Loading...
HomeMy WebLinkAboutPermit File 2215 Cascade Court G,T OF CITY OF ANACORTES WASHINGTON 9co9 ' BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): Single Family Residence Located At: 2217 Cascade Court STREET&NUMBER Owner Vintage Investments Constructed By: Owner OWNER OR CONTRACTOR Bldg. Permit#: COM2000-00059 Date Issued: March 16, 2000 Occ. Group: R3 Use Zone: R2 Has Been Inspected And Occupancy Is Hereby Authorized. This 4th Day of J/yannuary�✓�✓�✓//J 20 01 {AUTHaINO OFFICIAL ' SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. 0 COMBINATION PERMIT . CITY OF ANACORTES PERMIT NO: COM2000-00057 P.O BOX 547 APPLIED: 00-03-15 � ANACORTES, WA 98221 ISSUED: 00-03-16 (360)293-1901 EXPIRES: 01-03-16 SITE ADDRESS: 2215 CASCADE COURT ASSESSOR'S PARCEL NO.: 3772-255-005-0016 PROJECT DESCRIPTION: New Condo Building#16 OWNER CONTRACTOR LENDER VINTAGE INVESTMENTS,INC P.O.BOX 973 ANACORTES,WA 98221 293-2596 TYPE OF WORK: NEW AREA(SF) VALU: $145,000 FEES TYPE OF USE: MF LOT: REQUIRED SETBACKS CENSUS CATEGORY: 1ST FLR: 1,842 FRONT: Type By Date Receipt Amount ZONING: 2ND FLR: SIDE(1): ESPL MRD 00-03-16 0104584 -$100.00 BASEMENT: SIDE(2): PLCK MRD 00-03-16 0104584 $35.46 OCCUPANCY GROUP: GAR/CARPORT: 519 REAR: INSP MRD 00-03-16 0104584 $50.00 R3 OTHER: REQUIRED PARKING PRMT MRD 00-03-16 0104584 $545.50 — TYPE OF CONSTRUCTION: TOTAL: PMEC MRD 00-03-16 0104584 $95.60 5N NUMBER OF UNITS: 2 ACCESSIBLE: STBC MRD 00-03-16 0104584 $4.50 OCCUPANT LOAD: STORIES: I COMPACT: SEWR MRD 00-03-16 0104584 $3,796.00 BUILDING HEIGHT: IMPRV SURF: IMPT MRD 00-03-16 0104584 $400.00 STRM MRD 00-03-16 0104584 $1,126.00 MechanicalEquipment Plumbing Fixtures PARK MRD 00-03-16 0104584 $615.00 Equipment Type Quantit Fixture Type Quanti PPLM DM 00-03-16 0104584 $111.00 Furnace<100k btu 1 Bath Tubs 1 Total $6,679.06 Clothes Dryers. . 1 Dishwashers 1 Ventilation Fans. 3 Floor Drains 1 Exhaust Hoods 1 Hose Bibs 2 Hot Water Tanks 1 Lavatories 3 Gas Outlets 1 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. 12e-c e cabn e �v a1 Issued by Applicant or wner's Signature 24 Hour Notice Required For All Inspections o COMBINATION PERMIT CITY OF ANACORTES PERMIT NO: COM2000-00059 P.O. BOX 547 APPLIED: 00-03-16 ANACORTES,WA 98221 ISSUED: 00-03-16 (360)293-1901 EXPIRES: 01-03-16 SITE ADDRESS: 2217 CASCADE COURT ASSESSOR'S PARCEL NO.: 3772-255-005-0016 PROJECT DESCRIPTION: New Condo Building#16 OWNER CONTRACTOR LENDER VINTAGE INVESTMENTS,INC P.O.BOX 973 ANACORTES,WA 98221 293-2596 TYPE OF WORK: NEW AREA(SF) VALU: $145,000 FEES TYPE OF USE: MF LOT: REQUIRED SETBACKS CENSUS CATEGORY: 1ST FLR: 1,842 FRONT: Type By Date Receipt Amount ZONING: 2ND FLR: SIDE(1): ESPL MRD 00-03-16 0104586 -$100.00 BASEMENT: SIDE(2): PLCK MRD 00-03-16 0104586 $35.46 OCCUPANCY GROUP: GAR/CARPORT: 519 REAR: INSP MRD 00-03-16 0104586 $50.00 R3 OTHER: REQUIRED PARKING PRMT MRD 00-03-16 0104586 $545.50 — TYPE OF CONSTRUCTION: TOTAL: PMEC MRD 00-03-16 0104586 $95.60 5N NUMBER OF UNITS: 2 ACCESSIBLE: PPLM MRD 00-03-16 0104586 $111.00 OCCUPANT LOAD: STORIES: 1 COMPACT: STBC MRD 00-03-16 0104586 $4.50 SEWR MRD 00-03-16 0104586 $3,796 00 BUILDING HEIGHT: IMPRV SURF: IMPT MRD 00-03-16 0104586 $400.00 MechanicalEquipment Plumbing Fixtures STRM MRD 00-03-16 0104586 $1,126 00 Equipment Type Quantit Fixture Type Quanti PARK MRD 00-03-16 0104586 $615.00 Furnace<100k btu 1 Bath Tubs 1 Total $6,679.06 Clothes Dryers 1 Dishwashers. . . . . . Exhaust Hoods . . . . . 1 1 Floor Drains. . .. .. . . . . 1 Ventilation Fans. . 3 Hose Bibs 2 Hot Hot Waterer Tanks 1 Lavatories 3 Gas Outlets 1 Showers 2 Kitchen Sinks,wl 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. Issue by Applicant or ner's Signature 24 Hour Notice Required For All Inspections BUILDING PERMIT CITY OF ANACORTES PERMIT NO.: BLD2000-00030 P.O. BOX 547 APPLIED: 00-02-09 ANACORTES, WA 98221 ISSUED: 00-02-09 (360)293-1901 EXPIRES: 01-02-09 SITE ADDRESS: 2215 CASCADE COURT ASSESSOR'S PARCEL NO.: 3772-255-005-0016 PROJECT DESCRIPTION: New Foundation Only for Condo OWNER CONTRACTOR VINTAGE INVESTMENTS, INC P.O. BOX 742 ANACORTES, WA 98221 Primary Phone: Primary Phone: Phone 1: 293-2596 Phone 1: License#: TYPE OF WORK: NEW AREA VALUE: $ 10000.00 TYPE OF USE: MF CENSUS CATEGORY: LOT: sf REQUIRED SETBACKS: ZONING: 1ST FLR: sf FRONT: ft 2ND FLR: sf SIDE 1: ft Occupancy Groups BASEMENT: sf SIDE 2: ft 1: R3 2; GAR/CARPORT: sf REAR: ft OTHER: sf 3: 4: REQUIRED PARKING Construction Types NUMBER OF UNITS: TOTAL: 1: 5N 2: STORIES: HANDICAPPED: 3: 4: BUILDING HEIGHT: ft COMPACT: IMPRV SURF: sf FEES NOTES: Type By Date Receipt Amount PRMT MRD 00-02-09 0104384 $80.50 STBC MRD 00-02-09 0104384 $4.50 Total: $85.00 - I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all ordirkances and state and federal laws regulating activities covered by s per t. Issued by A pllca t or Owner's Signature/ 1 CONDITIONS OF APPROVAL: 24 Hour Notice Required For All Inspections :,_o:.:: .£ap.4's' r 2"Ssi,:ti DY.... rats, ri iv.*.:ve:aq?:.8�. ;mr�,vis°ix- - : c. ;acs.,.ek. ,, ��� 9N�;R � . N.r� ;'� ,. : ,q.. :s tk�" �� ti� " r�aaak%�`a �� ��a7r�z'�'�, _ `Ps°: " �"`'ss":,•� ...:A. 'a 1,...`°M.o ! :.:.s.:°viy:p s3�.v °': ockeir-...a. ; ' sy�.,`k40 Nv/ � '�ofo'.o::;,fie,g,<Nf:cy..r„�.: xuY;aix`5,e2.:` y�o<yy.He�.eD.Ny�s O'.Fr.'>:.�.��i�;n;<k;;as�..,v . _.$,<. 3 25fk. f.E> c,:. m�Xgv : °���:.. s:<.. '1 . a< '.:.wa<. ,.. . s x: :N...frT4:.L 0,::::" "GL'k{d'N%�< . ?. 'r. < r ( 4kSITEADDRESS: UV IF b eDa) 7 � Cc _te CA- ASSESSOR NO.: - Tcb43 LOT: BLOCK: DIV: ADDITION: tue w«x�::2 " wm<o",+. c�'xda 1:»'O 2<.< ice-',. .>:.�««,v`k...2>:` z` :. <�£%wam x": :,'�Y%otiv.. ;.r;.,Gs <, m `"?' � >�:'�::` _` a ,. �v:... .7S� i' '� �"� '� �.6'YIN`d? G�G:''��Si«< uv3Die.<.<. ... 67:.... ...'3 ..:_.... ....._.v..�r. m3.: ...%.. ':_...:o�.....�.�.��....k`a>. .. _ _....._ ..n:.:....:':.:.::.:..:::.. ......: ...:...n 4r'�.`m-a �.x>.".:•�"'.u.>E Name: Name: Name: \I ihiTIu.E__ T_NV F.47 11A�t1' , `5/1-/ Mailing Address: Mailing Address: Mailing Address: • ^h6 7c4.Z City: State: Zip: City: State: Zip: City: State: Zip: 0 ✓l.A Ie 141 A'., qP° 1 Phone No.: / Phone No.: Phone No.: Contractor License: Contact Person: Phone No.: :a <, :y,- -ir�:u ,x:m�,- 4y <vfrk:: :.:;2:k:::Ee «si<.: ;...x2k>;.:.: «yNrF' e�. x.,..,.{3r��ITE";: 'Il`�E;:.M�i — A= SW (Check One) Single Family: Multi-Family: Apartment: Condominium: A Senior Housing: Retail: Office: Restaurant: Manufacturing: Storage: Bank: Assembly: Accessory: Automotive Repair: Other(Specify): DESCRIBE OF WORK: ` ,rI-74 2al7 n1,2tD (1)t50d !-tG/?f i- aD7(&'O . i- v—i-,ac,thr-ice o /D,Dc, &« <.$:k »:l�Z . .2..eY�a.:os _.;.:ts %.Yw ( >: ::<, a.,<x.e> ,.: ... < .:_k.,.u,<..:::.,.e:t '.:.:.:.:.. .:_ ..:::..:rk...,_C , „ w. . :: ux vnaTi �AvaW f n re � tt < $` .. v: " n ' xY .%� `gro: ti mw«os,—.-iND>'�, fas � 5 Aa �Mm � yYaoYN �nazS « :YcKtiswauz _eaZjSc � Street Setback: -e- ft. 2nd Floor: sf. (Circle Y or N) 1st Side Setback: . ft. 3rd Floor: sf. 2nd Side Setback: c ft. Basement: sf. Shoreline/Wetlands rf N Rear Setback: I 0 ft. Occ. Group: Water on/Adj. to Property N Use Zone: • Carport Area: sf. Soils Report I?T-\ Type of Construction:'t ltlri T-kiiiinF Garage Area: 6'l 7 sf. Sensitive Area Y Ci/ Lot Area: sf. No. of Stories: Latecomers Agreement Y (N.' No. of Dwellings: i Building Height: ZN I •-sf. Fire Hydrant(250 FT) k) N Lot Coverage: � go sf Variance Y 1st Floor: ICI? I sf. ' 2 c to Covenant it N Project Valuation (Labor and Material Cost): /S 0 THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWN ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HE OR NOT,INCLUDING CALLS FOR INSPECTIONS. ^/ /9_ SIGNATURE: -7 o // CC/� DATE: (_eei 9 l: n ' 0. .A: :r'1:�% .R.'1:52awJ:&�ji:���..�dlh:n,.Ea�.�H'6E9.'!!e "o">'C::; L.ae�Y NZ:�:.'i::jn��° :-0y:�� ".f.: .E+<'xxe�...C. :��. XO. .,.yG; y':iy';i�i, 5:�:{}rw '�j.E.�. ,' �.�<v�..IT']� /:b'. �g ali ° ,F5ox:«W':[c :6, '.S.C_ .yG .! E9^% .:,G.,� ..4.... xy y:r i°:,,aarr.:..h:`i 'f. ' ;w n.><':r. x 3.,x'��, s'f ro�q:w: :','v /-y ws e`�� e:;.raS$, /k.xx. 2 . `''. �f �,,.,rv`e ag a'�% .r¢'4.....( ` �!gtfa:.i .v; E rn q' uff t:tiv:' .48r• ?s'b,.s`9„Hsi :,s&5<:tX5CA`..K: .3.e,�f,'r a :;.rE�„'v3'gir°: :R. aS<',"�'ear'r.�•`�.r�`irt.�� "arP€„�.�:��rP�.�:..995.<.'.as<yca..si��rP�::�S�..:2??...�..2�.;.e..0 o:'�o-r�rie�':..x3:ii7�E/...n.u:e,H ...e"SdF�ss, E�S.r�ea5 :,/%pzlsi�.�F`.6 Sg 0' e : «:.�,yt` ..n' :qv t.'.v!�;; :r ,a >?s' y �`s.S ::P':: .msl. .n;� :-sl'a:...xy:a:�;.e<p.<�" T.t�, �aC .;w�� �....:....:.'.:`9.cw u .... . :ro..w.....:...,x:' .ay rdx...... .... .o:«.........rr rc. .{..vie::���w#f.F:: fI o / SITE ADDRESS: V r-IT „co) ? C Ccc�e - ASSESSOR'S NO .: —P512 6Z - 7)Slel.3 7 LOT: BLOCK: ADDITION: .x..oN Y..: w .. .;..N.,92k;.:..r .... <(r;e;.a r.. 'EE°rrxa::'.:.E:::�!8E:!Ja::q:«x..::a..>.�..::.' �'U'Y.^ :u!n:a:�' ?:.Es'.°:9:nr°w :n£ree 4v^r x.e .prexe .o-�$% 4, '..k rEere°....v„` :<vvEG,: ,..d6e.E<w. r�/.. sa <.:S ..E., rx :NATI eG.<. °r. „nyq r.q.n fi x a` ,f;- <,NaaN<a/% ,.3�..,<...Y.:.'vx.,e'2':"s'.. ... . . . .... x..x<:..: .e n m .::. .r<a : :v.. <,�QA�:I�:'I1f�11 �<'i%''i :...::<.eoe.,.,.. ....:,:.>.,::::r".:::. .....e: n::,..o,.,. <.:<.eee<.�z.::cs2.x:, .r.., .. Name: V Lt(f741( -I-ivy t57-7W5/ ire- - Name: , '/,/Il y Mailin Address: C75 �t-I Mailing Address: City: E(V gil..n S State: WA- Zip: ??Z—Z i City: State: Zip: Phone No.: .2 G 3 — ;5-640 Phone No.: Contractors License No.: .> ,:. .::<:..;:.x::::m»..:rr... :..::... ..a.ev,.:,;!,. :.r.;:..E.:r :..:::::. .r...�:r,,n:..,..,.a;._..r,.,,.:.:::�v:..:::.;::.::,,:...x. .x:... ::k./.':�: <xb::.:..... €"'s...,m. � .00.mare.m!9.m..:�c...00-.:r.xnrn.p.:o-x:. ":YY: s : e.k $11A111�11f! ..._: :.�,.,., �:r;�L:CIC+'.E7�1[CR���`e:: :�.e, �..:ead.:.r L:..S:. N _..... ,... rk<, .e:.n..n . ..e:.[f:<. :ie...x..'°<,.:ee',::,:,::r:.o,...,...,�o:rn..:","v[::..�,f'3,a... .:...:..::...:n.::_«.:.::.:..,:_ ;5x1: NO: Type of Fixture NO: Type of Equipment — a Water Closet 1.5 GPF Air Cond. Unit HP ' Bathtub ). Refrigeration Unit HP F.- Shower 2.5 GPM e Boiler BTU/IB' 1 Dishwasher 2.5 GPM ) Forced Air System 43TI goy_ 3 Lavatory 2.5 GPM e Floor Furnace i Kitchen Sink 2.5 GPM -Q,.- Wall Heater Clothes Washer 1 Clothes Dryer -8- Urinal 1.o GPM ) Ventilation Fan ,..0 Drinking Fountain Range Hood -€9 Floor Sink or Drain Air Handling Unit CFM Slop Sink 4J Pre-Manf. Stove or Fireplace Water Piping ( Gas Fireplace 2 Hose Bibs ( Gas Water Heater _0- Back Flow Prevention Device \ii Gas Piping Other(Describe) Other scribe) GAS:• `4 ELEC: OTHER: _ ,,,/ ' THIS APPLICATION IS RECEIVED BY THE BUILDING DEPARTMENT UNDER THE PROVISIONS OF THE UNIFORM PLUMBING AND MECHANICAL CODES AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDNANCE GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH,W HERS CIFIED H$REIN OR NOT,INCLUDING CALLS FOR INSPECTION. ^/9-c SIGNATURE: /'// Lk, -ec,i L1J1/ DATE: eTh S .,1. . Rmpm vn,'.:.a..<?'.`..s:rla r ';�<n«'lu�,^.°#.z�;?..£� .� ><:>'.,�°:Y'o«,,;y,<:.>,°:>.:n: »:,:x,;;..:a o��'�.n."' � SITE ADDRESS: )tit/T Yt N ��I15 (P5Q-CLP( ASSESSOR'S NO . SW13Z '-PS4,g 54 LOT: BLOCK: ADDITION: ... �:,'...w <. : .. .>. .I: ,..1 '. .. ,a�u�I n..<9}.'Y /{' ,. n:° !.a :<5:e:Y.,v 3'u<i:ya.' �p(2.<.�': '<..�:..><::h > .. %>,.?>,:,2,sF,un< s .:.. .n ..&.. ckfy._<:s.>....;,.. ,° oc. !3'n .<...E.x.° 'y::yls ..A.?:!:" :c&'.::a.y:.}Y:.g.. «... v. it.r R!< ny::. . ...., x , o v,:n< .. 2°s�, , .f.°y"wiw. 1:ky:3 ..,.,.>.,_,:r-. .>°.r.a./?;.Gy,°.f..>n,„. . . :. s,,. .,�`lt,'"s�Ss,. : ,� , .°.�.:.«,<.,.�n°.n. . .ds'<`�.l.,r.:::.:,...,>y.,._,,....:.....n: ,...... �. ..°....:,.°/.>: .<�w ..nc.,,. /shy.>.°. , , ,»ya«<,;.n: � �:�. ,,:.«>:.>...... nf..2`p .:<..>.m. ..<,<°.,..,:.wx?,...,,.b `o-^�%<:z`<:._.:n:,.nn...:<::......,.. . ^'o',%:.n° ;kyl.'a: f Name: \, LLB 11. 7 PI snAi5 t C'.• Name: e, 64121- Mailing,Address:POB 7e/ Mailing Address: City: Apra—a, State: Ufa-- Zip: GgtZi City: State: Zip: Phone No.: V Q 3 - .25 0 Phone No.: Contractors License No.: uua.. '9tic>r x�a: ysF::y �IIN e><b.. , Y G : .>;r,.:.n,..:.,.<::v.:f. f: �y ° x.n ..a°,.<bz y.°.<.w'2,°:.>;: ., > .i,. :.. ,nn.. .. ... . .:.....:Ekor:.¢.c..r.e'.:. r..�"',v.....> ..:.xRi,..... . . .. ...,, ,... ..... ... ..,.:....:........:....,,..,,..,t..zz,:.... .. . ....:,n..,.n. NO: Type of Fixture NO: Type of Equipment - a Water Closet 1.5 GPF - — Air Cond. Unit HP Bathtub , Refrigeration Unit HP Shower 2.5 GPM .- Boiler BTU/HP Dishwasher 2.5 GPM I Forced Air System BTU V 1u . !p y„... �j Lavatory 2.5 GPM .J)-- Floor Furnace i Kitchen Sink 2.5 GPM Wall Heater t Clothes Washer t Clothes Dryer -(;)-- Urinal 1.0 GPM 1 Ventilation Fan Drinking Fountain 1 Range Hood e-erFloor Sink or Drain Air Handling Unit CFM j Slop Sink ,'er-- Pre-Manf. Stove or Fireplace Water Piping -C-.71- Gas Fireplace Z Hose Bibs l Gas Water Heater jf Back Flow Prevention Device q Gas Piping Other(Describe) Othet(Describe) C"GAS: N 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 '7-I, R SPECI7ED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTION. _ /LI- V 0 SIGNATURE? r „'///lVV////J/ii/:h/ G—`)// DATEtelt- 0101** / C_2 , CITY OF ANACORTE•S BUILDING. Dfl'A T N .: : ::;.ii RE:.::::... . . ::: SIDE T L hE IS' '... '' . .......... :`: (This form is to be completed prior to issuing the building permit) Site Address:a . S - aa-ll CAscrams G Date: Owner: V;ni w.cs 'NI v. 1Nc. Assessors No. Lot Block Addition OK NA OK NA ❑ ❑; Fire Department Access 0 Er Fire Hydrant Located within 250 feet ❑ ,_ Fire Flow Required ❑ ❑ - Covenant Not to Oppose Future LID ❑ E/ Water Extension ❑ Ct - Sewer Extension ❑ D General Road Improvements 0 Er- Shoreline or Wetlands - ❑ Er Drainage Plan Approved 0 Er- Site Plan ❑ ❑ -- Variance Required ❑ Cr Covenant Approval ❑ Cam' Plat Facts and Findings Compliance 0 ❑r Regulated Slopes ❑ ❑/ Fill on Site 0 LK Survey in File s_€ r:=-Furtht r Com menu :€ €_€>€ :"'° a. Zoning: go_ Lot Size: p 14%) Coverage Allowed: Pt44 Actual Coverage: Q N D Plans Examiner: Date: (Signature) ,; ,y �. s`xyAk'.`��q<'.ox., ,;.u,-r�.����v:FiT¢t?':?a ��.>zaa': .ifF>;�� f�<,. . "'am`�'ysi. ,,,.•za .F 18 ems' SITE ADDRESS:0VLtrAA ctcp)SCGsco,C{ C-± ASSESSOR NO.�) %01155Z - TS-C/454 LOT: BLOCK: DIV: ADDITION: 0�..y..,'v.�...Tri..,'.'9..-:n ... .. .. C.::.` :.....,. ". .::.:...,.3in` .W.to' *a��w:: .. .p,.�Y'<AbrLVblintU'A'q\I.an. a... c <>, Name: Name: Name: 1f Vier -Gkk-Tilt. JXXC 5a.- t Mailing Address: Mailing Address: Mailing Address: 1 Thoa .7Ar2 I City: State: Zip: City: State: Zip: Citt: State: Zip: 4-11 PeoRs S 111,A gcni ! / Phone No.: Phone No.: Phone No.N 2 93 ` 2 5Vc Contractor License: Contact Person: Phone No.: '� � -- F... «'3`tt°OS' � - «xaa�avaamaNfi,.. - , .;;..�,,....„x . .r,xz�. >x<«,<:3f!' �-3:'-w*,.' >a',xxF>>ti�:'xo:<:grc,.:z.»xF.:;ss�«xe•...:;:a «• .<.;.r-F:.x,.>.< F .&..<:>. ..fU ..) - •.x<.: «^- .OFF.... '�<•c F..« %, p�tk':�:y . :s: �:;Fyx :�.x"�c:'..�>:�.aF>.,;.,. :x%;%<<F>x:::3::;:>Ae.a�.,.�;:�....,,�.3:. ,r..rT:>.i>F<,r .:..N.>xwh,3;..F>:...�.x<>F'-��-n.'.<:axo=�.> <�' «sx-.,.,,>x wa".' '' .l-'-.,V.V..I'. . . ..:::.:,,�,. '����� .,< 2`L�SE;;, <,�:: <a;:, >, <>,;,<: <.>..,.,r , .,.. (Check One) Single Family:vL Multi-Family: Apartment: Condominium: / Senior Housing: Retail: Office: Restaurant: Manufacturing: Storage: Bank: Assembly: Accessory: Automotive Repair: Other(Specify): DESCRIBE OF WORK: (\O (1%a-2r 7l2 q7 L‘KTO-NPoi9-n7i_ Ca-nL e-) x.... `1 «F.x<<•!«<'.:x'�a'�xi�Ls<:. :<,.>l'�.y:�<:<,�<:4 ::. , �r."--<F.x.,kx«<::«;..6 :«r,:.>>�.:.:o.«<:F;:..:?..:w,O .x... ....,-. .fox ax::x fv._:/••>:x«•..»a.^::.�^:.. ... ,<:.:«o:>;::F..»xi&r:ri aGt:aY:^rF:YQG<`>'..w,;;;x:.::... .......»wlig "x«:.:::.'-;•_. m t'-, �x .raFGx"'v.9....:cr �x,xcc�F.-.-o r-<«,F F o.o<a .>xox:-. «•a<«. <-<x3�>:<.:-.;;:�- C�',�t}� y�� q . . < .. ...f<,.. .hwz..;,F: �:.«.;xX4'� :., .._....r<-.. .A'+.t`.4 . ..� '<+.k:��{...C+ . sl.:: -`2;><: ..yz. Yx4`«o ,.w c:r,<^r�'H�sz':'`?�`s� �<T4„ .-<!.<' .-."E"x7>". ?a .. . ,,.s... ,-x, . .>. �.71e6 a< r. v...<F«�^i4<y; •«-.a. 31Hr ':0;7% At*:.>,X,�<<o" >a. «y:. > ,�: ::,. <,«,•;.�-:. .�^co.'Fr• ., . .--<�" .FA:�3.:< ..'A,._, >,a!r.?:, :...'-� •F'�'�`f=a_ r:...:- ..fv ago- Faff , .d..«,:? ..K: „>>`, .--s : F.... . 3.24K:: :..0..<"^>.-f <. n>-1.-::`::«fd..'.<...9y.,.:m w,,,, .«c, ..e,. :. .. _,x :.. -.::..v. >-.ax�<<«>„ n. ... ...-- <H.i.,. _.. � :`3 .. Ss r T`p< x:{>ev .:W:N.<. f _, :-Fx ,.<F........a'.,..:.6 ,..vr .. ... .. .d u.3 r., x ....<s<.. : xf ._.Y..:.<F nay u- `:��o>.'..<.t::i<�...xni' <,.�51^SW,zw:4'Lv.aKm-..:R>.(a.::FN.O- -i:�w ...,,.ir. ,_-_.w<' Y�.[. } .n..�>aaroC,<x...:G..<rc: y.Ns.k.... ...n`Mr:< sa;'S.G�«:x uA„ aa;kh-:....,..:.y�,^q< ..«,, ew.w«w..:.aFF:,ro,..�:....-a.x«w.:..K(w,:.^.N'.:R.::...,'v.`"Nx;ae3:,.w:..:.. 'x:,>. Street Setback: -(�' ft. 2nd Floor: sf. (Circle Y or`N)rr . .... .....:x ,.<,.. ;'"«_« 1st Side Setback: 5 ft. 3rd Floor: sf. 2nd Side Setback: 46e ft. Basement: sf. Shoreline/Wetlands , Rear Setback: i 0 ft. Occ. Group: Water on/Adj. to Property (Y) N Use Zone: Carport Area: sf. . Soils Report U) N Type of Construction: UJ6? R-c2& Garage Area: t7q sf. Sensitive Area Y Lot Area: sf No. of Stories: j Latecomers Agreement Y (FI; No. of Dwelling's: 1 Building Height:/k w-0( 'Z`jsf. Fire Hydrant(250 FT) � N Lot Coverage: Deek-Area: c1 c, sf. Variance Y 1st Floor: i q t sf. "?a-La Covenant )S^''; N Project Valuation (Labor and Material Cost): / 5 t' THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITIIIN 180 DAYS OF TIIIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT [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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORNOT,INCkU�DI_NG CALLS FOR INSPECTIONS. / ' SIGNATURE: 4 , ,/ L Li G DATE: