HomeMy WebLinkAboutPermit File BLD-2022-0723 1109 Dakota Avenue City of Anacortes Invoice/Permit#: BLD-2022-0723
904 6th Street
Applied date: 09/14/2022
P.O.Box 547 Issue date: 09/14/2022
Anacortes, WA 98221-0547 Expire date: 03/12/2024
Job Address: 1109 DAKOTA AVE Permit Type: Fence Permit
ANACORTES VVA 98221-1344 Project:
APN: P58284
Remarks: Install a wood fence along south portion of property line. Owner is responsible for knowing property corner locations and
showing to inspector if needed.
Owner: PAUL REISMAN Contractor: OWNER
Address: 1109 DAKOTA AVE Address:
ANACORTES WA 98221-1344
Phone: (360) 708-8419 Phone:
License#:
General Information: Fees:
fence permit 15.00
Total Calculated: 15.00
Deposits/Receipts: 0.00
Total Due: 15.00
The issuance or granting of this permit shall not be construed to be a permit for,or approval of, any violation of this Code or any other ordinance or order of
the City, of any state or federal law, or of any order, proclamation,guidance advice or decision of the Governor of this State.To the extent the issuance or
granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City,or of any state or federal law, or of any order, proclamation, guidance advice or decision of
the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of the Governor.This permit becomes null and void if work or construction authorized is not commenced 80 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and a fined this a plication and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU
CITY OF ANACORTES
PLANNING & BUILDING DEFT•
APPROVED PLANS
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HERRIGSTAD ENGINEERING EXHIBIT C 1109 DAKOTA AVENUE
& SURVEYING AFTER BOUNDARY ANACORTES
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PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
FENCE PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address Street,Suite ft Assessor Parcel Number:
, ' 0 q AAYF, 5 8 '2Z
Subdivision/Lot#:' Zoning Designation:
2. FENCE INFORMATION
Lot Type Height Material
(measured from finished grade to the top of the fence;
(see.AMC 19.12.020(L)for definitions) see AMC 19.65.050)
❑ Corner Front: Wood
Interior Side: ❑ Chain Link(see AMC 19.66.070 for areas
where chain link is prohibited).
Through Side: ❑ Other:
Rear:
3. SUBMITTAL REQUIREMENTS
A site plan that includes the following information:
• All lot lines(the accurate location of all property lines is the responsibility of the property owner)
■ All structures (buildings,existing fences,neighboring buildings within 10',etc.)
■ The proposed location of the fence/wall line(s)with height labeled
o Label the fence/wall distance from property line and public sidewalk or sidewalk
easement (note: all fences and walls must be a minimum of 18" setback from public
sidewalk or sidewalk easement)
• Any public or private right-of-ways
■ Utility easements
• Clear vision triangles (see AMC 19.69.070)
• Critical areas and buffers (if applicable)
■ Landscaping Plan (if applicable, see attached information sheet to see if landscaping will be
required).
4. PROPERTY OWNER INFORMATION
Name: � p n� I Phone:
Address(Street,City,State,Zip): mail
9 CQAV-oTA AY/
City Of Anacortes Fence Permit Application Page 1 of 4
5. CONTRACTOR INFORMATION
Name:* Phone:
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City of
Anocortes business license prior to doing work in the City. Expiration Date: Expiration Date:
Address(Street,City,State,Zip): Email Address:
6. CONTACT PERSON
Select one person the city will contact for anything related Property Owner
to this project: ❑ Contractor
l Other list below
AJ lam— I� Pho kc - tu5 —9 l(�
19 -
Ad ress(Street,City,State,Zip): Email Address:
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7. ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this application:
I understand that the city's issuance of a fence permit does not constitute confirmation of the
accuracy of property lines as described in the application. Confirmation of the accurate location
of all property lines is the responsibility of the property owner or contractor.
By affixing my signature hereto, I certify that I am the owner, or am acting as the Owner's authorized
agent, and that the application and documents contained with this submittal are complete and
accurate to the best of my knowledge and abilities.
Signature Date
City Of Anacortes Fence Permit Application Page 2 of 4