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HomeMy WebLinkAboutBLD2023-01063 - BLD CD Environmental Health Review - 9/7/2023 MASON COUNTY PermkNo: F/I/� �-0fSEP COMMUNITY DEVELOPMENI?ECEIVL072 Permit Assistance Center,Building,Planning SEP 07 20p710Z3 BUILDING PERMIT APPLICATION F: 11EO treet C PROPERTY OWNER INFORI ION: CONTRACTOR INFORMAT NAME:NINmd AE1Yn NAME:MMmal AMare20mwd upset,Re2r.Wn LLC = � MAEEJO ADDRESS:n.O.a«Iee MAHAJG ADDRESS:IN FSIrest Creek M m (] CITY:oMccraNl STATE:YA ZIP:a110a CTfY:TeMrye STATE:—ZIP'—"— D Z PHONE#l:etrTo 4= PHONE: CELL: eM.909a107 r PHONE#2: EMAR:«wnsup%wp®«refi.mrrr m EMAH.:eddndDnIaN�me1 JAI REG#ALVMMMB?103 EXP.te AI N = Z PRIMARY CONTACT: OWNER(1} CONTRACTOR❑ OTHER --4 NAME Rrnae"a EMAIL alfnn^ymwl D STATE ZIPOItSa N AIUNGADDRESS P.U.mxm CITY I! PHONE aE'1'al�mzrax PARCEL HOORMIATION: 41-50010 PARCELNUMBERO2Di®tNmebm) 223N190010 ZONING RR LEGAL DESCRETION(Abb imd)TRI of BE E X CO RAN TRbtsP IN,AF 808 Tab FIREDSTRICT 2(NwtMMKn) SITEADDRESS11WTeelear m CITYTahula, DDiECF10NS TO$ITG ADORGSS WBSten NE BeIIYTYaHe RY.emaeata Taleye rkf MNs,dm Moae NETalluya Rhv Or fiat bt m turner a«9sefran W�w0 sla0m. ISTHE PRoTF.C'T WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO[Q SNOWIAAD:A--w ISPROPERTYWI'11HN2A0FTOF7BEFOLIAWWQ F1aH01A*WV SALTWATER❑ LAKE❑ RIVER/CREEK® POND❑ WEIT. o SEASONALRUNOFF© STREAM❑ TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAE❑ oTBER n USE OF STRUCTURE(imdene.cam¢c Cw e84 E0 M`-Me um RmNNea IS USE: PREr1ARYn SEASONAL® NUMBER OF BEDROOMS I.O NUMIHER OF BATHROOMS1A HEATED STRUCIUREI YES(wlwe RAW N YES( SrjNID�?❑ NO❑ DESCRIBE WORK wumnlM1mled Pak MWN knpTsllpn SOUA_RF FOOTAGE:IAAPn..a? ISTFLOOR00a ,ft. 2NDFLOORNIA ,J]. 3RDFLOOR sI.R BASETENTMA aq.R DECK_aq.ft. COVERID DECK_ _aq.8 STORAGE MA N.& OTHER reA aSR GARAGEI'1rA eS.B AAac#edn DIuched❑ CARFORTNIA sq.R Attadud❑ Derachad❑ MANUFACTURED HOME INFORMATION: '#COPIES OF THE FLOOR PLAN REQUIRED' MAKE FIa°IN0°d MODEL- °! ae1b0I—T yE,,2M LENGTH-r WmTi{11'IP BEDItDOMS1A BATBSI.O SERIALNUMBER_R 100R2bE8100A-RPT ENVIRONMENTAL HEALTH' SEWAGESEWER SOURCE: SEPTIC® SEWER[] / NEW[I EXISTING® PLUMBINGIN STRUCTURE? YES® NO[I Ilw,am A ca,kMd WmnAde#a«:y Fbnm PFRIME'1'ERROUNDATION DRAINS PROPOSED? YES❑ NOg IDOSTING SO FL NN EXISTING BEDROOMS WA PROPOSED BEDROOMS 1.0 TDTALBEDROOMS IA g RdklwMedOes MnsubmisLm dMa«umMinmrmeon M,msufte8 Wpwrk wee weM*revel .n eEM,.WsuC,eey yprelVB pelpv.l6%Iare Nat am Me oMnar and NrlM1ereeclare Inallam enlpkEto fexNe Inls p9 Me WWMe Mn8SpM—e Thaw yWllp DtlNWm.all Meneca%ary paNM,incluemB anY ea¢eTanl hdderor panes d'mMesl rtBYdirq tlO«[ked. Tne vrvnrr aPp ftA maweM ,,e,e, is Ind Meinknneem pmneelis awarele we Breu angwees a Masan Gud1'9'RSS totl e—eesceeee sM�1ue(a)a9u�pWn sx Ausu�I«eace a���:.�mnnullawiea�«aaumwued cpnmammwna wmnen n.lnlintm dr)a« PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERM PPUCATION OF 180 DAYS OF MORE WILL CAUSE THE APPUCATION TO BE EXPIRED.(MASON COUNTY CODE 14.M.dt) �-i9 a3 XZ' SipneNre dOVMER IM [M siRnetl by Me OWNERI DMe DEPARTMENTALREVEW APPROVED DATE DENIED DATE TAGSINOTESICONDITIONS BUILDING DEPARTMENT PLANNWGDEPARTMFNT FEE MARSHAL PUBUC HEALTH 1 5 - ^� 00 © © m \\ // � � o e - _ \ \ log NI g!� « 35 ; & r , \ . � \ / / ` � \ \ / ; . / / A p �j��fidi �� � ll P . N�• —� �9 �E1 VVV P eP � R2 .N_, nTU 9 g I � • 40 . apt n �' s i �9 7 9 c e 's 9g i9gi P �C zy - tea? y @¢ �� mm mw 'm `m 845 s c9 00 i p 4 on SS mZ 3 oN �Qmz 5 q I 2 O 1 y Z i p8 1 4 fq_[fS 3' e �5 , rc 3pp� 9i ^ D 3 & O 9 6o14