Loading...
HomeMy WebLinkAboutBLD2019-00252 Final Demo - BLD Permit / Conditions - 8/9/2017 > 'p MASON COUNTY PERMIT NO. 01(i ZGIi>-CL 2 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL m [{ �' ] WWW.CO.MASON.WA.VS (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 DEMOLITION PERMIT APPLICATION OWNER INFORMATTION: CONTRACTOR INrFORMATION: NAME: CarlC tleSYwaM NAME: MAILING ADDRESS: P6 9 ox 1364 MAILING ADDRESS: CITY: CSd�yr STATE:_t49 a ZIP: I ITS CITY: STATE: ZIP: _ PHONE: CELL: 3W 1 0 01-3 PHONE: CELL: EMAIL: "ro Car( &— cu, nvk. cam, EMAIL : L&I REG# EXP. PARCEL INFORMATION: A ' PARCEL NUMBER(12 DIGIT NUMBER) a - 10 FIRE DISTRICT/yM�f LEGAI.DESCRIPTION(ABBREVIATED) : 2% &`-L ScwAIE TV- a oV SP N&I SITE ADDRESSJaqI E ccd 8 CITY k IFaLr DIRECTIONS TO SITE AD RESS: (9I ` IS PROPERTY WITHIN 200 FT: SALTWATER[] LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT- GREATER THAN 14% YES❑ NO ❑ IF YOUR PROJECT IS LOCATED ADJACENT TO OR WITHINANAREA THAT IS LISTED ABOVE, PLEASE CONTACT THE PLANNING DIVISION OF COMMUNITY DEVELOPMENT PRIOR TO DEMOLITION TO ENSURE REDEVELOPMENT. USE OF STRUCTURE BEING DEMOLISHED(RESIDENCE,GARAGE ETC.) �I HOW WILL THE DEBRIS BE DISPOSED OF t?� '' cfi lr I r, 0 v— AAAaA 6 � m2yo r UM ied� CAP v ekd , A a t7 cT 61 f'rf PROVIDE A PLOT PLAN INDICATING LOCATION OF STRUCTURE TO BE DEMOLISHED OWNER/CONTRACTOR acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVIT RMIT APPLICATION OF 180 DAYS WlL INVALIDATE THE APPLICATION. Si nature of Applicant Date X Cirl Elnresww" OWNER/REPRESENTATIVE/CONTRACTOR Print Name (CIRCLE TO INDICATE) BUILDING DEPARTMENT PLANNING DEPARTMENT Mason County `.MASON COUNTY Mason County Community Services COMMUNITY SERVICES 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us B DD2019-00252 DEMO PROJECT DESCRIPTION: DEMO PERMIT FOR 1955 SFR ISSUED: 03/21/2019 SITE ADDRESS: 1241 NE OLD BELFAIR HWY BELFAIR EXPIRES: 09/17/2019 PARCEL: 123201391072 APPLICANT: CARL EHRESMAN II OWNER: CARL EHRESMAN II P O BOX 1267 P O BOX 1267 BELFAIR,WA 98528-1241 BELFAIR,WA 98528-1241 FEES: Paid Due Demolition Fee $120.00 - $0.00 State Fee-Residential $6.50 $0.00 Totals : $126.50 $0.00 REQUIRED INSPECTIONS BLD-Final Inspection CONDITIONS * The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire. • The demolition and disposal of demolition debris must meet requirements as per Mason County regulations. it is unlawful for any person to cause or allow the demolition (or major renovation)of any structure unless all asbestos containing materials have been removed from the area to be demolished. work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA @ 2490 B Limited Lane NW, Olympia WA 98502, 360-586-1044, 800422-5623, www.orcaa.org * All building permits shall have a final inspection performed and approved by Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. * All construction and demolition debris must be removed from the beach after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. Printed by:Genie Mcfarland on:03/21/2019 02:13 PM Page 1 of 2 Mason County MASON COUNTY Y Mason County Community Services COMMUNITY SERVICES 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.masonma.us DEMO BLD2019-00252 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/local law regulating construction or the performance of construction. Issued By: ) Contractor or Autho . ed Agents Date: Printed by:Genie Mcfarland on:03/21/2019 02:13 PM Page 2 of 2 INSPECTION CARD MASON COUNTY Mason County COMMUNITY SLRVICLS 615 W. Alder St. Bldg. 8, Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us PERMIT# BLD2019-00252 PROJECT ADDRESS . 1241 NE Old Belfair Hwy Belfair, WA 98528 PARCEL# 123201391072 PROJECT DESCRIPTION DEMO PERMIT FOR 1955 SFR OWNER CARL EHRESMAN II ADDRESS P O BOX 1267 PHONE CONTRACTOR ADDRESS PHONE CONTRACTOR LICENSE LENDER INSPECTION INSP DATF Comments INSPECTION INSP I DATE Comments BLD-Final Inspection �o Q Mason County MASON COUNTY Mason County Community Services COMMUNITY SERVICES 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us B DD2019-00252 DEMO PROJECT DESCRIPTION: DEMO PERMIT FOR 1955 SFR ISSUED: 03/21/2019 SITE ADDRESS: 1241 NE OLD BELFAIR HWY BELFAIR EXPIRES: 09/17/2019 PARCEL: 123201391072 APPLICANT: CARL EHRESMAN II OWNER: CARL EHRESMAN II P O BOX 1267 P O BOX 1267 BELFAIR,WA 98528-1241 BELFAIR,WA 98528-1241 FEES: Paid Due - Demolition Fee $120.00 $0.00 State Fee-Residential $6.50 $0.00 Totals : $126.50 $0.00 REQUIRED INSPECTIONS BLD-Final Inspection CONDITIONS * The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire. * The demolition and disposal of demolition debris must meet requirements as per Mason County regulations. it is unlawful for any person to cause or allow the demolition (or major renovation)of any structure unless all asbestos containing materials have been removed from the area to be demolished. work shall not commence on an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA @ 2490 B Limited Lane NW, Olympia WA 98502, 360-586-1044, 800-422-5623, www.orcaa.org * All building permits shall have a final inspection performed and approved by Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. * All construction and demolition debris must be removed from the beach after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. Printed by:Genie Mcfarland on:03/21/2019 02:13 PM Page 1 of 2 Mason County MASON COUNTY Mason County Community Services COMMUNITY SERVICES 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.masonma.us DEMO BLD2019-00252 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/local law regulating construction or the performance of construction. 11 Issued By: Contractor or Autho ' ed Agen . ��y —c - -- Date: Printed by:Genie Mcfarland on:03/21/2019 02:13 PM Page 2 of 2