Y ft. 2nd Floor: sf. (Circle Y or N) 1st Side Setback: ft. 3rd Floor: sf. c I 2nd Side Setback: ft. Basement sf. Shoreline/Wetlands -( / Rear Setback: l O ft. Occ. Group: Water on/Adj. to Property Y N Use Zone: Carport Area: sf. . Soils Report N Type of Construction: Jai Tp 4Jt^c Garage Area: S\ sf. Sensitive Area Y Lot Area: sf. No. of Stories: j r Latecomers Agreement ,) /�I) i u:r zI No. of Dwelling's: 1 Building Height:Ar sf. Fire Hydrant(250 FT) l% l j Lot Coverage: Deek-Area: '1(n sf. Variance ,Y� I� 1st Floor: j R tI y sf. `'a /1`'�l-"c, Covenant ) N HbUEIVEC) Project Valuation (Labor and Material Cost): /' O KG- FEB This APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL ENTIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DA68381200 '.j>I[, tcpicl. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN • AUTHORIZED AGENT OF TILE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL DE COMPLIED WITH WHETHER SPECIFIEDE 0 NOT.INCC�UDING CALLS FOR INSPECTIONS. SIGNATURE:�1�fr {l//(d� <�J( DATE: r, : ,,r•'k.;<::.N.znnm n Ai A :} nwi,,:Jn.::'. n»J L : Ju n :> v) :;E. S J < iJ: . w , , a . r >a . ) . T FA�SCOR�E�� > ' •c t' w`rex : eo- ,..wy ,ya:,V :&:f. wi.T:• N . a a <�D.:..rGnFn,. G . :TS REi:J ; < caaY ' " h• ti§a n,}r,.:_K �>:..n..a G .nn :.: :na :n:n .t<v: ..:.,,, •,.>a '.'^nY;.u}:S.a.?3> [. y: Y :>r;a, V?"?fiT> n. . ,: 's'y . ::o:: 2. 2P �� ae c L \ g t4 .� nsy";'„g,)k'y..,._," {.3. JSe..aY. n3:m:nva...:;Fxar<:.:.a;..,. .n.�. .. n.m . .., iS:� 6i? • • I` SITE ADDRESS: WI- piI/ flID di-' ASSESSOR'S NO .: 77 a55-QQs two- _ LOT: BLOCK: ADDITION: ) :_: Ylnr�nrcYn.,N <, : .. �.4T $ ^n 7a j v « . 3x ,, v � F : inli 'p4:9•B ?.. (r� :.vrt. .^< .or1 »xn ,...n ... n . ,: l::.Y g.>. c:vi.4*:2,.02: ✓ ki ,:it:< Y ". n:.,': ; ' :: .� ....'..: .nc.:ft. ::..t .p t Name: 1 VA- i Th/f' g,`'flAFS i 'Life, Name: 5.K1711- MailingAddress: ]'O3 74`z Mailing Address: City:_d igemaT�R State: 1/Ulf' Zip: ' A2.r City: State: Zip: Phone No.: g 9 3 - ,6-9(i> Phone No.: Contractors License No.: >� Q { y : », . .<A . .a u>:v ..:�_.;. • .aH : .- .o `atS ow' iI �� :" ' > sJ�$ :pnbka vn:.?:v4`.`< r: „: .T . n _ �iMN AV�M4)YC»& 5 %Q::a: " Cn „ r MAMMA a � �Vi. �X 1:lG z1dRwi3 . . ,p...: .:W NO: Type of Fixture NO: Type of Equipment . Water Closet 1.5 GPF c@I Air Cond. Unit HP ' Bathtub r. Refrigeration Unit HP 2 Shower 2.5 GPM �- Boiler BTU/HP ' Dishwasher 2.5 GPM I Forced Air System BTU lvi vv. . eS y-� 3 Lavatory 2.5 GPM r-g- Floor Furnace ' Kitchen Sink 2.5 GPM 9- Wall Heater ' Clothes Washer I Clothes Dryer Urinal 1.o GPM (\ Ventilation Fan -Si Drinking Fountain 1 Range Hood (-0- Floor Sink or Drain Air Handling Unit cFM { Slop Sink s ` Pre-Manf. Stove or Fireplace Water Piping Gas Fireplace Z_ Hose Bibs 1 Gas Water Heater Back Flow Prevention Device 1 Gas Piping Other(Describe) Othhec.(De\scribe) CsAS J r ELEC: OTHER: THIS APPLICATION IS RECEIVED BY THE BUILDING DEPARTMENT UNDER THE PROVISIONS OF THE UNIFORM PLUMBING AND MECHANICAL CODES AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS ' APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCE GOVERNING THIS TYPE OF WORK WILL BE COMPLETED W THER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTION. � / rr77 SIGNATURE72/ e l DATFr d _ 0-0 _ .a..lN.cv J. ✓,.r.. .Si' .1<::!: <..S i. .Y/Y .:4Pf,E'.: n'Srl>.:T <S!.r ::3E:'t.'a 4,10:i!<L?r,1 R :.>..xfi Rs .,-:,..> n.c.'.Y£!' :..:..ca..,.:.o.:•'G;?[>....._ ....a..3E:: ..: '1. 'x �'; F '�'\:<.'.. :i:%:'l.''v, i!a>:..."c f:/.. �: ':. T :AR.1i..6 nur:F<F.:�s. .�."...vi.. y?n...a.:a'<cY..Y..Y_ .r:..:'i . /V�r�yry'� ■�^< ) .</E'�G'E4, ..y. c{>:�%:f:!tnri:l.f./:Yi�ifr:<:;/Y:• . .. a, n. :s. ..n:.... .,....,... :F G.. ,....,.,._ ._..» <.....a r,.... <........s..<:.k::�:n�.'<>rlpr.`.::::.k.. . .:l JS.. 5.� ...F.'a::fry. ...:.,_ .n[.ki.._....,... . s::Y.,.Sy.%<ra<' : <rYrf. r-<.hk":.<,.: . 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'rsi.:l:isrl,,.xcr::'!s.'S,'r[di<x c4401.l>si:: �:.... � <>r6<:CS�.'a:'"'lr.".aa"�.'.. .a !„cv Ei �� ��.,: ���J��<� '-u"u.�..2::.'<.r!<r, �y� �L.<,r.... .. x... .:<�":r>.....r.wi.5.:..... .:x::m• .v .���� fiY .. ...r',�-!'>..P';SiNza".�:`>`tl�:?�: SITE ADDRESS: / MT A a a(o (_US3C aSe...li� 771' J55 Qa s'— (/ ASSESSOR N0.3 .y�5 LOT: BLOCK: DIV: ADDITION: • .::.aa-w};.os9�" .?..:::..,...., : .. r:.a::.rhilr-:xZ> .::,xoxiii:<r>.. �:::..::..:.:.aa:<.r,., a<.:.r o ,x i:aYa. >:vxx<>, tj��� xa:.!-kx<.r:,<.rr,. .i.v.^?:^":' .. .a.. ...w.,:»o...r. '4;.:{s.»:Y:..._x`..r�:,�.: ... .. . . ... .. ... ._<x'...t<x:..r.x,v�.m.•..".:�a. .I'NDI"iR »r��: x:,k; p ... ....... .,.......:.::.:.....:.ay.<..:.a.z- v„.;,...:•.v,F:,VS:f>:veJY::iJ iVQ :•>t1'i .Sl; Name: ,-! .>.:. r. . ...;::,:,. ;F`7[tA. ...4Xt��;„ 4�;-i�s',FY` Name: Name: • f th lf-C,t_-T_ofY, C Mailing Address: MailingAddress: Mai i Address: , Mob •7'I2. City: State: Zip: City: State: Zip: Ci : State: Zio: c\V • 1 Phone No.: Phone No.: Phone No.? 293 2 5/C Contractor License: Contact Person: Phone No.: Y;;.a"a::'. r. .:. .:._Yy. x..t a>n,�.:."..<.,v4'" Yiz;...: u2a;@%;:s.:;,,„:;;.<;lrn„m <5 :tt^ y.. ?yp:':«s:1i:a ».xkxSc[sy.cxs..:.xa.c.,l' »ax`•n. ',.:..a:h'«:,y.".w,x:.a».%4:.,k::GS:. . ,<:n: `(t <. .. a�:,L.....:,...;...:.Y .. .v.,.v,.,..:mxT..»,:.,E"i x4..:,_.,..a.", <a>.xM x,:<..,,.0 ..,.,.,a.5., ,e...'r,..., n:.�E"y:-:i'E Y::i:v_ ii ..,, (Check One) Es::;,E:: t:s::,: :::': :::..Y.<;; .i...<..r: .,. • Single Family:c,L Multi-Family: Apartment: Condominium: X Senior Housing: Retail: Office: Restaurant: Manufacturing: Storage: Bank: Assembly: Accessory: Automotive Repair: Other(Specify): DESCRIBE OF WORD: e UY(,ST/2(1.ec oJC-C) Po Q CC]-i e . "r uvaa a xv s:r ,r > r. x „ sq>;: r..". :.... _, N O V G . a . ,: < .. . : h .:. : . ^ G n .Y !.", « ub .:Pcnwm5!rnYo/ " /xv > E .:.. c : d .Za.. s ..._ ....s..u.x ifi i ?x :k�» :u > Y „ 3 h <nu v : w ✓ x _ . v " dn.m.siy � l :rex . . iStrcet Setback: ft. 2nd Floor: sf. (Circle Y or N) 1st Side Setback: _ ft. 3rd Floor: sf. 2nd Side Setback: ft. Basement: sf. Shoreline/Wetlands ` Rear Setback: I O ft. Occ. Group: Water on/Adj. to Property Y N Use Zone: Carport Area: sf. . Soils Report N Type of Construction: tb6 R-p_a,{oy Garage Area: Sflot sf. Sensitive Area y j Lot Area: sf. No. of Stories: ) r Latecomers Agreement �Y�,) (N) No. of Dwelling's: I Building Height:/triay�sf. Fire Hydrant(250 FT) l% Lot Coverage: Deek-Area: 1 le sf. Variance Y 1st Floor: j V y Z. sf. yak i o Covenant V) N Project Valuation (Labor and Material Cost): /50 (' RECEIVED THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORIFIEB44 91,1 AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. "AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OFTI IE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING TI &iIltki1001O- WITIH WHETHER SPECIFIED HEREIN 1110T,INCLU�D(_ING CALLS FOR INSPECTIONS. BE COMPLIED SIGNATURE: , / ��, () DATE: 1-`7 (J Q CITY''0 : M4ACORTE�a: BU�J;T1IlN± DE 'ARTMEN ` " : RESIDENTIAL HE�CTL ` .: (This form is to be completed prior to issuing the building permit) Site Address:Ja-og aa-SD Cv sc,qDE C Date: a--as-0u Owner: ,r�wG: S,•, Assessors No. Lot Block Addition OK NA OK NA ❑ Er Fire Department Access ❑ © - Fire Hydrant Located within 250 feet ❑ Ei Fire Flow Required ❑ Covenant Not to Oppose Future LID ❑ li Water Extension 0 Er Sewer Extension ❑ Er General Road Improvements 0 El— Shoreline or Wetlands ❑ 0� Drainage Plan Approved ❑ Er- Site Plan ❑ Cr Variance Required 0 E Covenant Approval ❑ ❑' Plat Facts and Findings Compliance 0 Cr _,Regulated Slopes ❑ 9 Fill on Site ❑ LT Survey in File l urtlier:Ctitpt menu s €:: Zoning: Lot Size: 9 U k Coverage Allowed: Actual Coverage: Plans Examiner: b2U Date: (Sim )