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BLD2022-01477 Final SFR ADV2022-00164 - BLD Inspections - 10/30/2023
\\ MASON COUNTY N 615 W.Alder St.Bldg 8,SHELTON,WA 98584 COMMUNITY SERVICES SHELTON:360-427-9670,EXT 352 - BELFAIR:360-275 4467,EXT 352 \ Building,Planning,Ere,--talllealth,C....mty Heald, ELMA:360-482-5269,EXT 352 www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY** To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.php Permit Number BLD2022-01477 Date Issued 02/01/2023 Issued By Project NEW S F R W/ATTACHED GARAGE Site Address 521 E Cronquist Rd Applicant WEBER GREGORY A&SALLY L Contractor REALITY HOMES INC. Contractor Phone 253-926-6330 Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type Permit Type NEW SINGLE FAMILY RESIDENCE Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. *'THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.** PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department Concrete Setbacks eQ Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing -l3 2 Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor (,�� 'a D }Z Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls t 1.7-3 J77— Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other \Q-��Q'a MASON COUNTY 360-427-9670 Shelton ext.352 r i4467 Belfair ext.352 COMMUNITY DEVELOPMENT 3 0-275-360-482 5269 Elma ext.352 Building,Planning,Fire Marshal 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER:2"2nca-'2. -n\�1: 1 ADDRESS/LOCATION:`JZ\ �T- FINDINGS: rl 2 e- r Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. ❑ Make corrections, items will be checked on the next inspection. OK to —1M Date: t`p ❑ Please contact our office regarding possible Department: structural damage incurred by recent f �, "natural/man made"disasters.This is NOT a Inspector:_ 0�( CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov B DD2022-01477 NEW SINGLE FAMILY RESIDENCE PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ISSUED: 02/01/2023 SITE ADDRESS: 521 E CRONQUIST RD ALLYN EXPIRES: 07/31/2023 PARCEL: 122321002071 APPLICANT: WEBER GREGORY A&SALLY L OWNER: WEBER GREGORY A&SALLY L 1673 SOUTH MARKET BLVD 10057 1673 SOUTH MARKET BLVD 10057 CHEHALIS,WA 98532 CHEHALIS,WA98532 360-219-6172 GENERAL CONTRACTOR'S LICENSE: REALITY HOMES INC. License: REALIHI984CN 2720 SOUTH J ST Expires: 02/15/2024 TACOMA,WA98409 253-926-6330 VALUATIONS: FEES: Paid Due U VB Utility, miscellaneous 404.00 $24,413.72 Technology Surcharge $72.19 $0.00 Covered Deck/Carport 78.00 $1,716.00 Building Permit Fee $2,035.60 $0.00 R-3 VB Residential, one- 1508.00 $227,511.96 Plumbing Fees $104.00 $0.00 and two-family Plan Check Fee $1,323.14 $0.00 State Fee-Residential $6.50 $0.00 Building Plan Review/Change of $125.00 $0.00 Use-Onsite Sewage Planning Review Fee $240.00 $0.00 Mechanical Fees $92.00 $0.00 Plumbing Base Fee $25.00 $0.00 Mechanical Base Fee $30.00 $0.00 Total: $253,641.68 Totals : $4,053.43 $0.00 FIXTURES Qty Mechanical Fixtures Qty Plumbing Fixtures 1.0000 Dryer Vent(s) 1.0000 Number of Bath Tubs 1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Clothes Washers 1.0000 Furnace(s) 1.0000 Number of Dishwashers Printed by:Genie Mcfarland on:02/01/2023 03:38 PM Page 1 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW SINGLE FAMILY RESIDENCE BLD2022-01477 Qty Mechanical Fixtures Qty Plumbing Fixtures 1.0000 Heat Pump(s) 1.0000 Number of Kitchen Sinks 3.0000 Spot Vent Fan(s) 1.0000 Number of Showers 1.0000 Number of Water Heaters and or Vent 2.0000 Number of Hose Bibs 2.0000 Bathroom Sink 2.0000 Number of Toilets REQUIRED INSPECTIONS Setback Inspection Rough- Plumbing Inspection Footing Inspection Mechanical Inspection Foundation Wall-Pre-Pour Inspection Insulation Inspection Underfloor Inspection Connection has been verified by Health or Utilities Shearwall Inspection BLD-Final Inspection Framing Inspection CONDITIONS * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. * All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and approved by the Washington State Department of Transportation. For more information contact Washington State Department of Transportation, at(206)357-2620, ext. 630. * OWNER/BUILDER 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. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Printed by:Genie Mcfarland on:02101/2023 03:38 PM Page 2 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW SINGLE FAMILY RESIDENCE BLD2O22-01477 * Installation of heating equipment in a single-family residence shall meet the requirements of the current WSEC R403, applicable sections of the IRC, and IMC. Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.7. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be available for inspection during inspection. Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure- sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181E-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. Duct tape is NOT permitted as a sealant on any ducts.When ducts are located in unheated spaces the ducts hall be insulated to R-8 DUCT TIGHTNESS TESTING shall be conducted by person(s)trained to perform such testing. A signed affidavit documenting test results in accordance to IECC/WSEC Section R403.3.3 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit"or"Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not required if the air handler and all ducts are located within the heated space. * CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. * Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor & Industries(L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415- 4000. * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. * Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. Printed by:Genie Mcfarland on:02/01/2023 03:38 PM Page 3 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. WIMP Building 8 ice Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW SINGLE FAMILY RESIDENCE BLD2022-01477 * All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. * The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * A minimum of 90 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28 and 14.17. * The foundation/footing must be placed on undisturbed,firm-native soil. Proper frost depth shall be observed below grade in undisturbed soils. Printed by:Genie Mcfarland on:02/01/2023 03:38 PM Page 4 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW SINGLE FAMILY RESIDENCE BLD2022-01477 Adopted Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C, Window(Max U- Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slab Insulation R-10. 2 Heat pump 1.3 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U =0.28, Floor R-38, Slab on grade R-10 perimeter and under entire slab below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total conductive UA by5% 2.1 Compliance based on R402.4.1.2: Reduce the tested air leakage to 3.0 air changes per hour. maximum at 50 Pascals or For R-2 Occupancies, optional compliance based on Section R402.4.1.2: Reduce the tested air leakage to 0.3 cfm/sf maximum at 50 Pascals and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code or Section 403.8 of the International Mechanical Code shall be met with a high efficiency fan(s)(maximum 0.35 watts/cfm), not interlocked with the furnace fan (if present). Ventilation systems using a furnace including an ECM motor are allowed if they are controlled to operate at low speed in ventilation only mode. 3.2 Air-source centrally ducted heat pump with minimum HSPF of 9.5. 3 4.1 All supply and return ducts located in an unconditioned attic shall be deeply buried in ceiling insulation in accordance with Section R403.3.7. For mechanical equipment located outside the conditioned space, a maximum of 10 linear feet of return duct and 5 linear feet of supply duct connections to the equipment may be outside the deeply buried insulation. All metallic ducts located outside the conditioned space must have both transverse and longitudinal joints sealed with mastic. If flex ducts are used, they cannot contain splices. Duct leakage shall be limited to 3 cfm per 100 square feet of conditioned floor area.Air handler(s)shall be located within the conditioned space. 5.5 Water heating system shall include one of the following: Electric heat pump water heater meeting the standards for Tier III of NEEA's advanced water heating specification or For R-2 Occupancy, electric heat pump water heater(s), meeting the standards for Tier III of NEEA's advanced water heating specification, shall supply domestic hot water to all units. If one water heater is serving more than one dwelling unit, all hot water supply and recirculation piping shall be insulated with R-8 minimum pipe insulation. 5 7.1 All of the following appliances shall be new and installed in the dwelling unit and shall meet the following standards: Dishwasher—Energy Star rated Refrigerator(if provided)—Energy Star rated washing machine—Energy Star rated Dryer—Energy Star rated, ventless dryer with minimum CEF rating of 5.2, all appliances shall be installed and connected to utilities. Dryer ducts and exterior dryer vent caps are not permitted to be installed in the dwelling unit. " 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. Printed by:Genie Mcfarland on:02/01/2023 03:38 PM Page 5 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW SINGLE FAMILY RESIDENCE BLD2022-01477 * A permanent certificate, completed by the builder or registered design professional, shall be posted on a wall in the space where the furnace is located, a utility room, or an approved location inside the building. When located on the elctrical panel, the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect labek, or toher reqyired Iabels.The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient (SHGC)of fenestration. Where there is more than one value for each component,the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Chapter 4, and air leakage results if a blower door test was conducted. Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air changes per hour when tested with a blower door in accordanve with WSEC Section R402.4.1.2. The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required for additions less than 500 square feet. Reference WSEC R402.4.1.2. Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2015 Certificate" and are available in '/<or'/z sheets. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * Concrete used for basement walls,foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). * The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked "APPROVED",they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. Printed by:Genie Mcfarland on:02/01/2023 03:38 PM Page 6 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW SINGLE FAMILY RESIDENCE BLD2022-01477 * A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled"Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan"constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. * The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. * When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at(360)427-9670, ext. 450 or 100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled and approved. * Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC Section R315. Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling. EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created. * WIND LOADS- Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. * Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. * Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. * All property lines shall be clearly identified at the time of foundation inspection. Printed by:Genie Mcfarland on:02/01/2023 03:38 PM Page 7 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW SINGLE FAMILY RESIDENCE BLD2022-01477 REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. A drip edge shall be provided at eaves and gables of shingle roofs. By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. • On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. * Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered. A.) Drainfield/Reserve requires a 1 Oft setback from all footing/foundations. B.)Septic tank(s) requires 5ft setback from all footing/foundations. C.) No foundation/Perimeter Drains within 30ft, down gradient of Drainfield/ Reserve area. D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area. " Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. A separate inspection in addition to the inspections required in the IBC, Section 110 shall be required in accordance with the 2018 IBC, Section 1705.12.2 and Section 1707.1. The additional inspection is required when shear wall fastener spacing is required to be 4 inches or less. The shear wall schedule shown on sheet S3 designate wall(s)type GARAGE PORTALS and SW2 with fastener spacing 4 inches or less. The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified to inspect lateral connections,the Engineer of record (EOR), or an authorized representative of the (EOR). The special inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the inspection, special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton, WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitted to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said project. 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 Authorized Age t: Date:el V Printed by:Genie Mcfarland on:02/01/2023 03:38 PM Page 8 of 8 r. e - S� X I �uc��n Awr4r5+eves REC�IV D --- `" NOV 2 1 2011 `� Core, Con-k.`n�� - 7X yD to �tl us;o ;c c `I15 W. AlderStreet Sn• a um 1 a r t t r,� es o n .11 s S 9 _ 12oaj access G 5 2of "•h +' PAULA JDY JOMNSUN ro FWs F V)� - isloee eXLePit- �L'.�o (�ctted ge}b,uk CS I lu.,QA-:aV, G(ZTZcZ.l -0Cot3 r " 5 vtief V%"c'i 4 �2.S Var�avnttcC u[u"t14.hC� I1CPc��G� ...�. +1PPc�eGQ +� prop He — 1 Audio-Visual Alarm 2 5f Wow o � N n2 Cleanout �J I �. I t O3 500 Gallon Pre-Trash tank- o-t•3 �,:�,wA ;4 ��..s+c-e•�-...as wee�.s..�� ONuWater BNR-500 ATU Tank _ I O1,000 Gallon Pump Chamber O6 Valve Control Box �� R APPROVED MAY 2 0 2022 VASON COUNT"ENMONVEWTALHEALTH Printe'd"M Mason County DNIff Printed from Mason County DMS vltw EXHIBIT MAP FOR 30 FOOT EASEMENT TO BENEFIT PARCEL NO. 12232100207, REC —W'r-m O A PORTION OF GOVERNMENT LOT 2 OF SECTION 32, TOWNSHIP 22 NOV 2 1 Z02Z NORTH, RANGE 1 WEST, W.M. MASON COUNTY, WASHINGTON. 615 W. Alder Street 0 100. pm PARCEL # 122321002060 30' EASEMENT FOR INGRESS. EGRESS 6 1371.67' UTILITIES S 89"36'47" E N 89056'34" E 291.49' 1273 69' 296.91' � 52.91' 238.58' L4 �' L1 N 89'SS'11' E N 89056*34" E (1/ - S 89056'34" W uj 255 ' � - PA EL # 122321002071 ``'v FND W B C 5/8"B&C NE COR Q; L8 N�Z Q PER PREVIOUS LS#15653 a SURVEY in L7 369.67' 05 PARCEL # 122321002072 ,4 Z ; N 89°36 47" Wl 133.55' L5 L12 L 11 WO. 98.45, N 88055'06" E N 80°3940" W LINE BEARING HORIZ DIST �a L1 N89056'34"E 31.77' �Q s L2 N19001'15"E 31.74' L3 S19001'15"W 31.74' V L4 N89056'34"E 85.00' � LEGEND L5 N87015'44"E 4.88' L6 S6020'16"W 32.90' • CALCULATED POSITON L7 S89036'47"E 16.35' DR LAND SURVEYING Q FOUND AS NOTED L8 S89036'47"E 31.60' L9 N19001'15"E 30.64' PROFESSIONAL LAND SURVEYING Q IRON PIPE FOUND L10 S18003'48"W 49.72' 222 SE SNIDER RD & Qod QUARTER CORNER L11 N85026'54W 81.67' SHELTON WA 98584 L12 S87016'11"W 53.55' drsurveying@yahoo.com 360-427-8392 2016-024A F � f VGL�"l a.n Ce 4�)r housc, 13 RECE-M-- o SCALE, 1'=60,- ��tt 0 15 30 NOV z 1 zu« 60 615 W. Nder Street � PROPERTY LINE � 1 : [4141 TP2 TOE OF SLOPE j' EXCEEDING 40'/, ti �� ( ! 1 'aiTPI / I j CONSTRUCTION w N'✓EL O°E m -- 368t / ROOF DRAINAGE OUTLET TO I TOE OF SLOPE, DISSIPATED 20' CONSTRUCTION W/ 3' TEE TOP OF SLOPE SETBACK EXCEEDING 40% £ 10' VEGETATED -� BUFFER IF BUILDING IS SO FEET OR NOTES, MORE FROM TOP OF SLOPE, PROJECT/ OWNER/ LOCATIONo I. EROSION CONTRA MAY BE REQUIRED FOR THIS SITE. GENERAL LOCATIONS TIGHTLINE NOT REQUIRED SINGLE FAMILY RESIDENCE APE DEPICTED, AND Al TERNAT[VES NAY BE UTILIZED AS EXPLAINED IN THE GEOTE.CFNiCAL REPORT. FOR ROOF RUNOFF, DOWN- GEOTECHNICAL REPORT Z CONTOURS WERE NOT PREPARED BY A LICENSED LAND SURVEYOR. SPOUTS WITH SPLASHBLOCK CONTOURS WERE EXTRAPOLATED FROM A PUBLIC LIDAR SOURCE, AND VE VEBEaXXX E CRONQUIST ROAD INCORPORATED FIELD MEASUREMENTS AS EXPLAINED IN THE GEOTECHNICAL ARE ACCEPTABLE LEGEND PARCEL 12232-10-02071 REPORT 3 BOUNDARIES WERE NOT PREPARED BY A LICENSED SURVEYOR, LOCATIONS KASON VA HIT N OF SITE FEATURES THAT ARE SHOWN HERE, SUCH AS TIP OF SLOPES, TOE TEMPORARY ENGINEER- 13F SLOPES, WATER FEATURES, ETC.-, WITH RELATION TO THE PROPERTY EROSION CONTROL ENVIROTECH ENGINEERING LINES MUST BE VERIFIED BY THE OWNER, RECOMMENDATIONS IN THE PO BOX 984 GEOTECHNICAL REPORT PROVIDE SETBACKS, BUFFERS, DEPTHS, ETC., WITH SLOPE INDICATOR BELFAIR, WASHINGTON 98528 RELATION TO GEOLOGIC FEATURES, NOT PROPERTY LINES. THESE GEOLOGIC EXISTING CONTOUR 360-275-9374 FEATURES MAY BE LOCATED ON THE SUBJECT PROPERTY OR NEIGHBORING PROPERTIES, TP TEST PIT SITE PLAN EH Setbacks A.) Drainfield/Reserve requires 10'setback from footingifoundations B.)Septic tank(s)requires 5'setback from all footing/foundations C.)No foundation/Perimeter Drains within 30ft,downgradient of Drainfield/Reserve area D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft,down gradient of Drainfield/Reserve area .L/%�-V 4111 ,.P t EH APPROVED Rhonda Thompson 01/23/2023 c, 1 t ( ii) K tcaw r rouge- a,...1... � `�q.�la'°, �j._f�_.,�_ �'�' .`� �.''�"'^Y7 '1'pt�to �(�C.I<jt'�,�nG/tC�c+�" �•!`�-^ �AZI)S r J w See Geo Addendum All setbacks are measured from the furthest projection of t�e� -- building a:�'- ` - ^rr ADV2022-00164 10' Min ` r+ T 9 QD I �L ��a, a..-t iw'is�I'�'tiY;�'s 1 "i^4 '�•! i� ! ;' � - 1) Audio Vi-;u:j1 A!ii iie � a af)fi A i: t"�ssik f"eJntj+f'trafxi r r A+Uiltlol 1„TU.S (o) r, +"r RR5Zoning I� „ oigitaiiy, Front Yard Setback. 25'. by Sc tt Side& Rear Yard Setbacks. Residential dwelling ,1 Ruedy and accessorystructures is 20. 4 f 5 x OR 10%width of lot if not more than 100'wide APPROVED OR approved ADV MASON COUNTY DCD PLANNING SCOTf RUEBY,AfCP 01/23/2023 C'� a.rZ•;" I� ,t� Parcel#lao2�3 -/� D ]�I R� L D# I Name rec�p,^u U' ®, Mason County l° 202 Department of Community DSNig9p.i##Mr Street Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) 51-0 The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the s stem ill be located as not to adversely affect any septic systems on this,or any other,parcel. i If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone:(360)-427-9670 EXT.450 Mail:P 0 Box 1850,Shelton WA 98584 Physical:415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone:(360)-427-9670 EXT.352 Mail:P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent 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,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X� wner/.,�2gent/Contractor(circle one)Date: Page 2 of 2 Name er, L5�/_,L a 1,( ke Parcel# f,Z;LU-jQ- 0a0 7/ BLD# J - - Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition X _ above table Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area(sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent 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,owner's legal representative,or the contractor. I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X J�►.aA,G wne�gent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Pagel of 2 `I MASON COUNTY COMMUNITY SERVICES Permit No: ` 77 PERMIT ASSISTANCE CENTER: / -BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 R C `' Phone Shelton:(360)427-9670 ext 352•Fax.,(360)427-7798 Phone �. Be/fair.(360)275-4467•Phone Elma:(360)482-5269 NOV 2 � ZULI k BUILDING PERMIT APPLICAT U®I PROPERTY OWNER INFORMATION: CONTRACTOR INFpORM�ATION: NAME 1y NAME: �e � y eS :nlG MAILING S:, AlE - n ' -I Rd MAILING ADDS: 2-7,2 CITY:,4114n STATEA,0& IP:� CITY:T&remcu STATE:_11k ZIP:!! tMq PHONE#1 r - PHONE: ELL: PHONE#2:.:Z�,o- f9—'jt(lri EMAIL: WWW. ' VO inc.Ccrn );MAIL: i .C'o✓Y1 L&I REG#REA L I h 1 C N EXP.6 n•7/6_/A�t PRIMARY CONTACT: OWNER P� CONTRACTOR❑ OTHER❑ NAME f or 5qJ1L4 Wtohejc EMAIL �•�l7►n MAILING AD S C, c ' CITY STATE tAlk _ZIP aff PHONE a6b-aIll- 1,/'7o1 CELL.%36Q-Al!J- '7, PARCEL INFORMATION: (� PARCEL NUMBER(12 Digit Number) /0•-(rjW:Z l ZONING LEGAL DESCRIPTION(Abbreviated)7R7A•6•L•.Z Elf EISD'47 6#1 C FIRE DISTRICT 5— SITE ADDRESS a I E_C rc)n9A j5+ PA CITY fi lour► DIRECTIONS TO SITE ADDRESS crn She-A-an-^ H!q 3 4o Grape U ifw loop W. 4 rkn rr�-k+i ? T AXIK red rJOS 5 owl t e,"-%e. uxuAr IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES '-NO❑ SNOW LOAD:_2UCE,;Psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkauthaiapply): SALTWATER LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,DO S F R IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole aldg)`❑ YES /artls)ojB/dgl NO❑ DESCRIBE WORK E W SCE DARE FOOTAGE:(proposed) I ST FLOOR q.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 UDetachd❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION *4 COPIES OF THE FLOOR PLAN REQ EL LEN WIDTH OMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC SEWER❑ / NEWX EXISTING❑ PLUMBING IN STRUCTURE? YES/d NO❑ Ijyes,attach completed Water Adequacy Form PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ N Z 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 dedare 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 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON � �- COUNTY CODE 14.08.42) S�ignathre of CITNER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW AP ROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: ZQ(— PBU�DING •IT l PLANNING STANCE CENTER: MARSHAL �1 C ��t.-LJ O1 615 W. Alder St-Shelton, WA 98584 �� m www.co.mason.wa.us Phone Shelton:(360)427-9670 ext. 352• Fax. (360)427-7798 Phone Belfair: (360)275-4467• Phone Elma:(360)�52N, Alder Street DING PLUMBING & MECHANICAL PERMIT APPLICATIO U ' OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:C;"aonc & ter,] Qj,,I k4 L u,"eY NAME: ekV5 1nG. MAILING A D ESS:,e CiOn4![i t w• MAILING ADDRESS: )'St. CITY: ( STATE- L4,10 I/ ZIP: 'J?�M'q CITY: TAtO tCL, STATE: WcL ZIP: grgo4l 1"PHONE: ,360-al q-617,9- PHONE:-IS3-?A6-10 CELL: 2°d PHONE: 36 D-a-I q-7,'6.6 EMAIL :WWW.re"i orr ec lj"C-Corn EMAIL:,51gwhrt0 a mail. L&I REG#PEAJ..1 Id tq/1JC_W EXP.O I//S--/ay' PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 1aa3a Jooao7/ Zoning: LEGAL DESCRIPTION(Abbreviated): • FX I -- , SITE ADDRESS: r -f k4 CITY: DIRECTIONS TO SITE ADDRESS: �7ry� Ta.Ke 3 -Fa Gr v iE� (oo�rF{dl �w n r 9h�t-� on Grvfe-Weu� I00P Rd.-Vo Cron 'S4- �,"t"uvw. �fal oVi Gron�u�S�- w1��c1, ;s� deael� enc� 4 1% id a See a-blackwlcLI I ©n of rah ` on.OLLr dw'qf" i e�C4• $- TYPE OF JOB: NEV ADD=ALT=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS- I IT FLOOR "2ND FLOOR=BASEMENT=GARAGED OTHERO PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:ElectricNaPC=Natural Gas=Ductless= Toilets Type of Unit No.of Units Fees Bathroom Sink _2 Furnace Bath Tubs 1_ �---- I-Teat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer I Gas Outlets Kitchen Sinks I Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood --� Hose bibs Dryer Vent 1 / Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL,1-e+'�ATE�PPLICATION. / SignIcAure WOwner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 AN AP' MASON COUNTY Mason County Permit Center Use: ; COMMUNITY SERVICES ADv ab22� CZ���D Building,Planning,Environmental Health,Community Health 615 W.Alder S.— 1dg.8,Shelton,Wa 98584 Date RCV RMkMk1Mr041 D I KININN ext.352♦Fax:(360)427-7798 NOV Z feg&` 30.00 Request for Administrative Variance for Reduction in the Required Setbacks 615 W. Alder Street For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and gutters. Applicant/Owners: d Li t L F,Ir Mailing Address: Ca2zi�4- RI J City: State: o" Zip: 9Ss aq Telephone: 366 19- 7fZA 9112 - Email: S�[ �R 11'I�icY(• C6(Y j If this reduction is tied to a building permit, please give permit case number. BLD �a C) Oc,R.— 214 7'7 Parcel Number(s): lAco,�A — /0- DaG71 Zoning P115- Site Address:,�02 �, dro t'1vj&,S4 RA AL4mt U1• gFyc,2-Lf Requested setback variance: D ft. r4KFront ❑ Rear Side V ft ❑ Front Rear Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks—From access easements and road right of ways. Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow,abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. RON AND REA YARD REDUCTION RE UESTS: Fore ' ting lots of reco as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-fourth acre; e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): 0 a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-half acre; Q e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances precludeaieasonable development proposal from meeting the setback standard for Rural Residential 2.5,5, 10, or 20 zones. a lul C Si 449 rt � / 4_C n v/ aocdaZr/L /1�C��✓ [X #f X -c .- Owner/Agent(please indicate) _ 2A02 ,: Signature Date Official Use Only Approved by: Date Denied by: Date Reason for denial: