HomeMy WebLinkAboutBLD2024-00346 - BLD CD Environmental Health Review - 5/25/2024 Permit No:�. ;gf— "'' 1 �
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
Perms[Assistance Center.Building,Planning fil 1 3 L024
m
BUILDING PERMIT APPLICATION 615W. AJdarStwt Z
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: S
NAME oar.. NAME:
MAILING ADDRESS: MAY,RW ADDRESS: �( D Z
CRY: SAT ZIP: CITY: STATE: ZIP:
PHONE PHONE: CELL: g I-
PHONE N2: EMAIL,: m
EMAIL: r L&.I REG N EXP._/ CP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER T
NAME ENAH �' D
MMLINGADDRE 1A.I CITY Y14 ATByJJf ZIP r
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Numbs) 3a I RI-SO-oa, &-7 ZONING
LEGAL DESCRIPTION(Abbrevill �� FIREDISTRICf
SITE ADDRESS' I E lG l; �. l��_ _CIR' sQ��
DHIECIONS TO SITE ADDRESS
LS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN IJX: YES[] NOV SNOW LOAD:, psf
IS PROPERTY WDl1IN 200 FT OF THE FOLLOWING: 1[amtsasv HeapPry):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF W ORK: NEWIV ADDITION❑ ALTERA�T'IOON❑ REPA R❑ OTHER
USE OF STRUCTURE/geadin.,[mngs.[ommewlgmg.FxJ�f`eJ,LCN`C
IS USE: PRIMARYJIL SEASONAL[] NUMBEROFBEDROOME:NUMBER OF BATHROOMS L
HEATEDSTRUCTURE? YRBkW a )0BZ$ NO[]
CNS91nODESCRIBE WOKW SOUARE FOOTAGE:A-Pared/
ISTFLOORj,y M.ft 2NDFLOOR sq,R, 3RDFLDOR sq,ft BASEMENT_PI.ft.
DECK�alft COVERED DECK�sq.ft. STORAGE Pq,ft OTHER_sa ft,
GARAGE 10 sq.ft. AaauiM1ed�LkmcAed[] CARPORT sq.R Annuitant[] Dsrrcgunt[]
MANUFACTURED HOME INFORMATION: e1 COPIES OF THE FLOOR PLAN REQUIRED`
MAKE MODEL YEA0. LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGFJSEWER SOURCE: SEPTIC SEWER[] / NEVWd EXISTING
PLUMBING IN STRUCTURE? YESK NO❑ (fyes,mMch ronP/essd Wasr Adsgmry Form
PERUsETER/FOUNDATION DRAINS PROPOSED? YESl NO[] EXISTING S0,FT.
EXISTING BEDROOMS (-) PROPOSED BEDROOMS—3-- TOTAL BEDROOMS
gVMER Mat auMnnal ain--nblmass,m ha inn Yry xeMoNer w'"t lewullm.MlnoMeyemaM WsMis tar
,ignahm Melons,I ONere in. an Ne—aM I NnMr de Jan Nat I an Mall hi thin pvmn an.b M.Ne walkugopaM.ttuN
initial Pismbtlon a—all in.naS[Nry Italian,in,udlip My eesemeM b%]er orpatlies of Intere9 rMaNMp this pNled. RF diner orlepel
Iepanana wi mmmnle Naltheinb=m ngwY isamreleaid Bnntserywwsof Masan Cwnlyaccessw NeaM EeswwpmpMy
W ablcWlets)KK nuisw W ins�lbn. TNa gtlniVnppllration bemmea null8 dint X vvlk or wNOAzeh mMnlNon Is nal mmmerced WINn 1m
0e/a ettlrmelnlcbpn vnik ie waded Ma period W I W Oeys.
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
COUNTY CODE 1A.OB.A3)
X a,r 44 • "3 -/7- �7
n re RlMuatMtlanW OV no OWNER) Deb
DEPARTMENTAL REVIEW APPROVED I DATE I DENIED DATE TAGSTNOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PIRIWC slPat TH R
EH SETBACKS
M 13rainfed/Reee—requireS 10'seerah frumf ooli g/foundadona *NOT AN APPROVED SEPTIC DESIGN*
el Seger rangspegoires 5 semaa ham all fooeng/foundaeore EH APPROVED
Q No IourdafiW aedmeter drains within 30'dawn gradient of draineda Use approved Septic desi�for septic SYS[em installation
0 NVearN U_N1mw 0.YlaIRa2a
wNo outol dl(greatereun 45 degrees)wthn 5
tlwn,.dii..of anfiNd/rcservearea
S DO
Tp r'01 'Ac 40
v�11 -y PLOT R-AN
fb d6�5�x�'�� P,�.F.t.�3ztzl-So-oolg1
1 a0GsR1f�
'P 13lEAYLUFfEOR-.
\ rCSGYVtS dta\ ainr(Lir} i. �,
QY00.
ADV2024-00056- SIDE
All setbacks are measured from the furthest
projection of the building.
6'
aa�'
t Y e *4
4 (' 7 I
Al setbacks are measured from the furthest
projection of the building.
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W 04/15/2024
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maRafmAuo K N `,� 'p.t.rcw�`y. CQ
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Frontnt Yard
a Yardd Setback. 25'.
Side&Rear Yard Setbacks. Residential dwelling $Q
and accessory structures is 20'.
OR 10%width of lot if not more than 100'wide ••� E. h kI CA l FF E 'p R.—
OR approved ADV