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HomeMy WebLinkAboutBLD2023-01094 Pole Bldg - BLD Application - 9/12/2023 MASON COUNTY COMMUNITY SERVICES Permit No: '??Irl A)Z-� - 0ICej-4 PERMIT ASSISTANCE CENTER: •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 515 W.Alder Street,Shelion,WA 98554 RECEIVED Phone Shefton:(360)427-9670 ext 352•Fe=(360)427-7798 Phone BeBalr.(360)2754467•Phone Elmo:(360)482-5269 BUILDING PERMIT APPLICATION SEP 12 2023 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMdQWN , Alder S t e e t NAME: SeS 1^ C+- c��. — NAME: - MAILING ADDRESS: a E MAILING ADDRESS: ` CITY: t44 STATE:�, i 6 't- CITY: STATE: 23P: PHONE#I: Z• - 30"L -'L3&-V PHONE: PHONE#2: EMAIL EMAIL: L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ O _ _ _ CI ttttttttti NAME V 1�� 1 CITY L l STATE y,/✓_S ZIP I �TIC Q MAII.ING ADDRESS do E�'l_L,��I�yl PHONE 7 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Numbs) 'L'L I O 1 U ' ZONING LEGAL DESCRIPTION(Abbrr iated) j� SP Z'Z�aj FIRE DISTRICT SITE ADDRESS 9 b1 y- Aj, +I— R ►.W CITY P h W DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (aeck au rear apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWk ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Baido ct Garage,Commen:W Bldg.Etc) ( 1 n I IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROO NUMBER OF BATHROOMS HEATED STRUCTURE?. YES(WhokBldg)❑ YES(Part/s]ofBW r j NO❑ DESCRIBE WORK IC1 j( czA `q-11 p POLE— 3-1d1 11 SQUARE FOOTAGE:6ropar4 1ST FLOOR sq.& 2ND FLOOR sq.it 3RD FLOOR sq.fL BASEMENT sq.1 DECK sq.fL COVERED DECK sq.fL STORAGE sq.fL OTHER sq.ft, GARAGf.� q.R Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MOD YEAR LENGTH f WID BEDROOMS BATHS ENVERONMENTAL HEALTH: no ��. SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER El / NEW[ EXISTING❑ PLUMBING IN STRUCTURE? YES❑ NO❑ Ifyer,attach completed Water Adequacy Form PER] ETER/FOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FP. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or penult revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed 1 have obtained paumission from ati the necessary parties.including any easement holder or parties of interest regarding this project.The owner or legal representative,represents that the information provided Is accurate and grants employers of Mason County access to the above described property and structures)for review and inspection.This pernitlapplication becomes null&void If work or authorized constru ction is not commenced within 180 days or if construction work Is suspended for a period of 180 days. PROOF OF CONTINAkTION OF WORK ON THIS PERMIT 1S BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICA N OF 1 BO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.0a.42) X (� Signature (Must be signed by the OWNER) D e TlEPARTMRI�'TAL RLVIEW APPROVED'::' DATLr r,. _DEIZIIiD t :.DATE4:`=TAGSINOTES/COIgDITTONS ti. BUILDING DEPARTIV= PLANNING 7G DEPARTMENT FIRE MARSHAL PUBLIC HEALTH • MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES ADv Building,Planning,Environmental Health,Community Health G 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including-roof eaves and gutters. Applicant/Owners: L�D 'i, 9:cA I C.L Mailing Address: 'Al Ufti -V I CW be City: A � I�'YL_ State: WA Zip: q85Z4 Telephone: ��'j• �0191 . oZ36b Email: V D�d� � UY)5AW.co ni If this reduction is tied to a building permit,please give permit case number. BLD2-02.3 -ylagtL] Parcel Number(s): I 30�17 ' �7 - © � I Zoning y Site Address: q.La no ah i l�ry� Requested setback variance: 10 ft. ❑ Front Rear ❑ Side 10 ft ❑ Front ❑ Rear Side 10 ft. ❑ Front ❑ Rear I' Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks—From access easements and road right of ways. Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5,2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ si) lot size of no more than one-fourth acre; e) existing improvements of buildings, septic systems, and well areas. ,SID; ARDREDUCTION RE VESTS: For isting is of record as of March 5,2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-half acre; 'Ve) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. C 4kk- 61&fvaq�? ZI-f- Pff,12LbLA_ IWL)(A 0 � AL M 6V'I_ YA15 IC0-_i�� e btu�_'Io Owner/Agent(please indic a e Dat Official Use Only Approved by: Date Denied by: Date Reason for denial: