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HomeMy WebLinkAboutBLD2023-01241 - BLD CD Environmental Health Review - 10/13/2023 F MASON COUNTY Permit ND: =D� I COMMUNITY DEVELOPMENT RECEIIVEDM Permit Aulstance Center,Building,Planning OCT t 32023 C BUILDING PERMIT APPLICATION 615 W. Alder.R311T�1!Rt X PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: tom• Z NAME: V 1 N NAME: Y� 9 CITY. AQDRE55: ! CITY:MAIL ADDRHBS: ? CITY: STATE: CITY: STA77i: ZIP: � R1 PHONe#1: 7ls0- LT-SITE PHONE: CELL: Z PHONE#1 EMAIL: —•I EMAIL a OG.CCq L&IREG# EXP. — r PRIMARYCONT OWNER CONTRACTOR[] OTRERO NAME % EMAIL MAILINGADDRESS di CITY e/ la- STATE a ZIP PHONE FCELL L3 J) IZM PARCEL INFORMATION: LSLfL NU PMCEL M(12DigitNembm) 31°///- 33 - 40oLJ LOHNNG tt OCT 1 31023 LEGALDESCROTION(Abbreviarta 4 I Or 4L401i .4 CRT W0557IPFHIEDLSTRICr SITEADDRESs SE Le G e crrY oAl RECEIVED DBIECTIO TO SITHADORESST a 4e a JTf ow of b 4 T3 ,It L ♦ e e.t4 dtW MTHEPROJECTWITHIN3NFTOFSWM(S)OREATBRTIIAN14%: YES[] N04 SNOWLOAD.. Opaf EPROMRWWTTIDN=I DFTHEFOLLOWING: (O.d dle4m.ppy): SALTWATER❑ LAKE❑ AIVEWCREEK❑ POND❑ WETLAND❑ SEASONALRUNOPF[] STREAM❑ TYPE OF WORK: NEV'6 ADDITION❑ ALTERATION❑ REPAIR[] OTHER n USE OF STRUCTURE Iu¢rAwor,r M,-wash,ew aft IS USE: PRIMARY -SEASONAL❑ NUhIDEROFHEDROOMS__ -N EROFBATHROOMS Z HEATEDSMUCIURE? YEStbldeeul Maso(-larxty❑ NO[] DESCRIBEWORK NPW 4jr!C4 14011 SOUARE FOOTAGE: ISTFLOORJ310 q.R TNDFLOOR ii 3RDFIAOR ai HASEMENT q,R DECK_K.R COVERED Di K.tL STORAGE it,R. OTHER q.R GARAGE_ea.R All-orD Def FN❑ CARPORT q.R AvacAed[] IMaaAed[] MANUFACTURED HOME INFORMATION. e4 COPIES OF THE FLOOR PLAN REQUIRED" - MAKE.' ppR/ Lf[L MODEL 1%qD YEAR ZOLI LENOTH� WIDTHS BEDROO]i BATHS Z SERW.NIHABHR ENVERONMENTAL HEALTH: - SEWAGMEWERSOURCE: SEPTIC SEWHR❑ / HEW❑ EKISTING� PLUMBINGINSTRUCTURE? YESR NO[] Ifye,artai sons land Wa an,Adganry Fa m PERDIETERMOUNDATION DRAINS PROPOSED? T YES❑ �4 li EXISTING SO.FT� EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL HEOROOMS OWNERackna dgee tW¢ubmlaWn NlneaureminlumalbnmayrmuhinaepmMoNrorgrmRrw t=,MknMU merltde bby .grew e¢Icw.lneaamthMIa tnewmerom INnnerU lam MetlamenMearoreceivethispermitendmaotM1ex mpropo ,lnrva oth inea mrmimian trom ell the Nttee6ry pars,including any¢a¢amen Mlder or parties alintem9 regarding this prolact Theowreror legal reprerunisse rernalawdtltnexotor. Thus govNbia entlgre m ployeecorMallon County ec vtooM1es not tlemencep within erd wdtrnmloronme r Inependw raedM&ppfcation newme¢nnull8 void it work or aNlronxea construction le nolcwnmencetl witnin1W clays v tl wntlrvNon mM ie auepe ntled Ipr a padod al t BJ days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.0e.42) SgneWre oIOWNER INual ba elbnatl MiM OWNERI Data DEPARTMENTALREVIEW APPROVED DATE DENIED DATE TAGSINOTESICONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH ƒ » ©r£ - - y \�) � . ` , § \ E pr I ' \ C ] ! ]9 III ■ � � ± � � I ) ■ , � ( )! _ f ) •{ p - ! ƒ` :/ M / 0 \- � ] §� / CL ( \ ` 7 al - � !||NEW, | | fill , $ % $ 11141" MIN ill ® } _e ,e ©_ a&mom! _+m ««a Ate, _.._-.....-._._..............._. x,x x T Y , 8 ad.hw , A �R a� x � t 1 • '��y'^ �j iy . C @ x x � T x IF 1 � 1 R 1 1 x i 1 "a LYd x[tl