HomeMy WebLinkAboutBLD2024-00204 - BLD CD Environmental Health Review - 2/20/2024 P.—it NN: 4A— 0 o2,b(JI
MASON COUNTY " (;EIV ED
COMMUNITY DEVELOPMENT
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FEB D t 1024 �, m
BUILDING PERMIT APPLICATION �, (�
PROPERTY OWNER INFORMATION. CONTRACTORINFORMATIO c
NAME: A 1 NAME: O
MAILING AD S: MAMING ADDRESS: r
CITY TATE: ZIP CITY: STATE: ZIP: C
PHONEME .. 6 - 4 PHONE: CELL:
PHONE M2: — Z EMAIL:
RREG#
EMAR.' SCdW L&I E EXP.
CO A OWNER❑ COM•MCTOR❑ pt'HERE ---
NANfi C Gll EMAIL dd.IC S 6 it
MAIWNG DRESS CC CITY a. STATE 'AA ZIP
PHONE Z [ELL
PARCEL INFORMATION: /� QV r
PARCELNUMBER(12Di®INumber) 412 (34-413, qQo 13 ZONING l ^ ,
LEGAL DESCRD'nON(Abbmumd) L�i S5�{ �/a{(S'/ISF Z4( /R�ISTRICf �6
SITEADDRESS //d' wc6b Hr ?wd crrY Una`®:t WA[11
DIRECTIONS TO STI'E ADDRESS
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IS TBEPROIECT WITRIN 300 FF OF STAFF(S)GREATER TInN Ia%: YF50 NO� SNOW LOAD:_J(Jpsl
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: R.wmamSypyJ:
SALTWATER❑ LAUD RIVEN/CEE [] POND❑ mmnAND❑ SEASONALRUNOFP❑ STREAM❑
TYPE OF WORK: HEW ADDmON❑ ALTERAnON❑ REPAIR❑ OTHER n
USE OF STRUCTURE(Reneere.evaa,Cmafliea.exJ Zesi iuLf
MUSE: PRI.MRY4K SEASONAL❑ NUMBEEOFBEDRROOMl NUMBEROFBATRICWl
HEAMSTRUCTURE? YESlFN BW[I Y WS [,),,,`MepX WOE]
DESCRBEWORK
SOUARE FOOTAGE:/p p,.q �2 go 4 r^�
ISTFLOO It ZNDFLOOR NS.R 3RD FLOOR sq.ft BASEMENT seq.J, -, e—�✓
DECK K.& COVEREDDECK�0ARIR STORAGE 11 On�lt sq.n CJk'a �\O
8� ati GARA ,& A.Ira 0 Ds W[] CARPORT Nq ft ,laal[] DewWo
MANUFACTURED HOME INFORMATION: •4 COPIES OF THE FLOOR PLAN REQUERED•
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS )l' . BATES SFRIAI.NUMBER.
ENVIRONMENTAL HEALTH:
SEWAGEISEWERSOURCE: SEPTIC SEWER[] / Njj EXISTWG❑
PLUMBWGINSTRUCTURE? YESW WOO )/Pea,m we,,lieted WmerAdegum Forty
PEJUMEfER/FOUNDATION DRAINS PROPOSED? YES❑ NCV EMSUNCSQ.FT.
EX37ING BEDROOMS PROPOSEDBEDROONO � .— TOTALBEDROOMS_7
OWNER akrgMe6ae5 Net tni¢slm dlnemnR MlwmH'ron mry reiif.In.WpwM1ONvwpemi[�eosllon.OdmyNYrymaiXMsutlila b/
spiaeh h- aMmNrt am Memmerens mm�wmslart Nel am aNNeeW reanw(M5 pemJl.na tom MBe,e mpmp rltm✓e
manse parmisvm�m.0 me reCessary panaa,ine,e,ns am ae=amem nomere<panka maneres regem'aa Nis PrgeR Trs wmeroriwi
regeaentepEre,regessXs Nm Ne Inlom.alan pmxaea ie eawrele arcs gan(s emdoyees M Masm Cwnry e¢ess to me acme eewlEe4 pgery
Ins sEudure(51iw rtNexaiM lnspee'pn. Tula pETNeppWi0on 4etomeS nullBwie if r2M1 weuMunies mrtshuc4on laM Wnmenas xYNln lNp
mra or aw-,na�,mon..on.a wepemeo mr.pexoa a Iw mra.
PR NTINU ION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
T FLICATI OF t80 GAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTYCODE14.(l I - a�.auay
Sion ER Must bB elRretl bvtlW OWNIINI pFpN
DEPART ENT REVD:W APPROVED I DATE I DENTED I DATE TAGSMOTESrCONDFFIONS
BUILDING DEPARTMENT
PLANNDNGDEPARTMENT
FIRE MARSHAL
PUBuC HEALTH wr �IQMEWCOAa4V4VS
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PLN Approved
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