HomeMy WebLinkAboutBLD2024-00051 - BLD CD Environmental Health Review - 1/12/2024 a Pend[NO:
` MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED Z
PermB Asalamme Carter,Building.Planning 1AN 122024 <
BUILDING PERMIT APPLICATION 515 W.AIDer street ✓ O
PROPERTY OWNER INFORMATION: CONTRACTORINFO MATION: 9y
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NAME: GADDRE NAILING � 1
MAILING ADDRESS:ma°ed.Ar MARLING ADDRESS: IL
CITY:— STATE:"'" ZIP:^rw CITY: STATE: DP: <nQ f z
PHONE#I:'e"re"o PHONE: CELL:
PHONE N2: EMAIL:
EMAIL:ea-� LA! REGa LOOP.—/—�— r
PRU7ARY CONTACT: OWNEE❑ c0NTMCTBR❑ OTHER❑
NAME as EIMIL acaa"P'wa^
MAILINGADDRESS CITY STATE=21P�w
PHONE—a CELL—a
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Nmnbv) 'Mwmamw ZONDNOwm
LEGAL DESCRIPTION(Mb iam0) :r..aw. FIRE DISTRICT-
STTEADDMSS'-'--- CITY^r"'
DIRECTIONSTOSIfEAINNUSS naeua.aaaa.seewsma"aar—
ISTHEPROJ WTTHW300FPOFNLOPEAS)GRBATERTHAN14%: YES[] NOIf SNOWIAAD:- of
ISPROPERTYWITIUN20OFTOFTHEFOLLOWLNG: Mxaammm.PPy).
SALTWATER❑ LAKE& RIVEHICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION Q REPAIR❑ GTHER Ll lw"a"` --
USE OF STRUCTURE//rtr,id ae.Gann.Cemmr rxlg*.sa)"'w.a
MUSE: PRLMARY2 SEASONAL❑ NUMBEROFBEDROOMSs NUMBEROFRATHROOMS=
HEATED STRUCTURE? YES/WA .,W 0( YES tnw(r/gBtgs)❑ NO❑
DESCRIBEWORK""^ —ana'waaart 'aw°
SQUARE FOOTAGE:fpwaorNj
IST FLOOR"a aq.A. 2ND FLOOR' p.R. 3RD FLOOR sq.R BASEMENT® sq.B.
DECK=aq.R 0OVEREDDECK_2�afi_K.R. STORAGE '.B. OTHER aq.R.
GARAGE_aS.R. Attache[] Demahed❑ CARPORT pg.R. Attache[] Detach'[]
MANUFACTURED HOME INFORMATION: a4 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATES SERMI.NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER I NEW EXLSTmog
PLUMBING IN STRUCTURE? YES j( NO❑ Ijyct,avach complete Waaer Mont,Form
PERDAErER/FOUNDATION DRAINS PROMISED? YES NOO RUSTING SQ.".
EXISIRIGBEDROOMS PROPOSED BEDROOMS ' TOTAL BEDROOMS '
vexER.anpvnea0.s un awn'eNm aalrewureie.:iolmaummay Im.n n.amp waxaaerw pmmn remmmn.hanw.mawm.mrtmaa q
carooredxao IeMa-IUa, mM.oxnasN:wMUg any
M:WMamresNe u:PBnNaenaN Mwora To:antay, c"I
uWmeagnnlasoncanzu In.necne.n P.:tacmmal-enn I.-dInandear,yo l4ec ot Mmbrw:.roy.'aq.t ggect TM aerW wNpal
mweaanutiro,repreaenb um ueIm ..e yo rinay Issamoare my a 'near''.a Maam ceunrv-n mue.eoeeaHecaem noon1
eM or
0con¢)avmiew,Is Inspanded Taa¢enad or 180 drys Mednes nullQMaIIvwk or euNoneH]eonsVudon¢nd cdrmenmE ntlYn1®
ary.ar A consaucticn rrod Ie euspenEal M8 peacE ol'BO aeys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 100 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY LODE 1ABBA0)
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DEPARTMENTALREVIEW APPROVED DATE DENIED DATE TAGSINOTESIXONDMONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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