HomeMy WebLinkAboutBLD2024-00067 - BLD CD Environmental Health Review - 1/23/2024 Permit No: �
MASON COUNTY REGEWLEY
COMMUNITY DEVELOPMENT JAN 18 M24
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BUILDING PERMIT APPLICATION 615 W.Aldel C
PROPERTY OWNER INFORMATION: CONTRACTOR INF
NAME: IC-C�d<Cta nPfi,^�/WkP[J-in NAME: F`1� OcC. 'l7y z
MAR,INGADDRESS: 5770 Sr WCWd Vu MA Nu ADDRESS: Wltu ienvl 07 Nw j Z
CITY: r tv� STATE: Ox ZiP: Syf CITY: ( M nn ,,_,STATF',(�. Z1P: 94 CL"c t C+P
PHONE Ml' 3C4J- tiTbt PHONE: �4Cc�b-11C1 CC6L.L: `v O
PHONE42 3 - L\'S� EMAII.:�Y�^ �fYN+^SeTv,w�, L•u:^ O
EMAIL:i,AFTF HHO . �hhF
yce-- L&1 REG# EXP._/_/_
P ONT DWNEHD CONTMCrO OTHOc❑ D
NAME PO •� EMAIL r
MAILINGADD 5 CITY Cy�STATE ZIP
PHONESIXANR CELL U- SUU7
PARCEL INFORMATION:
PARCELNUMBER(13Di®IN.*l) 21-OZ4" so'9096-� WND+G
LEGALDESCRRTIION'I`AEMevl ) FIREDISTRICT N
SITE ADDRESS ;WiF CITY 9hc14ci
DIRECTIONSTOSIMADDRESS LVML4 foe-a, $t5 St��y 5'\..r'a D:u-"r"1 .f•YjMa 1�
m THEPROIECTWTTt@IlINF1'OFSLOPAS)GRKATKRTRAPII4%: YES[] NO'g SNOWLOAD:1f:w
ISPROPERTYWITHNMFTOFTHEFOLLOWWG: tvraaA vp0v:
SALTWATER[] LAKE[] RIVER/CR [] PONE[] WETLAND[] SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEwp ADDHION❑ ALTERRATION❑ REPAIR D OTHER
USEOFSTRUCHIRE(mvmx..Gvug..co.®unw,4W 1•C�i i.�Ce1C c'
ISUSE: PRBAARY# SEASONAL[] NUMBEROFBEDROOMS_'j_NUMBEROFBATHROOMS
HEATEDSTRUCIVRE1 YES�°�`a cj YES(Asa IeBwyfg NOD
DESCRIBE WORK 5 F h Tom_
SOUARE FOOTAGE:propw.q \ c
15TFL0ORL44f eq.R ]NDFLCIOR 3RD FLOOR `aq.ft BASEMENT�'N sq.R
DECK�sq.ft COVEREDDECK-fla—' -sq.R STORAGE 31y sq.R OTHER=sq.R
GARAGEA/71 CARPORT sq.R Aa W[l Detached❑
MANIJFACTTTREDINFORMATION: '4 COPIES OF THE FLOOR PLAN REQUEMe
MAKE MOD YEAR LENGTH
BEDROOMS BATHS
ENVIRONMENTAL HEALTH:
SEWAGP/SEWER SOURCE: SEPTIc'w SBWERD / NBwg msTING❑
ML WGWSTRUC[UREV YmS y NO {fyv,much CNWItud WmmAdeq Fares
PBRI.4TER/FOUNDATION DRAWS PROPOSED) YES)w NOD eK15l1NGSQ.FT.
EJISTWGBEDROOMS PROPOSEDBEDROOMS 3 TOTAL BEDROOMS 3
OWNEF bMeOre. +Ntt wYn4akn tlimnYe lMamYMn^M'mvll lneYW xwk vOzuVmd��ewulM.O broMMa^Nm�MmN ube
sgneWelelax.laetlere llullmtlw axnteMlmMer Oetlere Mttlem mlMeam�mNe Mis pamA VE mao MexaknpgvM.I M.a
[Hamm pemirdm M1wn YICe necessary Garet.iiWUQinO eM rssemuX IwYJarat Wales oIMm9 re9arM1n9 Mu pmlw�TM wwrvlpel
retiree' nlauw,r4mme IMtlw inldne iw mMaippi,mm�ea mmmsagY ,dff alNeon ewmYmoess heel AbEp n1
ana stnworely w rene..ana msWelon. min Ww'veptieramn cemmee nM a w�a eiwn re awoa:ea ronmeamn m m�m�aree.mlln tw
ergs ornwnsm�mcawn's su�eeeter.palm m tw arys.
PRO CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P H PLICAypH.pF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
�! COUNTY CODE 14.09.a2)
Sgrewm MOWNER(MustWelansd Mlle OWNERI DeN
DEPARTMENTAL REVIEW APPROVED 1 DATE DENEW DATE TAGSNO'THStCONDTOONS
BUIDWGDEPARTMENT
PLANNWG DEPARTMENT
PURE MARSHAL
PUBLIC HEALTH
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