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HomeMy WebLinkAboutBLD2023-01491 - BLD CD Environmental Health Review - 12/13/2023 Permit No: PT I 2:Q2-3-o I —I COMMUNITY DEVELOPMENT RECEIVE �fc�MASON COUNTY �3 PmmnansulRe Teme¢ammlay Phanirc DEC 1220xi RFCF BUILDING PERMIT APPLICATION 815 W. AkWSWO n'FD PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Z NAME t OR&M f NAME: MAIL DRESS: £ MAILING ADDRESS: =e = CRY: STATE: ZIP: CITY: STATE: ZIP: PHONE#1 PHONE: CELL: D Z PHONE#2: EMAIL: EMAIL: sarMR \ W&I REG# EXP._/ /_ !:4 PRIMARY CONTACT: OWNER CONTMROR❑ OTHE0.� S m NAME EMAI Z MAILING DIE$$ T CITY STATE ZIP '-i PHONE CELL � � D r PARCEL INFORMATION: '\� PARCEL NUMBER(12 Digit NttmbeO e{.2I ��II ZOMNG LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS CRY 4 DIRECTIONS TO SITE ADDRE ISTHEPRO"E WIMM36FTOFSLOPE(S)GREATERTNANI4%: YEEw N0� SNOW LOAD:�yef ISPROPERTYWITHINIIWFTOFTHEFOLIDWING: T desard,,da) SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND[] WETLAND❑ SEASONALRUNOFF❑ STREAM[] TYPE OF WORK: NEWAV ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTTIR6(EesMmae.GrvFe.Cawe Alt Fie) MUSE: PRIMARY)I SEASONAL[] WIPERMOFREDROOMS a NUMBEROFBATHROOMS__L__ HEATED STRUCNRET YES#ea4lmw❑ YES(Fw/a/glesyA NO 0 DESCRIBE WORK OSOUUARF FOOTAGE Gwsmadl ISTPLOORJW94R 2NDFLOOR sq.R 3RDFLOOR sal EASEMENT sal DECK_..�111 R_ COVERED DECK_aq.R STORAGE sq.R OTHER aq.R GARAGE_ay�OSQPAuached DeeacM1d❑ CARPORT zq.RAvdshed❑ Deemhed❑ MANUFACTURED HOME INFORMATION e#COPIES OF THE FLOOR PLAN REQUIRED• MODEL LING "TH BATHS SERGE NUMBER ENVMDNMENTAL HEALTH: SEWAGIUSEWERSOURCE: SEPTIC[] SEWER❑ / NEe EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ TfWd,anacAcdegdemd WprcrAdegwry Farm PEKIMETER VOUNDATION DRAINS PROPOSED? YESX NOO WSIING SQ.FT. EXISTINGBEDROOMS 0 PROPOSED BEDROOMS 2� TOTAL BEDROOMS GWNFR»naWslpee Mal eubnbYon aIn...Yi venalion mey esask in a slop eve pMr or pmN rnwelbn.HknwNac'nom M isum elpreWfeMlow.I eetleretM Im des,wmrrW I NMrOetlre Net I M mNled to receive IMa pened and as do me as pwomm Iham EtBMedpertniasionhom aI1.ttstaWrypYtlw.inW]iap aM.semenesolderor -a.1 Minlem shin,a phis me. TM1eommtrlepel Ie d aside nestepRemis NM IRA potion. hi poWded is ecwMe end p2nls employees of Mason Lo zed wussr b me east daeMEM ryapeby ea ew ffasn slbtnnan end InxpetlNn.TNepand of dap Mmmss null b wltl tivmM or euMonzed wnstruNan k nm rvmmencetl Mtllin 1e0 drys r if vauYu<tlm oaM1 k rMmeOlra prutl o!180 tlays. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON X k. COON Y LDDE,Ag.A2)g om SOneNre as varlit.IMme W I,no ber Me 01111NIVIll Data DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSTIOTFSICONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMINT FIRE MARSHAL PUBLIC HEALTH FRp�n ,vr�w Z5 - aq -1 -�- > Fm 51 p'-mp- . .- -.- ' m e= a. Cl) m m 3 77 - r $a$ � yXi�r za t - - 131j- ° - -- - N : .. i u.