HomeMy WebLinkAboutA_Master Land Use Application_191010_v1.pdfPrint Form Reset Form Save Form
DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Andrew & Megan Albertson
ADDRESS: 3619 Lake Washington Blvd N
CITY:Renton
STATE:
WA
ZIP:
98056
PHONE NUMBER:
EMAIL ADDRESS'meganlbuchanan@gmail.com
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME:
Brian Lyman
COMPANY (if applicable) -
Lyman Architects LLC
ADDRESS: 4235 SE Mile Hill Dr. Ste D
CITY: Port Orchard
STATE:
WA
ZIP:
98366
PHONE NUMBER: 360 810 8900
EMAIL ADDRESS'lymanarchitects@gmail.com
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Brian Lyman
COMPANY (if applicable) Lyman Architects LLC.
ADDRESS: 4235 SE Mile Hill Dr. Ste D
CITY: Port Orchard
STATE:
WA
ZIP:
98366
PHONE NUMBER 360 810 8900
EMAIL ADDRESS`lymanarchitects@gmail.com
[:11 refer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Albertson Remodel
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3619 Lake Washington Blvd N
Renton, WA 98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
334270-0290
EXISTING LAND USE(S):
Single Family Residence
PROPOSED LAND USE(S):
Single Family Residence
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RMD Residential Medium Density
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTING ZONING:
R8
PROPOSED ZONING (if applicable):
SITE AREA (in square feet):
3,976 S.F. (± 0.091 ACRES) AS SURVEYED UPLAND
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
NUMBER OF PROPOSED LOTS (if applicable)
NUMBER OF NEW DWELLING UNITS (if applicable):
NUMBER OF EXISTING DWELLING UNITS (if applicable):
PROJECT VALUE:
$900,000
*By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested.
PROJECT INFORMATION (CONTINUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): (E)2840 + (N) 1375 = 4215
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 2840 SF
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable):
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE
INCLUDE
SQUARE
FOOTAGE (if applicable):
❑
AQUIFER PROTECTION AREA ONE
❑
AQUIFER PROTECTION AREA TWO
❑
FLOOD HAZARD AREA
0 sq. ft.
❑
GEOLOGIC HAZARD
0 sq. ft.
❑
HABITAT CONSERVATION
0 sq. ft.
SHORELINE STREAMS & LAKES
3976 sq. ft.
❑
WETLANDS
0 sq. ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NE QUARTER OF SECTION 31 TOWNSHIP 24 N, RANGE 5 _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) 6( V , declare under penalty of perjury under the laws of the State of Washington that I
am (please check one) ❑the current own r of the property involved in this application or O✓ the authorized representative to act for a
corporation (please attach proof of authorization) and that the foregoing statements and answers herein contained and the information
herewith are in all respects true and correct to the best of my knowledge and belief.
�� �/
2
Signature of Own epresentative L-1Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that /_'�r I Q,4"\ k -
acknowledge it to b his er/their free and voluntary act for the uses and
L
l�
D ed Notary Put
Signature of Owner/Representative Date
//YCL-1' / signed this instrument and
rpose mentioned ip the instrumept.
in and for ttie�of Washington
Notary (Print):
My appointment expires:' ���