HomeMy WebLinkAboutBLD2024-00144 - BLD CD Environmental Health Review - 2/6/2024 MASON COUNTY P`RNN:_�O�D
COMMUNITY DEVELOPMENT FEB 0 2 2024
_ Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 615 W. Aldef StreCt
PROPERTY OWN�ER11INFORMATION: CONTR11AIICIORINFO IRIIlMA__TIO/N:
NAME:! LAC NAME: 11nrt S»7lA✓r f�Yef
MAI.ING,.R�IwDDRESS: O 1 0 6 MAILING ADDRESS' 4 W M
CfIY:W(IlaglAn STATB:W 9P:9P,_ CITY:M 6G STATE:MA 6 3 C
PHONOnN Ts -3j} •S$TL PHONE: -MUCELL:
PHONE q2: EMAIL 1
Eh1AII.:7 LGU If a d L&I REG8 r L ExF. 1 /9 / LV m O
P Y CONTA T: owNER❑ WNTRALTDR Ff Q'gN{R❑ n D Z
NAME BMAIC0. *K4W MfB VW/� �Mt
MAIUNG ADDRESS LA4 G.n , CITY _(_STATE_ ZIP
PHON= ?O'1 '49f- 1 CELL_. (}�
PARCEr A'FORMATION: 'TI Z
$19 '�Ti Sea37L F
PARCELNIIMBER(12 Digit Number) I ZONING �H
LEGALDESCRIPTION((Abtoe .tojI Lam.If FIREDISTill
SITEADDRESS 51 W kAw,144 Trf11 f W.M. WA 40 1 CITY Ws
DDECTIONSTOSITEADDRESS ,f '� AnO
ISTREPRO.IECTWITRRi3NnoFSLOPE(S)GREATBRi 14%: YES❑ NOX SNOW LOADZ,c
:, E.psf
IBPROPERTYWI'THDN200 FT OF LDWIN R'N.tw AmyMrl:
SALTWATER❑ LAKE❑ RIVER/CREHEICREEK❑ POND❑ WETLAND❑ sE450NALRUNOFP❑ STREAM❑
TYPE OF WORK: NEwpy ADDITION❑ ALTERATTJ/TON❑ REPAIK❑ OTRER ❑
UMOFSTRUCTURE(FaaHaw Cw&r.Cwm—'N*2)Dd,f,,Yl4 tv SFR
ISUSE: PRIMARY SEASONAL[] NIIMBEROFBEDROOMS Z NUNiHUOFBATNRUOMS Z
,H,M STROP♦R{E,v YES �r� _YES rymr W ❑ NOD
DESCRIBE
W""""-- JN G
SOUAREFGOIOT;AGE:m,, .p
ISi FLOORL eq.ft 2ND FLOOR_sq.ft 3RDFLOOR_4ft BASEMENT_NAL
DECR_sq.ft COVEREDDECE_xlft. STORAGE K & OTHER_y.R
GAMGE sq.ft Aeacha[I DnWWO CARPORT eq.it Avachad❑ I hN❑
MANUFACTURED HOME INFORMATION: 'd CO POS OF THE FLOOR PLAN REQUIRED'
. I 1 t:P�" .lytD 15 Z/�LENGTH S7' 04"
MARE �N�'L</&r 1 MODEL YEAR
,,DmjdI a BEDROOMS Z BATHS sE NUMEEHAJA =INS
FNVIRONMENTALIffALTH'
SEWAGF/SEW of SOURCE: SEPTIC pf SEWER EMSTENG❑
PLUMBINGMSTRUCTURE? YESJU NO IJ)rr,mrrch ,,,er NMd Ade Form
pOLDAETHIMUNDATION DRAINS PROPOSED? YESW NO[] EMSIINGSQ.FT.
EXISTINGH®ROOMS PROPOSEDBEDROOMS Z TOTALHEDFOOMS Z
OMNER eWc.MelTr NNa of iuoa.em'nMmaEm mry rteuXmegap ram oNera w�^f�revxalMn.PtlanNntlgeZ mwaNq
rt Mbw.l tletlsa Nell sn tle wew M]I NMer tlmJere Nal l an entltletl m rettFre IMs Lgaa eM mtlo Ne vcm 4 powreG.l Nw
aka.bpm�ss®mmsm m8m nwmmYlmmef.IaeotloN m.as.ream ndemm wme.mlMer�repra.q NtllHrfaG.ma wmer orrpa
reprvuiuM1 .repeaenliNaer Mwmetion om'^tletl'uamrta�e aw Oren�s ertMoleesm Nes ucoumr eaessmnre eemeeewioea pcwM
.rq sww.lc)mr nww ve mapxeort iliiewanNaa4l�ean cemmes Full a wltl OwRor. nofaea mma�2an s na wmnnma.wNn 1M
tl>rs a nmrsw aw wn Is samemea a e penatl a leo oars.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE APPUCA 0 1M DAYS OF MOREWILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE L4.08A2)
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DEPAR't'110.NTAL REVIEW APPROVED DATE DFPNHD DATE TAGSMOTES/CONDMONS
BU ENO DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PfIBllC HEALTH C
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