HomeMy WebLinkAboutBLD2024-00438 - BLD CD Environmental Health Review - 4/5/2024 MASON COUNTY ParmRNa: �Iid 2nZ�l na�3a
COMMUNITY DEVELOPMENTREC E WED
Permit Assistance Center,BUIIding,Planning APR 03 2024
BUILDING PERMIT APPLICATION 6451
PROPERTYOWNER Lfeet
INFORMATION CONTRACTORINFORMATION:
NAME: V •�" NAME:
C ll MAILING ADDRESS:
CITY: E. ST CITY: STATE. ZIP:
PRO #l: PHONE: CELT,:
PHONE 02: bftMAIL
EMAIL.: I.&3 REG# EXP._
PRIMARY o CT: OWMW CONTRACTOR❑ OTHER❑ (8 :W =
NAN1% V EMAIL FO U
MAILIN Das CITY STATE ZIP O Z Q
PHONB CELL O LL)
rARLEL RiFO I :
PARCEL NUMBBR(12 Di®t Numba)a��OH ' �'' llAll(] ZONINO
LEOALDESCRIPD (Abbb W) FIREDISTRICT
SITE ADDRESS G �nAA—Y'r CTT1',C Jlz I �Z LLJ
DBtEGTI0N5 TO SITE ADDRESS aL
B4 PROIECFWTTHW300FFOFSLOPE(S)GREATERTHAH14%: YES[] NOD SNOWLOAD:_paf
MPROPERWINITHIN200FTOFTHEFOLLOWING: XC aO"Wbd:
SALTWATER❑ LASE[] RIVER,CREEKD POND❑ WEII.AND❑ SEASONALRUNOW0 STREAM❑
TYPE OF WORK: NEW ADDMON❑ ALTERATION O REPAIR❑ OTN ES ❑
USE OF STRUCIURE(Awawq,c ,cwm BN,&c) Q -SICENCG -
I.gUI PRIMRY I—i�0lE SONAL❑ N/�B��t OF HEDRO0MS3—NUMBPROF BATEEtO0M5��
REATRO STRUCTURE! YES(PnaaeWd D/Y65 lo/erAx❑ NO❑
DHSCRIBBWORK
SOIJAREFOOTAGE:ry,aya,aq
1ST FLOOR-�,]�aq.R ]ND PLOOR_aq.R. 3RD FLOOR aq.ft BASEhffNf_aq.fl.
DBCK_K.ft COVEREDDECK_aq.R STORAGE sN.ft OTHER_p.ft
GARAGE_aq.ft AvacMd❑ Demehrd❑ CARPORT �.ft AnachedO Tmb WD
MANUFACT[)RED HOME INFORMATION: aCCOPIESOFTEEFLOORPLANREQUIREDa
MAIs D1NFk1URST MODEL ID YEAR LENGTH 'l0� SI'
WIDTH,BEDROOMS-3 BATHS SERIAL NUMBER
ENVIRONMII T HEALTH:
SHWAWSEWERSOURCE: SEPTIIC❑/ SEWER❑ / NEW❑ EXISTDN
PLUMBING IN STRUCTURE? YES gl NO❑ lfY ,affac'hmgp aW"A&r Form
PERAI6TER/FOl8NDA110N DRAINS PROPOSED? YBS❑ NO[] MSDNG SQ.FT,
MaSTINGBEDROOMS O PROPCISEDBEDRoow TOTALBEDROOMS3_ '
omaER mmw+aeaa.mat�,eresaoa ala�,me mmm,.uoa my wunln a nap raarc amra p.nx,..o-sum.rclvwxaeuanwmaaum I.q
amo.mre Eeww.l eaeaa mu I e,oxreoanm�e I mnnaraea.re mN l un mw.a:o w`.n.e®pamn wm m maven u pnppwe.I nrn
oemmae paoavwon rvwa an ma oxAeea,y pem=.mwama eme®.real mw.ror pwu wen.mt ncealre um a4an ma o.,.vmNael
rapresanmVw,rtprtse,R mmme inmoaauoo woaman a am„ma.oa peon amPlryem MMewn ca,mymea mma mow eaonh.e Pesaro
aoa aw w,q:)mr renew aoe m:pao*ao.Tnls paomuappl'�non eawn,�rell a w�a rcrmh orew,o�aea mnawaw'o ooi®,menca xm.i iw
aara or rcrenamKoon wwx s aaapaaaeamra panda a 1ao aaK.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE%08Xn
Bnaaa or uatMNm,eE WBM OWNER? Dab -
DEPARTMENTALREVIEW APPROVED DATE DENIED DATE TALC—WO=CONDTTIONS
BUILDING DEPARTMENT
PLANNING DEPARnUNT
FIRE MARSEAL
PUBLIC HEALTH
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