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Home My WebLink AboutPermit File 3415 Cedar Glen Court • ■ �,s y o„ CITY OF ANACORTES WASHINGTON 9coPt'" BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): Single Family Residence Located At: 3415 Cedar Glen Court STREET&NUMBER Owner: Irving Construction Constructed By: Owner OWNER OR CONTRACTOR Bldg. Permit#: BLD-2004-0019 Date Issued: April 23, 2004 Occ. Group: R3 Use Zone: R2 Has Been Inspected And Occupancy Is Hereby Authorized. This 15th Day April 20 05 AUTHORIAL SEE REVERSE SIDE OR SPECIAL REQUIREMENTS. ■ ■ F . ) I TY OF ANACORTES "AS-BUILT" I�' Sewer I— Storm Storm NTRACTOR: De C k I' C 01451 \T/DIVISION: ) BLOCK C ADDRESS- 3 L7 IS Cedar Oh11 TE: . / y/ccs LNUT4 SCALE T R E E T �� law. elm -c, 1 K, num Nam 11 analialINIMUMMIE , ISM IIIISMIIIIIMWIE ____ , 11111Manillallenallii 1111111111M/Thillainalei ISSN - EMI ATNAIIIIIMION ii,,,k. k., *----- , IINNIMINISIIN swcfl E____ meramimmali.• a rim=Waal= 4, I •ip- mom SE Val II NIB CATE STREET(S)ON GRID PICA TE DEPTH AND DISTANCES OF CLEANOUTS 1 ) [TY OF ANACORTES "AS-BUILT" r Sewer / ryStorm NTRACTOR: l/' e c/ f r COO y [, AT/DIVISION: 3116 (coral chit` it el-- BLOCK T ADDRESS TE: ; / 9 to s MET# SCALE TREET ani rag 11aka M �___ 4 la E_' ciaziA -- MileatailiME releWo ---ENS =BM 1111==lalli= CATE STREET(S)ON GRID MAP PICATE DEPTH AND DISTANCES OF CLEANOUTS 1.1 Y 4 City of Anacortes Permit#: BLD-2004-0019 s 904 6th Street Issue date: 11/23/2004 `"" P.O.Box 547 `1' tatAnacortes, WA 98221-0547 Expire date: 11/23/2005 „fc��.�Vr' (360) 293-1901 Job Address: 3415 CEDAR GLEN CT Permit Type: Single Family Residence Permit ANACORTES WA 98221 Project: APN: P120978 Remarks: Construct new single family residence per approved plans as noted Owner: IRVING CONSTRUCTION Contractor: IRVING CONSTRUCTION CORP Address: 819 COMMERCIAL AVE Address: 819 COMMERCIAL AVE G G ANACORTES WA 98221 ANACORTES WA 98221 Phone: (360)293-6354 Phone: (360)293-6354 License#: IRVINCC044KG General Information: Fees: Occupancy Group it-1 Plan Review Deposit 100.00 Use Zone R2 Building Permit Fee 778.00 Lot Area 7781 Plan Review Fee 405.70 1st Floor Square Footage 1022 Mechanical Permit Fees 111.25 1 2nd Floor Square Footage 1416 Plumbing Permit Fee 153.00 Garage Square Footage 528 State Building Code Fee 4.50 #of Stories 2 Sewer Inspection Fee 50.00 Building Height 27 Storm Drain GFC-Residential 1,126.00 Building Valuation 237496 Sewer GFC-Residential 4,682.00 i # Forced Air Furnace<=1,000 1 Park Impact Fee 615.00 #of Bathtubs 2 Traffic Impact Fee 900.00 #of Clothes Dryers 1 Total Calculated: 8,925.45 #of Clothes Washers 1 Deposits/Receipts: 100.00 #of Dishwashers 1 #of Gas Fireplace 1 Total Due: 8,825.45 #of Gas Piping 1 #of Gas Water Heaters 1 #of Water Piping 1 ' a-a, r.; _,#of Hose Bibbs 3 p.a #of Kitchen Sinks 1 coD #of Lavatories 4 n a #of Showers 2 it, #of Slop Sinks 1 tit CD #of Ventilation Fans 5 o P #of Water Closets 3 c.° N — C ik Ca CO --4 N N) 0 cia n -� a G cn 0 NJ o) o% ,N4'• City of Anacortes Permit#: BLD-2004-0019 904 6th Street Issue date: 11/23/2004 `"ram. P.O.Box 547 - '� Expire date: 11/23/2005 CIS, Anacortes, WA 98221-0547 (360) 293-1901 Co ., THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCALY-LAWW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIOONN. L/SIGN¢TURE OF OWNER OR AUTHORIZED AGENT ISSUED BY 0429604-1 0003 10/22/2004 002 4 %T Y O '• City of Al ortes Permit Fin 005126 S68.03 b 904 6th Street Pen#: BLD-2004-0031 Issue date: 10/22/2004 ,.�,.,�.,, AnaCOIx 547 Expire date: 10/22/2005 > • COX Anacortes, WA 98221-0547 Job Address: 3415 CEDAR GLEN CT Permit Type: Foundation Permit ANACORTES WA 98221 Project: APN: P120978 Remarks: Foundation only permit Owner: IRVING CONSTRUCTION Contractor: Address: 819 COMMERCIAL AVE Address: G ANACORTES WA 98221 Phone: (360)293-6354 Phone: I License#: I General Information: Fees: Building Valuation 3000 Building Permit Fee 38.50 Plan Review Fee 25.03 State Building Code Fee 4.50 Total Calculated: 68.03 Deposits/Receipts: 0.00 Total Due: 68.03 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNbi�&1(2L”OW. �R A IZED AGENT ISSUED BY .. J r� ;'::-6%P, VI ,. ,,.°w.:. ie* ::<y �,,:E�,�,.{3bL:"Y'G:oyi„;:::4 , „:✓ ,:Sv S.Y </,...:.,..r<!..„,.u.: -:.x.:.:.! ..°..„64:4„ mod' ,:kwy .`." o-.,. : , ,.°1. ,s. �.,n"., a'<% : t. ��:}.:ne .';:2i.#41..i.,. °c r:?..) s:t?a<.>` .xl. � .q'R. ��y. :, Y' '.': .;a ,;%r:�, ,.r{£i5'��'r,..�:. �;Yr,Y. .w;;lra..'�` ��:y.}. .�?, :/ ' iib:':'°;! lt.Sk.41 4 ;z ti :0". 4t N. rt .>.. ..g. :>: .fl°€.. :'�').Sadh.,.\Y .,�.i;W<.,��.��Y' ,', �.''`'S n;;,;,i,.a.. f<",,. a� ; ..;Yr ,j 4,f ..Qi`�:Kn°YE �:ohr...v�',�'<<?.� � : y 'm KJ �'�''knr.°in.pf;:¢t yo;. ':toa1':e✓3s:<,�'�..,4.�:i:,<wf°,i:<.:>..�..<:,M!,.°<".':i::� �?; - ..w F .. a3.:::x. .4,%va,wb y zh,.%'S,' it 5�<�'y :, ,C 'o... <c4:3:'"'f,;W,,,b4.n6.o4:.t..u.C''.tt;;e¢<'P':Qe°,i'<cerd'.`'':».'::am:�ww.:j�,ge':: s t a 'i ". 9 tf' k3g$y� #:, y` #/t5.�<<tg Y%',/': l. � •" ';<. ,� :'. ..�: �� .._ 2, , ' �� s< t5c �y t� w" % fir,. P i 2.0478 SITE ADDRESS: 34'j5-. C6DRR Q'(,EM Coin ASSESSOR NO.: 4625-am- o6/-trton LOT: I C&° GLEa{ BLOCK: DIV: ADDITION: Name: Name: Name: . I1WW6 Cor15TP.M.Mo)J Coesb2A-rlot.3 1{62,zom 15,101. IRYMG Coasrtttttlet.J C.bRPoRk6oa1 Mailing Address: Mailing Address: Mailing Address: B19 eoMµEtZugL q ,i Suns G Po, Box SOD en CeMMERGAt., Aug. SutTE G` City: State: Zip: City: State: Zip: City: State: Zip: ANACoR7£5 WR 9%221 ZatoretiAM 1 UIfl 4822E ANAco2-rt;5 WA 98221 Phone No.: Phone No.: 3b0 ;J3 3 305D Phone No.: 360 2A3 4354- 3(Po 293 4354^ Contractor License: IRVtniCe.p[-4- Contact Person: .XoIN CAWLE'/ or $%Yt( IRVu46 Phone No.: 360 0t3 4354' (Check One) / Single Family: ✓ Multi-Family: Apartment: Condominium: Senior Housing: Retail: Office: Restaurant: Manufacturing: Storage: Bank: Assembly: Accessory: Automotive Repair: Other(Specify): DESCRIBE OF WORK: JIEu) Rametoef- q.amatamake<44,;ea:4“<ko:stak...;0:-::. ,;'..wic Street Setback: Z o ft. 2nd Floor: 14I to sf. (Circle Y or N) 1st Side Setback: to ft. 3rd Floor: - sf. 2nd Side Setback: 5 ft. Basement: sf. Shoreline/Wetlands Y d7 Rear Setback: 2a ft. Occ. Group: Re cnxis 0-1 Water on/Adj. to Property Y 615 Use Zone: Q 2 Carport Area: sf, Soils Report Y d51) Type of Construction: V (Oak RP*b Garage Area: 52$ sf. Sensitive Area Y aQ Lot Area: -.1--118.1 sf. No. of Stories: 2-I3,a bLatecomers Agreement Y fP No. of Dwelling's: 1 Building Height: %2b'-fl' Fire Hydrant(250 FT) < ) N Lot Coverage: 1492 (15.3%) Deck Area: sf. Variance Y ► 1st Floor: loll. sf.Cj 4 , oil Covenant Y Ms Project Valuation (Labor and Material Cost): ,4-3-715r949--61 v a 3-7,41 (p 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 ISO 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERE OR NOT,IN LUDING CALLS FOR INSPECTIONS. /y SIGNATURE: ( DATE: %^;0. 0, A.- 20ay .0017 8935 , y) IU1fluItPfl SITE ADDRESS: 3415 CasFa &LEA CaO4LT ASSESSOR'S NO .: 4925 OCp- 6151 -Orb LOT: 7 dEDAZ abEd PI ng- it BLOCK: ADDITION: Name: IRvw6 C EASTROGTroa C.oRPcfkflo Name: IRVW6 Cota$(Roc.TIc4 ezePoRAtitA Mailing Address:_ BY\ Coo+MERGtAL AUS•, Surf-E. "6" Mailing Address: a'a C m\Et&th1 buErtuE Suite City: 10.0RrES State: WA Zip: g822.{ City: ANa AcK-re5 State: WA Zip: 96222 ps„ Phone No.: 36a aq3 635¢ Phone No.: 31ro a.°l3 63S4.• Contractors License No.: t RV i r3 c'CM 4 h . NO: Type of Fixture NO: Type of Equipment 3 Water Closet 1.5 GPF Air Cond. Unit HP 2 Bathtub Refrigeration Unit HP 2 Shower 2.5 GPM Boiler BTU/HP I Dishwasher zs GPM Forced Air System BTU 4, Lavatory 2.5 GPM Floor Furnace Kitchen Sink 2.5 GPM Wall Heater { Clothes Washer I Clothes Dryer Urinal 1.0 GPM J . Ventilation Fan Drinking Fountain I Range Hood Floor Sink or Drain Air Handling Unit CFM Slop Sink Pre-Mani. Stove or Fireplace / Water Piping l Gas Fireplace 3 Hose Bibs I Gas Water Heater Back Flow Prevention Device ,/ Gas Piping Other(Describe) Other(Describe) GAS: ✓ 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 WITH,WHETHER SP WIED HEREIN OR NOT,INCLUDING CAI IS FOR INSPECTION. DATE: q SIGNATURE: 2a FY (\ 1 Y�V Residential Energy Code (Simple Form) 2003 Washington State Ventilation &Indoor Air Quality Code 2003 Washington State Energy Code This worksheet is intended to assist you in deciding which methods of construction will be used to meet the requirements of the WA ST VIAQ and WSEC Codes. After completing this form,please add all relevant information to your construction plans. PART 1 Whole-House Ventilation: select one of the following methods. A. Fresh air will be circulated by the central forced air furnace along with a whole house exhaust fan. A single whole- house exhaust fan,which usually does double duty as a room spot fan, is required and must be controlled by a timer set to operate fan a minimum of 8 hours per day. The CFM capacity of the fan must be measured at 0.25 w.g.and have a maximum sone(noise)rating of 1.5, Fresh air intake ports or ducts are required with this option. (WA VIAQ 303.4.1) The minimum size of the fan is based on the number of bedrooms and the size of the house. For houses up to 3,000 square feet,the following sizes are acceptable: 1 or 2 bedrooms—75 CFM 3 bedrooms—90 CFM _4 bedrooms—105 CFM For other options contact the Planning&Permit Center. ✓ B. Fresh air will be circulated by the central forced air furnace system. The furnace must have a fresh air intake duct and the blower must be activated by a timer to circulate air daily. An exhaust fan is not required with this system. (WA VIAQ 303.4.2) C. Fresh air will be supplied by wall or window vent ports in each bedroom, kitchen, living room and other habitable rooms along with a whole-house exhaust fan as described in Option A. (WA VIAQ 303.4.1) D. A heat-recovery ventilation system.(WA VIAQ 303.4.4) PART 2 Insulation and Windows:select one of the following methods. (WSEC Table 6-1) Glazing% U-factor Ceiling Vaulted Walls Floor Slab _ (2x4 construction) up to 12% 0.35 R-38 R-30 R-15 R-30 R-10 . (2x6 construction) unlimited 0.40 R-38 R-30 R-21 R-30 , R-10 If you intend to use 2x4 construction,compute the window glazing percentage of heated floor area to verify that the project falls below the 12%maximum allowed glazing: Total area of windows,skylights and patio doors: sq.ft. Total heated area: sq.ft. Total window area divided by total heated area=glazing Updated: August24,2004 Page 1 of 2 INSULATION CERTIFICATE 3415 CEDAR GLEN CT ANACORTES,WA s Address of Property County Job No. County Bid Permit No, 7, SKAGIT 2901 7.9 Development lot,Section County BAND JOISTS/BLOCKERS Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 5 1/2" R Value: R21 EXTERIOR WALLS Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 5 1/2" R Value: R21 FLAT CEILING BLOW Type of Material FIBERGLASS BLO Manufacturer: Knauf Thickness: 13.00: R Value: R38 1144.00 Sq, Ft. Covered ,;j 5/ No.of Bags 57 Wt./Bag FLAT CEILING NOT BLOWABLE Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 10 1/4" R Value: R38 FLOOR OVER CRAWL 1 Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 9 1/2" R Value: R30 GARAGE CEILING(UNHEATED) Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 9 1/2" R Value: R30 GARAGE EXTERIOR WALLS Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 3 1/2" R Value: R13 KNEE WALLS Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 5 1/2" R Value: R21 OVERHANG/CANTILEVER Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 9 1/2" RValue: R30 SKYLIGHT WALLS Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 5 1/2" R Value: R21 SLOPED CEILING Type of Material FIBERGLASS Manufacturer: Knauf Thickness: 12" R Value: R38 Type of Material FIBERGLASS BLO Manufacturer:Knauf Thickness: 13.00: R Value: R38 98,00 Sq.Ft.Covered _ No.of Bags Wt./Bag INSULATION CERTIFICATE WASHINGTON INSULATION I CERTIFY UNDER THE PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF THAT THE FOREGOING IS TRUE AND CORRECT. General Contractor(Builder) IRVING CONST CORP Contractors Reg.Number: Licensed Architect/Englneer: By TITLE: Desph Cher Date and PI e ® — ® Cr • • • 11 Qom. City of Anacortes Permit#: BLD-2005-0709 \, 904 6th Street Issue date: 09/19/2005 `! P.O. Box 547 Expire date: 09/19/2006 tt1:' Anacortes, WA 98221-0547 (360) 293-1901 Job Address: 3415 CEDAR GLEN WAY Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-8582 Project: APN: P120978 Remarks: Construct wood deck at rear of house. Owner: JIM MCALLISTER Contractor: Address: 3415 CEDAR GLEN WAY Address: ANACORTES WA 98221-8582 Phone: (360)293-5993 Phone: License#: General Information: Fees: Building Valuation 3000 Building Permit Fee 38.50 Plan Review Fee 25.03 State Building Code Fee 4.50 Total Calculated: 68.03 Deposits/Receipts: 0.00 Total Due: 68.03 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE O- LOCAL a W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION 4 -40 SIGNAT — OF OWNER OR AUTHORIZED AGENT ISSUo. BY " Nit'AIL rcx- i‘aeAcc. 3'{tS- Ce-av" Glean Wa.1 3Coo - 293 Scf3 1 LIMNS SHALL BE PERMITTED. AND TN BE MAINTAINED BY THE CONTRACTOR 1 CONSTRUCTION. N 0'15'12" W 70.00' oc . INC No0 5' NGPE BUFFER W pc, o Z i6 20' REAR SETBACK ---� cc air t, A, / A T NI k WIo� N( IT"rf N/4 i1 > 4 o I g' ! 2.0 { -. 35' "/�t� rn T FOOTPRINT �.��i E� O I •T J • y j3�' �i� ' EXISTING I r k3 , > . W' ilCic I 54,_D. SV+c !Pc- ( k11 00 i I Residence o GAS ' I • ,`�'Oak�pOE, i POWER/TV/PHONE g� 'I — k 5 r `———— r L. Ili Z I• DRIVEWAY i I •! I I i k'16 r 4 I • Path ref; L PIL --.... `lit--—--Lel,.....-;;ScJ } EXISTING VERIFY N ,� SOU/ ,r i• •\ I o� FENCE OCATION \�S} incl: U , C p U MWATER ETER VERIFY B \\\ O'�O (� 05* C — LOCATION to % Q Cyr h� �O'.0 ITS - e `•' Rk �(0) 49• q \ I tn�n I I LTA = 69'21 36 cco g• o DIUS = 51.00 WIDEN CURB-CUT Eck �a\ v NGTH = 61.74 TO PROPOSED DRIVE ' :r, yam\ Ibs s\Gy Z qp off0 �` CURVE C25 I DELTA = 4T15'30" " •"• RADIUS = 30.00' LENGTH = 24.74' • • • • I 14 Sto 51rcYr 6c.A•••-'\5 R X XIZ -CodnvIS' / z x Ib' ,0i5't`rim ,oiSe 4 i/ > --, Hon (E-- �I _ I_._ _ L___' L—_ _ 1 i. 1 _ __ _ __.1— • ----_ I I i I ID IZ I ; jk , I , i : I I I ' I l l i I '1 ' r. I ! 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W.-1.1.4.vjfki: , i't' Chi`, i rXta'\ 9i+s3e.!5`I ;<1. x 4,i".i. :E;e:!,t. of ;:.\ d.. :s;, s .x?'F �k: , � ^?r'?.e.:. ry yti>: :r:,,.A,- ., '.' ,},y,.d. x: .,.. `Sa... '::$4A`'hxt*, i.l! t.,ra.hzif%; .i3` zr>=<<:. 1 Site Address: 5'1 I5 Ce-aas C,ten o 2Ay Parcel No.: Lot: Block: Div: Addition: .. ,,, . ,,. ,, ' OR p'C>��rg,,: . , . - '.'LE DER - - CONI'ItACT Name Name Name JIM 111ACAl" -l57'E' - Mailing Address Mailing Address Mailing Address 3.4 is c "wdzIr C.;i<„-. I,17,.1 r City: State: Zip: City: State: Zip: City: State: Zip: An a C.,or' 5 UJA= St L.ZI Contractor Lic.No.: Phone No.: 3 Lr Co - L,13-;>16(2) Phone No.: Phone No.: Exp Date: 1 i Contact Person: —3UN& MC_ t_t ST Phone No.: 3 COO- Z1S'Set Ci OCCUPANT U;SE (Check One) Single Family:. Multi-Family: Apartment: Condominimum: Senior Housing: Retail: Office: Restaurant: i Manufacturing: Storage: Bank: Assembly: Accessory: Automotive Repair: Other(Specify) it ll r`t !tit 1 ice" '...y-` � 1 DESCRIPTION OF WORK: IA)csmC) n){tAc- can rs,7S— orc lAtw1Sc'.i tit,.'-': `''.•:- �! �NI GENERAL INFORMATION . Ili . ti,,,t;.,.3t, - d"' Street Setback: 10 ft. 2nd Floor: sf. (Circle Y or N) is`Side Setback: i ft. 3'a Floor: sf. Shoreline/Wetlands Y N 2nd Side Setback: I O ft. Basement: sf. Water on/Adj.To Property Y N Rear Setback: 7-0 ft. Occ.Group: Soils Report Y N Use Zone: Carport Area: sf Sensitive Area Y N Type of Construction: Wood Garage Area: sf. Latecomers Agreement Y N Lot Area: sf. No.of Stories: Fire Hydrant(250 Feet) Y N No. of Dwellings: 7 Building Height: Variance Y N Lot Coverage: —I 400 ,,c,-Ct. Deck Area: sf. Covenant Y N Pt Floor sf. L' Flood Zone X A AE VE Project Valuation(Labor and Material Cos[): 4 3 C VXDO 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 OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYP OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS. SIGNATURE: �r-� J DATE: I S See' CDS Le_ 03 evii- . �s - es 7e-D7 C, ` Q�xFr2 I ` caol`� �t� �: tt I arc q453., `7 `'rn�� 1 , I\ / i t SS J�n _A �1 r, , --\\ _________ \ slit t \ \ t 1 , Cr s t \ b Z1 !01 j I \ii t Stos- vsu +fig ¢ , 1 y ll ,