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Home My WebLink AboutBLD93-1012 SFR Letter - BLD Application - 7/1/1993 Permit No. af)13-I oG, r MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT \\cc #1 Owner �n�c�� "lcl. C-_kc) G,r ; �6 Phone# O-bCn c ' c) •- c'L c Site Address / -l n 1 Li t-n C pc t rT Fire District# City St Zip Directions to Job Site Po-�4 12ro Aop - r annlymkiic. Crsrtr+ O J' Owner ailing Address City St V,/A- _Zip Lien/Title Holder Address 4 q14 Clty St� Zip .,S f S jL-ioef pri.se-J Zc"''So I/IVQ I #2 Contractor Name y � , a EE P t_A'Llz� Contractor Reg # �7/16N� Address Expiration Date City :1 ;r St LJOr Zip fld' 2. Phone # #3 If septic is located on pr ject site, include records. Connect to Septic? Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) /0-a/ 7 5-1 GaU---;-3 #4 Parcel No. / 3-9/ 7 -,57 / - 0003�j Legal Description Lsk. ( c„ra ` lImC t 1 - D L o Z 44 #5 Building Square Footage: (existing/proposed) 1 st FI /4 2nd FI l 7 r 3rd FJ / Loft n� Basement / Deck /bedrooms / .j #bathrooms Garage // 8s- Carport / (Circle: Attached or Detached?) Other sq. ft. / #6 Use of building 6bM k i •5 1 UE�1 C e Describe work #7 Type of Job: New_ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make M el Length Width S ' No. # Bedrooms # o s Type of Heat Purchase Price $ #9 Indicate by circling the applicable source if any water is djacent to subject property: River Pond Creek Stream Wetland Lake rsi -39'allwater Seasonal Runoff Other Show following on the site plan , Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements y N, S, E Wi Dir ectional rectonal b , Name of Flanking Street ) Name of Fronting Street in relation to plot plan APPLPANT TO DRAW SITE PLAN BELOW g .18 a � v J` I I I i a / APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW V Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each) No.,-Toilets CIRCLE FUEL TYPE: Gas, Electric, -3Bath Basins Heatpurn , Other Bath Tubs No. Units Feees Showers / Furn BTU C� 2 op LHot Water Htr / Heatpumps rr7— Laundry Washer 3 // Vent Systems Sinks Spot Vent Fans _340 _Floor Drains No. Boilers/Compressors ` CC Laundry Basins 3 _ HP Dishwasher No. Air Handling Units _Disposal q cfm# Urinals 1 No. Fire Protection Systems _Other Auto. Fire Alarm Sys 50�00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 15.00 Auto Fire Sprink Sys 25.00 TOTAL PLUMBING $ No.. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL $ OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. -OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUIL DEPARTMENT. DEPARTMENT. 1 X OWNE ` X BY DATE C DATE - - - - � FOR OFFICIAL USE ONLY: Accepted by Date: DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval rr� Planning: P am' bk i 11C yt, Environmental ealth: W&P%/ J kw MWI Building Plan Review Lj LC- Occupancy Group:a- M-iiype of Const: S I'J Fire Marshal: Other: Special Conditions: FEES Budding Permit �(5 Plan Check q cv,p Plumbing Fee $y,CID Mechanical Fee Wood/Gas/Pellet Stove Z5. Radon Monitor CQ) Violation Fee Site Inspection Building State Fee q,sQ Other Other Building Valuation: f S 3 TOTAL FEE DEPARTMENT OF COMMUNITY DEVELOPMENT MEMORANDUM IIOd+UHilNililflUNgiI111dIIli�tliN1llilBhlifU41N14hiuNIIAIIiipli+llglatlttlil#fllti!fA11h8fl0iI11NtlllrytllOiilN!li!IIlii+ilfitiliiiniNililtlii0tli!itlf0lUillflhtltij0lli!htI4tI11fl1ltllnliiiiNflll!ItliiBtltlllUAilillULlilinifli!1lti!ijiruhliltlifiil111i1�d17)iilflllllliilUfNllltillllliflli!ItIUIIIIIIIifiliviillAl+Ih!tll!illi(IIII DATE: July 12 , 1993 TO: MICHAEL AND TO OTHER INTERESTED PARTIES FROM: GARY YANDO RE : ROBERT GRILLO-BUILDING PERMIT APPLICATION It is our understanding that Mr. Grillo has applied for a building permit to construct a residence on Lots 23 & 24 in Lakeland Village Division 11A. By so doing the need for a Declaration of Parcel Combination for lots within recorded plats is being reviewed. Our review has shown that this subdivision has covenants attached which apply as follows: All lots shall be subject to an easement 5 feet in width, and parallel and adjacent to all lot lines, except that this easement shall be 10 feet in width along lot lines where lots are not contiguous for purposes of installation and maintenance of all utilities and drainage and all lots shall also be subject to the right of overhead easements of electric and telephone wires over portions of lots where roadway curvature causes the same to occur. Easement for existing or future utility lines which do not lie along rear or side lot lines shall be at least 10 feet. Based on this information it does not appear that we can process the Combination. If we were to do so the existing utility easement would not be useable . With this being a recorded final plat it appears that RCW Chapter 58. 17 . 215 " Alteration of subdivision--Procedure applies. If the subdivision is subject to restrictive covenants which were filed at the time of the approval of the subdivision, and the application for alteration would result in the violation of a covenant, the application shall contain an agreement signed by all parties subject to the covenants providing that the parties agree to terminate or alter the relevant covenants to accomplish the purpose of the alteration of the subdivision or portion thereof . This department is unaware of any other method which would authorize the building to be constructed as currently applied for. If anyone on has any suggestions or solutions to this issue please feel free to contact us. CC : Mike Byrne Randy Neff Michael Mac Semss Building File r