HomeMy WebLinkAboutBLD2024-00049 - BLD CD Environmental Health Review - 1/11/2024 MASON COUNTY Permit No:—V19coiT—W 04�
COMMUNITY DEVELOPMENT{ RECEIVED
Permit Assistance Center,Building,Planning JAN 11 2024 m
BUILDING PERMIT APPLICATION 615 W. Alder Shalt
PROPERTY OWNER INFORMATION: CONTRAACTOR INFORMATION:
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NAME: y� NAME: Fi n�t�i� ( eny�Dv...a:._..\ m Q
MAILING A DRESS: F MAILINGADDRESS:�r R, �,Prn D Z
CITY: -1'sL STATE: ZIP: CITY: _ STATE:L,a- ZIP:�g
PHONE#1: uo� OI 5S PHONE. 2 q 'CELL: r.� m
PHONE#2: EMAR.: L
EMAIL: L&I REG p EXP.f[l ljJ Z
PRIMARY CONTACT: OWNER❑ CONTMLTOR OTHER❑
NAMF �sill EMAIL .�\yly�nl_LBc.w.a:) Tv v'a
MAILING ADDRESS Do .rC S•dao CITY( _STATE
PHONE �L2f-�Y1-N42`( CELL .p� 9�
PARCEL INFORMATION: a.J nt(S 2�
PARCEL NUMBER(12 Digit Number) I20 14 7 70 00`9I) ZONING
LEGAL DESCRIPTION(Abbmrivd) FIRE DISTRICT' 2f f
617E ADDRESS i;(1l1 pTia aA� 1wS\Sn.n Rn cITy S p ISIS84
IRREC'I'I-ONS TO SITEADDR SS_ _ Hn..V.a1�51e..d 2p t L�'� nI
IS THE PROJECT WITHIN 300 FT OF SLOPECS)GREATER THAN M%: YEED NO SNOWLOAD:3D d
ISPROPERTYWITHIN200 FTOFTHRFOLLOWOND (GWE rLAND):
SALTWATER Q LAKE❑ RIVER/CTtEEK❑ POND❑ WETLAND D SBASONALRIMOFF 0 STREAM❑
TYPE OF WORK: NEW ADDITION0 ALTERATION REPAIR OTHER ❑
USEOFSTRUMF (�.[a,ge.Cm—idaldg.ar) QPSAa AA a
IS USE: PRIMARY p SEASONAL❑ ��NUMBER OF BEDROOMS_NUMBER OF BATHROOMS_
HEATED STRUCTURE? YPS Mwe Wdy Ly veS lvnrc(ai ygxM❑ NO❑
DESCRIBE WORK
SOUARE FOOTAGE:lyiupo..ml
I ET FLOORL BIZ .q.R 2ND FLODR laq.R. 3RDFLOOR_aq.R. EASEMENT aq.ft
DECK�aq.fl COVEREDDECK / aq.fl STORAGE /eq.A. OITffiR=aq.ft.
GARAGE
yV�aq.ft. Anauhed❑ Dermhed0� CARPORT �.fl Am,#ND Decoded❑
MANUFACTURED HOME INFORMATION: 4 COPIES OF THE TH,�0 y E FLOOR PLAN REQUIRED'
MAKE MODEL 0QM5IeIF a
YEAR -2 l LENGTH SJO
WIDTH 2 BEDROOMS_ RAINS Z SERIALNUMBER_7rjQ T1
ENVIRONMENTAL HEALTH;
SEWAGE/SEWER SOURCE: SEPTIC IIF/ SEWER / NEWS EXISTINGy
PLUMBING IN STRUCTURE? YESg NOS lJ anuchrom M( WuerAdeq Fomr
PERIMETER/POUNDATION DRAINS PROPOSED? VES NOO EXISTINGS(l.FT.
EXISTINGBEDROOMS PROPOSEDBEDROOMS-1— TOTALBEDROOMS_3_
f11YtAi ehruwbOAes Mer suhnkelm of irararaR Inbrmaeon mry mW[in a abp voROIMr a prmttrevoslicn.A4rw.WEPme^Ideuii kby
alTmm�bekw.l Eetlere Ittel I em tM owner anG I NMer Eecbretlull em era:tleE W receFretlas permit enE to do tM xw4 n picppu].I tare
c01aFN ramesim fiom aR Ne rarewry pertws.lncluGlrg any enemeM ttWJervpvtias INinlerM rparElnA Ittis pmletl.llw onw wbpel
ena sawcwrMa)k°�rw��ewam nepacaon m�ace�W.ppiieauo eeew'm la.n.onoramorlaw�miN 'n mi wdrrm« dm�eo
SanorilwnsOucWnr bsusmnd ha.parlcddteadap
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVDY OF THIS
PERMIT APPLI ATION OF 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 1<.0EA2I
X I
Sg re ER Must by the OWNERI Del.
DEPARTM&TAL REVIEW APPROVED I DATE DENIED I DATE I TAGS/NOTEWCONDITIONS
BUIIDMGDEPARTMENT - -
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH ll
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EH Setbacks
A.) DrainfieWReser enquires 10 setback from footingdoundations
B.)Septic fank(s)requires 5'setback from all foofing4oundations
.= i No foundationlPenmeter Drains within",downgradient of
_.l DrainfielNReserve area
D.)No Out Banks)(greater than 5ft and over 45 degrees)within
50g,down gradient of DrainfielNReserve area
I ,
EH APPROVED
F
da Thompson 02/13/2024
S
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PLN SETBACKS
r Front (South): 25'
I I vY Sides: 20'
6 Qk i ` ,,, ky Rear: 20'
�sk o 7- (; \& 'all setbacks measured from the farthest
>• ` i c projection of the building
'subject to EH setbacks
PLN Approved
rf a G` l 01/18/2024
L V I / Mason County Community Development
I ^� Gavin Scouten �1
All Changes subject to Approval
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