HomeMy WebLinkAboutDDR2018-00028 - DDR Application - 4/2/2018 _ PLANNING
For Mason Countv Permit Center use:
MASON COUNTY
COMMUNITY SERVICES DDR '1 \ -C �H
�• _
Building,Planning,Environmental Health,Community Health
Recv'd by: Planner:
W Alder St.,Bldg 8,Shelton, WA 98584 Date Stamp ReWd.
Shelton Phone: (360)427-9670 ext 352 : Fax (360)427-7798
ACCESSORY DWELLING UNIT PERMIT
RECEIVED
(Special Use Permit with AD criteria) APR U 2 MIR
615 W. Alder Street
P it and Fee:
Per
Use Permit(DDR)—application fee: $240.00
*If ADU is within 200'of a shoreline you must apply for a Shoreline Substantial Development Permit(SHR)—fee:$880.00
- Environmental Health fee: s4 (i 0.Oy
A "Special Use" is one that possesses unique characteristics due to size, nature, intensity of use, technological
processes involved, demands upon public services, relationship to surrounding lands, or other factors. The
purpose of this application is to provide for adequate oversight and review of such development proposals, in
order to assure that such uses are developed in harmony with surrounding land uses, and in a manner consistent
with the intent of the Development Regulations for Mason County; Ordinance No. 82-96. Acceptance of this
application by Mason County does not guarantee approval of request.
Applicant(s) Name: 72 ai g, /4 D-¢.sum
Mailing Address: RO• ,t3ox 2 S Z F ate . w A, - q S SZ4
Phone: 73/— Z/Z3 E-mail: tQ4hdPf5oeu o3 CC1A►i4t� Gono
Property Owners Name: (if different than applicant)
Site Address: l Z D o. 5712-cTcF4 /5 C O 2 D. N. G eA-Pcy1 g J.u/A-
Qg�=�46
Brief Legal Description: j RA-cT -7 o F Su V ez.r I I /S
Tax Parcel #: /2/O 8 - 75- - 00 O 7 O Zoning:��
Project Description:
/A)s 7-A-L l / Il . 3 a l�ft�� m o D e-t X 0!d t[f'✓ , o#J
Rev.January 2018 ADU Permit Page 1 of 4
SITE PLAN CHECK-LIST Please provide a site plan that includes the following:
Ld"Indicate Scale and North Arrow.
Property line dimensions, easements, and right-of-ways.
Ld The location of all existing and proposed structures. Include square footage of existing and proposed structures.
U Setback distance, in feet from all property lines and structures.
Existing and proposed road access to and from the site.
Ld Parking spaces.
Ld"Location of OnSite Sewage System (OSS) components(including tanks, drainfields, reserve areas, etc.)
,_
�j Location of existing and proposed wells, within 100ft. of property, shown with 100ft. radius.
L7 Location of existing and proposed waterlines.
Ll"Steep bluffs, wetlands, streams, and bodies of water.
Ld"Surface and storm water run-off routes.
Mason County Code Title 17.03.029 requires the following criteria to be met for
consideration of an Accessory Dwelling Unit (ADU) Permit:
ACCESSORY DWELLING UNIT (ADU) REQUIREMENTS YES NO INFORMATION
1. Is the ADU in a shoreline jurisdiction?
El � Please inquire with Mason County
1 a Are you in the Flood Plain? Community Services staff, if unsure.
2. Will the owner of the lot reside in either the principal Rr El
residence or the ADU?
3. Will the ADU be located within 150 feet of the principal z
residence or will the ADU be a conversion of an existing
structure i.e. ara e 9
4. The ADU cannot exceed 80 percent of the habitable area ❑
of the primary residence, or 1000 sq. ft., whichever is
smaller. Will your proposed ADU meet this criteria?
Please inquire with Mason County
5. Will the ADU meet all setback requirements? Community Services staff, if unsure.
Please see last page of this packet
6. Will all applicable health district standards for water and titled "ADU Environmental Health
sewer be met by the ADU? Requirements"
Rev.January 2018 ADU Permit Page 2 of 4
7. Recreational vehicles are not allowed as ADUs. Please ❑
confirm (with YES) that you are not submitting a
Recreational vehicle for review.
8. Your property will only have one 1 ADU?
9. You have provided an additional off-street parking space
for the ADU?
(Ord.108-05 Attach B.(part),2005)
❑ On a separate piece of paper (#of pages: ), state your reasons for requesting an Accessory
Dwelling Permit and be sure to address the following six criteria. Your request will be evaluated based on
these criteria and the Accessory Dwelling Unit Requirements from the previous section.
I. Will the proposed use be detrimental to public health, safety, and welfare?
�/v
2. Will the proposed use be consistent and compatible with the intent of the Comprehensive Plan?
yCs
3. Will the proposed use introduce hazardous conditions, at the site, that cannot be mitigated through appropriate
measures to protect adjacent properties and the community at large?
/y0
4. Is the proposed use served by adequate public facilities, which are in place, planned as a condition of approval
or as an identified item in the County's Capital Facilities Plan?
5. Will the proposed use have a significant impact upon existing uses on adjacent lands?
//o
o. If located outside of an Urban Growth Area, will the proposal result in the need to extend urban services?
/4/O
A
Applicant's Signature _ J\ , Date
Rev.January 2018 ADU Permit Page 3 of 4
fit
MASON COUNTY
COMMUNITY SERVICES
HI1in�Vlnnnin<I.Fnviiurinwiital Health.Commuruly He.11th
ADU ENVIRONMENTAL HEALTH REQUIREMENTS
YES
NO INFORMATION
1.Will the ADU be served by an EXISTING Onsite Sewage System(OSS)? ✓
OSS's are sized off bedrooms.
Refer to the onsite sewage records
I(a). Total bedroom count from existing and proposed connected structures on file with Mason County to find
match the approved OSS records on file? '/ your OSS approved size. If
q bedroom count exceeds system size,
contact a licensed septic designer
for up de options.
OSS application and design permit
2. Will the ADU be served by a NEW Onsite Sewage System(OSS)? must be submitted and approved
prior to EH approval of ADU
permits
-Foundation to Drainfield(s):100
-Foundation to Reserve Area(s):
loft
3. Will the ADU meet all setbacks to new or existing OSS components? ✓ Foundation to Septic Tank(s): 5ft
Down gradient
Foundation/perimeter drains must
maintain 3011 to Drainfields.
Attach a signed Sewer Adequacy
4. Will the ADU be served by a NEW or EXISTING sewer connection? ✓ Form from Sewer System Manager
to this application.
5. Will the ADU be served by a NEW or EXISTING public water system Attach a signed Water Adequacy
(over 3 connections)? Form from Water System Manager
to this application
6. Will the ADU be served by an EXISTING private well? V
/ Well must be permitted and
7. Will the ADU be served by a NEW well that is not constructed yet? y constructed prior to EH approval of
ADU permits.
Mason County Code Title 17.03.029 requires EH approval prior to approval of ADU permit.
Environmental Health Review Pre-approval:
Comments. �O _ P P R 0 V `
APR 17 2018 ,
'SOh,-4 �T MASON COUNTY ENVIRONMENTAL HEH_
ALP
(EH approval stamp with Initials of EHS)
ADU Permit Page 4 of 4
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