HomeMy WebLinkAboutBLD2024-00127 - BLD CD Environmental Health Review - 2/1/2024 MASON COUNTY PCeR���oD�a 7
COMMUNITY DEVELOPMENT BAN 30 2024
Pcmit Aillsonu Ointm,Building,Planning
BUILDING PERMIT APPLICATIOW.1 5 W. Alder Street L
PROPERTY OWNER INFORMATTON• CONTRACTOR INFORMATION: .!
a NAME; y /Ytr NAME'
MAILING S: S MAI. 4 DRESS' /+�J
C1TY:�t/Ffg1I STA7'E9.L ZIP: CITN STATE ZIP. ¢ < 7
PHONE#1: L E- (e LO o4.e PHONE' L - -A
PHONES;: _ O I pp EMAI,; 2
EMAIL: L&I RUG# EXP._/_/_ ;sA
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ BESSE 9
NAME EMAIL
MAILINGADDRESS CTT STAW ZIP
PHONE CELL CO
PARCEL INFORMATION, -s4L-- .
PARCELNUMBER(ISDiBicNumbv) y 7j0L/SLoZONINGLEGAL DESCRIPTION(Ab tired)g SITE ADDRESS 6 CITDI ONSI STTEADDRESST e
{ v
IS REPROE CW 3 P OFS LO HN I � YES[] NO� SNOW LOi
ISPROPERTYWITHIN201TOFTHEFOLLOWING: rammamshaW �
SALTWATER❑ LAKE❑ WWRICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOEP❑ STREAM
TYPE OF WORK: NEW'x ADDITION❑ ALTERATION❑ REPAIR ElOTHER F1
USE OF STRUT Isllands—,Gaga,GamarcmleDAFw) 47Y//Q
IS USE: PRI MIRYX SEASONAL[I NUMBER OF BEDROOM$ NUMBER OF BATHROOMS
HEATEDSTRUCfUREP YES�PM1d�e BI}I YES lPm+/ANeUL� NO[]
DESCRIBE WORK
/ProyonlJ
ISTFLOOR�sq. ZNDFLOOR ea R. 3RDFLOIR_sq.R. BASEMENT sq.I
COVERED DECK�sq.III STORAGE sq.R OTHER_sq.R
GARAGE sq: Astanhed DerachM❑ CARPORT sq.lt .laaclish Derrchad❑
N: e1 COPIES OF THE FLOOR PLAN REQUI
MAKE MODEL
wy,61—BEDROOMS BATHS SERW,NUMBER
ENVIRONMENTAL HEALTH:
SBWAGFISEWER SOURCE: SEPTIC SEWER / NEW-4 EXISTING
PLUMBINGMSTRUCTURE4 YES NO[I Y,vs,wwh omaPleard WmerAdagwry Form
PERIMETER/FOUNDATION DRAINS PROPOSEDI YES NOD EXISRNGSQ.FT
IN .
EXISTG BEDROOMS PROPOSED BEDROOM$ 3 TOTAL BEDROOMS
MINER>knialasosthis aWniWm a hamnep nllmnalgn miss,real)in a slapx vEx or pamYl honsa 1.MM.sMeEOemeN maplla Ey
epneWre Mbw,I EetlBR NY IMVM Ovnex eM I NMer nxlere this Bm Bnnalb receive this pooh aM M EOM.WM as gOryaeJ.I M1en
oMeineE peminionhom eANerwxemdson p InGuEMgeMeeand guiva ennlopens¢al Mereaiauscgst popssllieawwaIn,N
reye¢enla4ve.represems Mel Me yll.m,mi.npmWEetl I¢incason and esnuemploy 1m 0koran County aocee¢id Me aWve E.Wibtlp thirst
eMawff n )hors m*mE'nepaMn. re pemmVappliration nemmes nullflw,Ehems oreuMonxeE mnshurHm brMwmmmnE within 100
Mye mHm�ulrecLan xoh¢suspmusE lore peEW N 100 tlaye '
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
DUHTY CODE 14.08.03)
re MOWNER(Muelbelaned by Ne OWNER) Dete
DEPARTMENTAL REVIEW APPROVED I DATE I DENIED I DATE TAGSINOTES/CONDTTIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIDE MARSHAL -
PUBLIC HEALTH \
SOLE 1 IQ'
o 1 ao io 40
g�oPE
( ``0, X 45' R.eseVvc ��
� I1Z/ Cal ssL �Yty, ^v
y41 `a� hr.mnsy .,
�a•��:�i � n�., Ije ,,,,,n
EH APPROVED
t I Rhonda Thompson 02/21/2024
/ I '
d )
3 r'
EH Setbacks
Ilk
v A.) DrainfieldUReserve reQunia,lP seback from tooting/foundations
B.)septic tank(s)requires 5'setback from all tooting4oundatlons
C.)No fmi,ca4on/Perimeter Drains within 00fl,dowrgradient of
1•'/d EY DranSelNRaserve area
0.)Nc Cut Bank(s)(greater than 5ft and over 45 degrees)within
IE Wow 60 501t,down gradient of Drainfield/Raserve area
PLN SETBACKS
Front (SW): 25'
PLN Approved Sides: 7'
02/01/2024 Rear: 20'
-3 t9 Mason County Community Development
U Gavin scouter, all setbacks measured from the farthest
All Changes Subject to Approval projection of the building
'subject to EH setbacks