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Home My WebLink AboutMIS94-0452 Convert Barn - MIS Application - 6/27/1994 MASON COUNTY / e-) MIS .SUN 2 7 14RE-INSPECTION APPLICATION �,� 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670 �� S�D - $25.00 Fee Required prior to inspection Q S VICE-R Sim #1 Owner SQg f' �J �-( 1* �iLe'1(/�� Phone # Ear CJ1 Address hd'o .fA aUG 111 City We&Y A4 Mail Address sra e + City St Zip Applicant G1S Gl dUe- Phone # Applicant Address A City St Zip #2 rcel No. Legal Description �� ;Z7 /U Z4-) A) �,X / 2 2Z6 ? #3 Purpose of Pre-Inspection Gwe �!I'G/ - Wu 4V ezlw✓ j"ry d - #4 Use of building S u� �' G!/ ?t effa E" #5 Indicate by circling the applicable source if any water is on or adjacent to subject property: saltwater lake creek stream marsh river pond wetland seasonal runoff other Directions to Site: b31i4�� 1' N Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. Applicant Signature Date FOR OFFICIAL USE ONLY: Accepted by: � ,> � . Date: Receipt No ye _`� !� Referred To i DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY FPro posal Proposal roved Denied Planning: Building: Fire Marshal: i Special Conditions i Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 Owner .l'(��J /1. -f Phone# Site Address Fire District# City St Zip Directions to Job Site Owner Mailing Address City St Zip Lien/Title Holder Address City St Zip #2 Contractor Name Contractor Reg# Address Expiration Date City St Zip Phone# #3 If septic is located on project 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) #4 Parcel No. - - Legal Description #5 Building Square Footage: (existing/proposed) 1st FI Je K/, l 2nd FI / 3rd FI / Loft / Basement / Deck / #bedrooms / #bathrooms / Garage / Carport / (Circle:Attached or Detached?) Other // sq. ft. / #6 Use of building C`laa Describe work #7 Type of Job: New Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms # Bathrooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other I 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 Name of Flanking Street Indicate Directional by (N, S, E, W) in relation to lot Ian Name of Fronting Street p p APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW T *Viv Lit" � �� hay- =- Plumbing Fixtures ($3 each Fee Mechanical Fixtures ($6 each No._Toilets CIRCLE FUEL TYPE: Gas, Electric, _Bath Basins Heatpump, Other _Bath Tubs No. Uni s Fees _Showers Furn BTU _Hot Water Htr Heatpumps Laundry Washer _ Vent Systems _Sinks _ Spot Vent Fans _Floor Drains No. Boilers/Compressors _Laundry Basins HP _Dishwasher No. Air Handling Units _Disposal cfm# _Urinals 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 BUILDING DEPARTMENT. DEPARTMENT. X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: - DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove Radon Monitor Violation Fee Site Inspection Building State Fee Other Other Building Valuation: TOTAL FEE GARY YANDO,DIRECTOR STgTFo o A U U N DEPARTMENT OF COMMUNITY DEVELOPMENT i o T z PLANNING - SOLID WASTE-UTILITIES N Y y BLDG. III • 426 W. CEDAR • P.O. BOX 578 1864 SHELTON, WA 98584 • (206) 427-9670 July 20, 1994 James R. and Jaci K. Groves W. 7620 Shelton-Matlock Rd Shelton, Wa. 98584 Re: Change of use from barn to commercial feed store. F Mr. and Mrs. Groves : Conversion of this structure to a commercial use would require compliance with the Mason Count Parkin Ordinance. The ordinance P Y g would require a minimum of one parking stall for each 300 square feet of area, or 6 stalls. One of the stalls would have to meet handicap requirements and would require paving. Commercial structures are required to meet current stormwater retention requirements. A plan would have to be prepared indicating the methods used to retain all stormwater on site. As we have not reviewed your previous commercial structures (smoke shop, espresso stand) due to their small size, we would incorporate all existing commercial structures into our consideration. Typically a certified engineer prepares the design. We would require a detailed site plan drawn to .scale and showing the relative locations of all structures on the lot. We would also need to know the distance to the small creek located toward the rear of the property. If you have any questions feel free to contact me. Other applicable information may be obtained from other County departments. Thank you. Respectfully, Don Brush, Planner Department of Community Development