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Home My WebLink AboutBLD2024-00415 - BLD CD Environmental Health Review - 4/1/2024 MASON COUNTY Permit ND: Da -©0415 COMMUNITY DEVELOPMENT RECEIVED z Permit Assistance Center, Building,Planning MAR 2 g 2024 <_ BUILDING PERMIT APPLICATION A � PROPERTY OWNER/INFORMATION: CONTRACTORINFORMATION: � of S>,'O z NAME: Is ILA rs NAME:7PXln Pa Con ST. Dr.� K MAREN DRESS: (. .b �' MAWN0 AD SS7 21 = Z Crm a YO —STATE: Z@: CITY:(r1g, _ STATE:_ZBs: PHONE#P "^ U—TLFfY PHONE: ILL sr)1-9 /i PHONE#2: EMAIL: t AC D EMAIL: 'L 0 2" Pwv Hs':. LRI # EXP._/�/_ r NTA OWNER❑ CONTRA CrOk1d 435 OiNBR❑ NAM! EM MAILING SS STATE_ZIP PHONE �� ^ PARCEL INFORMATION: PARCEL NUMBER(12 Digit Numba) aSLU'ZfJ3000'LU ZONING LEGAL DESCRIPTION A revimit FIRE DISTRICT IIRECTIONS TTf1�SITE RESg'iMht Su„<sr L,Q• CITY SA[j7�cyL D n� O f IS THE PROJECT WITHIN 300 FT OF SLOPE(s)GREATER THAN 14%; YES[] Noj[�SNOWLOAD:^ysr IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: IckMw�.blyPty): SALTWATER[] LASSO RT�V,EMREEK❑ POND[] WETLAND[] SEASONALRUNOFF❑ STREAM[] PE TY OF WORK: NEW p ADDmON❑ ALTERATION 4 REPAIR Q OTHER n USE OF STRUCTURE(aahwc Geets,cee eetxw Fi) R _N /1 Lst C•C ISUSE: PRIMARY jrSEASONAL❑J NUMBEROFBEDRODMS NUMBER OF BATH ROOMS, HEATEDSTRUC'NRE? YP3 rHad.eN)IO�YES Rvnf•1 NaNal[] NOQ DESCRIBE wOR1Clnsiaa new manO18CR1reO Home. demo BXSISUnO mobne home !OUARE FOOTAGE:W eee# 1 STFLOORM% q.A. 2NDFLOUR_sq.R 3RDFLOOR_M.R. BASEMEM_p.R DECK_sq.fl. COVEREDDECK_aq.R. STORAGE q.,L OTHER_aq.R GARAGE_W.fl.AaacliN❑ Dewhed❑ CARPORT a1.R. Attacked Q DoftwhedQ MAN FACTURET)HOME INFORMATION: � TOJry-4.t x CCO1�P. waI—ES-OF THE FLOOR PLAN REQUIRED- MAKEI'IQeTWOOr1 MODELQRYL N10Rg5 M LU24 LENGTH48 WIDTH ZU BEDROOMS BATNSL SERIAL NUMBERL8483U s+NVHlONMENTAT.HEALTH: —/ J SEWAOE/SSWER SOURCE: SEPTIC❑ SEWER�qj / NEWp EXISTING PLUMBING IN STRUCTURE? YES 0 M❑ TJPa,attach cv,Iced NbrcrAdegvary Fona PERIME'ERNOUNDATION DRAINS PROPOSED? YES❑ N EXISTING Sq FT. MISTING BEDROOMS�— PROPOSED BEDROOMS TOTAL BEDROOMS 3 OWMR alnMetlpec tlul sWin4ebn oflnaz�mle IMormatlm mty rceuttln a elcy vml\atlxrcgmilxccalM.AdwrvAMpamMMx AYby elgnaWre _l .IJ here Meheh .$Sq P:ttes ertla iere 1M1p11 an enAtlxlrolewNa m4 gmpeM bMlM vvMxwcW "tlelw oNNnxgrmke ee. elltMxcgsaryPhpre,Ideda gairyeeceme tee eewea4a mMerxlt,e.(M P^HaG lba cwgrwIepN ngebMa:m. I., Aehe Nn Hw Inlwmemne pe.1aIe leevetemW gmnu1&"d1e a Mownhhh,eea heee=eWve xecnewm= am aorR hiteedreNewem l�vsp.1dW lobs reed d1 lM,.bmpmx mYawlO hl wwkwautiv'¢x mMVuabnNnd mnmenceO MHHn1m days a H mnewgHm xoh N unpen0e0 ror a qME d 1B0 cape 1 PROOF OF CONTINUATION OF WORK ON THIS PERMIT 1E BY MEANS OF INSPECTION. INACTIVITY OF THRI PE IT APP T O"F IN DAYS OF MORE WILL CAUSE THE APPUCATION TO BE EXPIRED.(MASON Y191!// COUNTY CODE 11.09.42) x �l� L I BigneN tOWNER fM•Mbolvaetl by AOOWNERI DE RTME T REVIEW APPROVED DATE DENIED DATE TAGSINOTES/CONDITWNS BUILDINODEPART. PLANNING DEPARTMENT FIRE MARSHAL MBUC HEALTH ) & £ RaG 5w : �rLp. 2/ \ J, \ ! ( ( ( »per % 2 /i/! ;@. -§ % ■_| ,�! ; E | , A m & # # § . » (|\ Cl) k \ ©| � � ) ! 7ii t . ® 9 \ | u {¢] \2 |qk0 iy k \\ \ 2 ® ± ! « - �. � , T ! m | 2 \ [ ! § � � ` ¥ d [ § ) § CD & § ��.. j k o 0 @ � / \ / f ► ; \ { \ F - l \ e 91 t ! ` $ § � ( , ! f - } § . ! } - j ! ) | § � � } § \ . / / ! ! !