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HomeMy WebLinkAboutBLD2023-00532 - BLD CD Environmental Health Review - 7/10/2023 MASON COUNTY Permit No:)LQa(,J93--0O5a, h COMMUNITY DEVELOPlytp IV D tsG� Permit Assistar ce Center, Building,Planning JUL 1 0 2023 BUILDING PERMIT APPLICATION MAY 12 20!3 RECEIVED PROPERTY OWNER INFORMATION: CONTRACTOR INFBI11l �derCt NAME:1er:OrgATst,d�'fit c,1; yGr NAME: ��'f (ds1'I L'77tC m MAILING ADDRESS: �X 6MAILING A SS: ,boy'4945 CITY:QL�11•Ve STATE:4.W ZIP:�tFS:��! CITY:DR/ STATE: ZIP: S PHONE#1: Z'i 24' — PHONE: .&%/ Z CELL: PHONE#2: EMAIL:Sr�� tp-c'el h = EMAIL: {i ..�G Tea`: ' L&T REG 4 EXP. / / m O PRIMARY CONTACT: OWNER e- CONTRACTOR OTHER❑ > Z NAME EMAIL MAILING ADDRESS CITY STATE ZIP �T PHONE CELL y PARCEL INFORMATION: L_..• PARCEL NUMBER(12 Digit Number) 32/Z 7 -C 3— .c: / 7 ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICTI r- SITE ADDRESS CITY .6/SiZ7.2$4/ DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO['SNOW LOAD:_psf 1S PROPERTY WITHIN 200 FT OF THE FOLLOWING: (check alb Mal appl,): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW[ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence.Garage.Commercial Bldg.En..) IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)All YES IParrfs)olBldgl❑ NO REy ❑ DESCRIBE WORK,/•E/✓ /tea SOUARE FOOTAGE:(pro/suedi 1ST FLOOR 1/7.3 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED� HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE•fLcr0 25 MODEL �A 0 YEAR 2,42 3 LENGTH 4412( WIDTH 24.s- BEDROOMS Z BATHS / SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC v❑'' SEWER❑ / NEW Er-- EXISTING❑ PLUMBING IN STRUCTURE? YES al**** NO❑ If yes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[✓ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that 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 and 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 legal representative,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 permitlapplication becomes null 8 void if work or authorized construction is no:commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF C NTINUATI OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT A LICATI OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) / SIC �3 Signature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTE.S/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL j ,,/ PUBLIC HEALTH rd� we) Covdm 115 ow.Ad lam(/, d t.,toaoa3- o0a• 391 E Olde Lyme Rd- +20'el • AKA 41.1 E Olde Lyme Rd *Lot 217 of Lake limerick VB Tanks were placed in ',' ttie original jeserv*area: .ill :.: 1 f�l E —4 �,�-- �. CJ � • ' � . PwnpTank . Outlet Baffle Filter �� ak • 8s- . Clean Annually 41 Ai • CO ,7 ,, • 'o tiTf413 • observation.Ports/cleanouts(31,. . 7Q' dat, ` .* :. _.4, 07/25/2023 ,a�4 �;�j•• -•:_; ,�`� • e,L� slog c. APPROVED F , .• . MASON COUNTY DCD PLANNING Z . SCOTT RUEDY,AICA Bedroom . � `atedvJaet Manufactured . Home Example - c Digitally scatRUedy signed +14'e( / by Scott A 9i Ruedy J ..• Rie;�stalled once •tit r t stiwp.Uberty �' ��'`i • • PUrrip 8t StE Rhi Panel To Be tnst o rj"` ` '"'`UY O .the 1 8.5' Min Setbacki • , 4igoiogoitioetipid a • i ii • . it ..1'.1 I :fit r . sifOOPktOsw EH APPROVED "'�tv. . iiiiiiit* t. D.Anderson 08/08/2023 teihibeliMitkaink if � �' . or EH SETBACKS - • ' A)Drainfield/Reserve requires 10'setback from footing/foundations Ei:` ,'• ' 8)Septic tank(s)requires 5'setback from all footing/foundations i ,. ,': `' i C)No foundation/perimeter drains within 30'down-gradient of drainE fi- '/ r 011 . reserve area j 2000604 .�;i D)No cut(s),bank(s)(greater than 5'&over 45 degrees)within 50' r.•FrartkA. it down-gradient of drainfield/reserve area ,r :•4'. • s LICENSED• :QE.•... .• ., RR5 Zoning Septic'Site Plan Name:Accurate:0e Tax•PPrcel: 32171 f: Front Yard Setback. 25'. Side & Rear Yard Setbacks. Residential dwelling Scale= 1"= 20' Address: 391 E Olde tpmeid.lfieltnn and accessory structures is 20'. Ibis isneta sump all property rmes/boundaries haw been demonstrated bytheanertsi sriteirArds). OR 10% width of lot if not more than 100' wide OR approved ADV On-Situ SOU Design I Hied Septic Design anti Ext vtithlg pi ,. a - -. TI In IP " n e.. t .n au `~ '.°g M t F' .. n �' ctii WCI.y ' J V w G _7 0 • m s O s G/ i O N 6 KT O rt a 7� ^R ® °' @ N X w SIO2-<>*®—i e0� Oa © 4 000� E E E 0 MI'CH CAM l\V n • ill ghikliti 3^ \ Y 1f!9: w... a -, -E (11 cc CD W=I x z H 0 I cG 4 H � ,, ,_?..,„ N oc o, :; -_ ? I oV ov 1 d .. a o m -. a @ s : a aY _ OW E O O - -2 � ti y p) . ,� H8 cn.. � .: . CD CD Cj .. _ m a b--, ,off ® oy.N0. J 0 °' �:ac1 0 �\ i NIP r:vumW F Q it i Off¢ �� : W a� ;G 1. a Z a `, a ! ,Y: / i3 a SiC9 0 7 I .C S i •0 5 I .. 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