HomeMy WebLinkAboutBLD2023-00913 - BLD CD Environmental Health Review - 8/8/2023 MASON COUNTY
COMMUNITY DEVELOPMENT AUG 02 2023
I
—�� BUILDING PERMIT APPLICATIOPGl AUG Q Q1023
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI RECEIVED
NAME: 1 n Va q NAME: Jos1c.6L k' erhe�A
MARLING ADDRESS: W'l S k MAILING RESS: 1.1 Y, ? 1 m
CITY: lAL STATE*,* SI CITY: A STATE: ZE':- I 'I z
PHONE Rl—,46n—�l-b�AI — PHONE: -2 - I CELL:
PHONE#2: EMAIL: as"a S OM Y I
EMAIL'. T:nyar a .LOM L&I REG#
PRIMARY CONTACT: OWNERQ CONTRACTOR OTNB ❑R Tm 7
NAME - ny% EMAIL
MAMINGADDRESS CITY—STATE—ZIP r
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(I2 Digit Ne ) '12 I Z T - I N- 9'( 0Il ZONING
LEGAL DESCRIPION(ANw l • p�FIREDSTRICT (�
SrrEADDRESE q5o W �IroeM4 FGA cITY hiA TM--
DIR ICTIONS TO SHE ADDRESS J ./
WS PROJECTWTTRB' 30"OFSLOP&S)GREATERTHANId%: YE4F0 NOO SNOWTAAD:--- C
TS PROPERTY WITI@1 Mq FT OF TBE FOLLOWEVG: laaxanaamNrJ:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND SEASONAL RUNOFF❑ STREAM Er
TYPE OF WORK: NEW LEY ADDITION❑ ALTERATIONP REPAIR❑ OTHER❑,
US60F STRUCTURE(nmlema w,.sa co..m..�atmsa,qcf �RSIdenrQ
ISUSE: PRDAARYEf SEASONAL(] NUMBEROFBEDRCOMS 3 NUMBEROFBATHROOMS Z
HEATW SRtUCIUltE1 YES(IPBMeNQ110J YES rP.[.l r.W❑ NO❑
DESCRIBE WORK /(LW CDel3'/lNC�ien
S UARE FO T yyGg7E�:W.am.p
ISTFLOORAApSQIeq.'R 2ND FLOOR N. SRD FLOOR q.R. BASEMENT p.ft
DECK q.R. COVEREDDECRa _q.R. STORAGE q.R OTHER q.ft
GARAGE yRo N.ft An ha g IMa [] CARPORT q.ft AH.W[] D Wb []
MANUFA OME INFO 'd COPIES OF THE FLOOR PLAN REQUIRED'
MODEL LENGTH
TN BEDROOMS BATILS SERW.NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWERSOURCE: SEPTIC BEWER❑ / mwo EXISTRiG❑
PLUMBING IN STRUCTURE? YES Ef NO Q aaach an,,ktMW Adgg Foms
PERNIETER/FOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.PT.
EXISTINGBEDROOMS PROPOSED BEDROOMS TOTALBEDROOMS 3
MIRR atlt d,,n; bNvim oflnC Fbinaln mWm In a Yq M&entr or Mnft rt on.MM dgemem of SUM 4 by
sgna mEa'ox.l MtivetlW antllwStrt mtl I NI.EYlam tleR I m onMwl to mM Mpe.and btlU Me vrkas PmPoseo.I h.
Wa.n.d pmnldm flan r tlw namevY Cml.s.MWlna.nYeuvnsd MNrn MdI.aMNleful mTNme Nl pgeG iM1.wmerurlepl
vw seun�uMs)a�s�e lmp.Mol mb�macWKmmae mmm�lmnm nvda�a xen e�imw�tree cv�iewmma�mvme¢EPvnn�mlro
tlays ar Ran.truNUn xmk k.uq.ipM bf a petits N 18p drys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTON. INACTIVITY OF THIS
P M LIGATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
tubm dOWNE0.RIuN MalemA by tlm OWNERI Deb
DEPARTMENTAL RENEW APPROVED DATE DENIED DATE TACSWOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIREMARSHAL
PUBLIC HEALTH
-6I612W- 00G I22
vd,r+ LU Nor+'a 9r.r(1h)vine
r
€, 4 il 118FF I10{{ -Trp of ba k
EE 6EDZaI -Mt- t/
.. \ � 50��p-Reerve d�4;nFie lo(
I - 163 1pl�i-SeVFlc druinl.eld
237 X WERANU \f -
PROPOSEDP Willi_ \\,' 0 TL��
2-hnRty weu , 1 fw ZS
Rica
PROPOSED ap " EH APPROVED
d-NORM II 1 , Rhonda Thompson 09/19/2023
IA`ts#PmPe re � .�f S'e.,kn prTQe r+y�tne
m{} uDAt
r
me it(dry# , EH Setbacks
A) DrainfielNResessmooirie to'setback hom foote,,foundations
si 9.)septic tank(s)reserves T seasick from all fostirryfoundagons
C.)No buMamoNPerimeter Drains within OOIt,dowrgradient of
DminlielNResarve ar .
P AY DJ No ON Bank(s)(greater than 511 and over 45 degrees)within
gn'1f U`y SOX,down gradient of DranfieldrAesews area
APPROVED
on MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANG!/ES SUBJECT TO APPROVAL
By: / �""."' Date: 09/07/2023
RBM IS(
RRM 1-1 PLANNING SETBACKS
Front: 25'
(�� I fUU (" Rear. 252.4— (from wetland)
INI LI I Side: 20'
0 1200 (+r 'Subject to EH Setbacks
f 1 APSI •'If furthest rear projection of structure is
n 166 11 ( within 125'of road easement,wetland
1 6 F I ( setback should be met.
CS7 I7 untI
165 wr I PLANNING:
All Wt:flS ALL SETBACKS ARE MEASURED FROM
THE FURTHEST PROJECTION OF THE
BUILDING