HomeMy WebLinkAboutBLD2024-00239 - BLD CD Environmental Health Review - 2/28/2024 MASON COUNTY P..ftN.: Vl/lZZ4-QQ N
COMMUNITY DEVELOPMEN'I'CEIVED
Permit Assistance Center,Building,Planning FEB 26 2024
BUILDING PERMIT APPLICATION et
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: L yc.11G✓ NAME: H r
MAILIPIGADD SS G4DD S:
CITY: STATE:,�F(ZIP: ZM 4/ CCCY: STATE:JB ZIP:
PHONEgI b6 �/�J -O(6 PHONE: CEIL: z
PHONE WL: EMAH.:
EMAIL ly
PRIMARY CONTACT: owNKRlg' CONTRICI'OR❑ OIR�❑ _ ]�
NAMB �'c1IY/G EMAIL M0
PNA NNGADDRESS HONECELL CITY STATE ZIP D Z
PARCEL RMy ATTON: rt
PARCELNUMBER(l2 Digit Ntmbr)�b�ISfO2 oZI TANING Rtto„?;al = z
LEGAL DESCRD•DON(Abbeevimd) FIRE DISTRICT
SITE ADDRESS -a�II CITY She/tiS✓1_N D
DIRECTIONS TO SITE ADDRESS
BT'HLPROIECT�"n OFSIAPF(b)GR&ATRRTMANII%: YESL] NOL] 9NOW IAAD;1�pel
�PROPFRTYWTT®PI3pp FT OF THRFGLLOWIN ti'/�4WNngplyJ: /Zn
SALTWATER❑ LAKE❑ RIVER/CREEIC❑ POND❑ WSMND❑ SEASONALRUNOFP❑ STREAM FT�A
TYPE OF WORK: NEw1X ADDInON❑ ALTERATION❑ REPAIR❑ OTHFx C[[TT 1 B1p
MUSE
P STRPRINARY� SEASONN E] NIIMBERFB�EDROOMS`� NIIABPR GF BATHRooms_ FCFiyFO ?�
SEATED SIIRUCNREt YES lro Nwx YES� fve,-w o NO❑
DESCRME WORR
SQUARE FOOTAGE:&ep�
ISTFIAO]l 2NDFLOOR q.ft. 3RDFLOOR ,.tt BASEI E —K.8
DECX, _`p.R COVEREDDECK_N.& STORAGE eq.I OTHER 'L
GARAOE_N.R AUWW O Der [I CARPORT 1.R Ar L] Ihm []
MAMJFACnTREDHOINFORMATION,/ •4 COFIEB OF TTIEFLOOR PLAN RFQUYll
MAKE F1 o MODU&/e H29M _ZQ.jL_f LENGTH��
WIDTFI.?y, �sBIDROOMR� HA'It13� SBttIALNUMBPR TV.�1J
ENVIRONMENT L.HEALTH: J
SEWAGFIsfWERSOURCE: SEP71Cl SERER❑ / NBW ERISTING❑
PLUMeIiGNSTRUCTI]RE1 YFS7(Jl NO❑ lfyea,aaach eprrPlered WamrAdegvay Fpm
PERD,f7ER/FOUNDATIONDRA1NSPROP0SEW YES❑ NOV DISfINGSQ.Ff.
EXI TINGBEDROOMS PROPOSEDBEDROONM TOTAL BBUBWM
gvNFle eplaAMstlps me nmmbelpn d:remvem nrvmslpn m.r rvwn m.smp xwx wEw w p.mrn reamtiwr.a3ma.Neaowriem d aT R q
4pMuebtla.lEWY01M I m tlrewwnrwM I IWMraetlere Pd I em enMba b recarve this permit eM totlo Ne xaA es prcpsM.�Iw
odeiriea pxnbOnYwn a ue r�.cec�p.re.e.iwarN erawmam max w peru�a imxen repereme m�prorea. me w.rx wisps
nPwYatle,mPwa.mau+�dwmpnm ws.iaea is eras ere Nta or�m:wnpim e a Neyn cw�n ewp= m me mere aesmeee prcPxN
ma mud.e(e)err..mwx�a mmeaNn.TNs peppiuepPxeaop eewr�eau a wa nwwx w eanornm�.w�ew,ie na�er�ea.nnm 1ep
a�ewrm.mramtaw'N wspwrmemeparipaaiw aen.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P�RMR APPLICATION F 180�DAYAPF MORE WILL CAUSE THE APPLICATION TO BE EKPIRED.(MASON
X ('\ �] COUNfY CODE 14.88.13)
�'�9reWpd OWNS Deb
DBP,IRTMERn REVD;W APPROVED DATE DEN® DATE TAf OTESrCONDITIONS
BUIMING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLCHEALTHVILIy
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