HomeMy WebLinkAboutBLD2024-00477 - BLD CD Environmental Health Review - 4/12/2024 Pump No.
1
MASON COUNTY
COMMUNITY DEVELOPMENT APR 10 2024 m
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Vennl[Aalsf»ncl Center.QYIItlInQ,PlalmiNQ
BUILDING PERMIT APPLICATION 15 W. Aldo
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 5erV7 > Z
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MAIL DOSS
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CITY:•111.1010pA51J`STATE:tAJ4 ZIP: B C A—STATE;WA .4RYO Z
PHONB#1: - 7 - PHONE: -
PHONE#2'N�iC- 927-71 i. EMAD.: D
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PRU14Y CONT C OWNERg TANTRACI'OR DTH®t n
NAME E a 9
MAIUNGADO 5E CITY w IdirZIP
PNONE - - Cjct -O� �1UV
PARCEL WFORMATTON: nIAA j
PARCELNUAOIER(12Digit NYlnber)2Of2-NIP-9D/.7 ZONING
LEGALDESCRIPDON(AbbreAv 1Z1O' NI S TE(! Fl 1
SITEADDRESS O 1 CITY ��
DMECTIONS SITEADDRESS O { a Fa
-MS PEONECI WTIB M OF 6 PE(s)GREATERTBAN I4Y.: YES[] NO%g SNOW WAD:9 .i W
O PROPERTYWI' 20Q PE OF TBE FOLI.OWEV IcwaQ AN gvbl_
SALTWATER LAKE LAKE❑ RIVER/CREEK[] PONo❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPEOFWORR: NEW)( ADDITION❑ ALTERATION[] KEPAa I3 OT16'Rn
USEOPSTRUCfURETQwumr,Guaa Cow.waul R✓p-w V4F.c"Dn���BC _ homli-(!ej;n
MUSE: PRIMARY[] SEASONAL$ NUMBBROFBEDROOMS NUMBEROFBATHR —'2—
IIEATED STRUCTUREI YES~ X YES r dW NrQC. NO[]
DE8CRB3E WORK Q f
SOUARF FOOTAGE:re� ��j�
ISTFTA��Rh�jaWK.B. 2NDFLOO�K.R LO 3RDFOR�I& BASP.FffiN PLR.&
DECK,��//O q.R COVEREDDECIC 7.5N.R STORAGE iq.B. OTNER_Nq
GARAGED, & Atac#ed[] Dem 13 CARPORT___ R Aaaclrai❑ Ddaehed[]
MANUFACTURED HOME INFORMATION: A -4 COPIES OF THE FLOOR PLAN REQUTRED-
MAKE MODEL YEAR LENGTH
W03TH BEDROOMS BATHS SmuW NUMBER
ENVIRONMENTAL 99ALTH:
SEW'AGFISEWERSOURCE: SEPDCyj SEWER❑ I NEW[] EI WMG;R
PLUMSWGWSTRUCTUREP YESC NO[] IJyer,amaaA pWdlf.aAdeq yFP.
PERB.STHVFDUNDATIONDR SPROP(MMX YES)T �/ NOn SU WNGSQFT.
EXISTING BEDROOMS�_ PROPOSEDBEDROOMS 2' TOTALBEDROOMS Z
OWNER acknaNM9es Mal auhntrbn IXimttuMe Imvmation meY nwtl In a yop•wrk weer a pamYl mmllm.AtFmMkQemMd WIYb/
slgnal��re Eelw.I potlare Malem MaonW iiE lfwMatlatlere N911 an enlNepb�OwnB IN9 p'amtl eMbpotlRMpkYpWaN. M!
mmiYm cean�ssioY�m an Marixwmy waee.wuaoP aar eaaamam naaw wPamea d im...t:eea�aae M:nmkd Tnew�ma<w NQeI
repmsemme,aereaamammmB mmnMpn Plvmm'w accNale ana earns®Ydmeea of Mason epunlvaa-eummamoreawlm+nYceM
eM aaucwMa)ry review ana mapeabn. rna pwmX/argl�tion mwnea nut a we rtvvx wamm�zea aaneYdbn m ra cgnne�m0 rAain tea
tlaie W naacwaon wont ia.INFemm Mre ileum a teo aay..
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE PUCATn*V0FlSQ AY OF MORE WILL CAUSE THE APPDCATION TO BE EXPIRED.(MASON
COUNTY CODE 14.0e.42)
9 IOVMER retl by Bta OYMERI Dell
DEPARTMENTAL REWEW APPROVED DATE DENBDF DAM TAGSINOTEIYCONDITIONS
BIDLDING DEPARTMENT
PLANNINGDEPARTMENT
FBIEMARSHAL
PUBLIC HEALTH
N
L
PLN Approved
05/24/2024
Mason County Community Do"Wopmem
Gown Swuten
All Connote Subjeq W Apprwtl
DEVELOPMENT MUST CONFORM W"
SPECIFICATIONS OF CEO ASSESSMENT
PLN SETBACKS
Frond(S):25-
Sines:W
Rear:Common Line nor
1 'all salbaclrs measured from MI forest
tN�l' projection of dbe buildin0
MMEaS 'sublecd ro EH serbacks
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Doonfleld and msarve on 32022-0 90137
EH Setbacks
vartfEt N0:3lozz<esv]z At room Waasene orro-Sto-:noack tram o0ro omloom
SI alra rAUl rewma smack from a loourofo,mdno,s
nlwmo�aavomva 3
on.eowrese�am of
D�ebReWneserve pea„~
Da w CO e.oga Ia�aNI mon sn a„e o.R.as arore�l.amm
an,6aan all of Dom forWilor—ma
DETAIL I
BLoa4l
NOT AN APPROVED SEPTIC DESIGN
Must use SWG2024-00011 for septic installation