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Home My WebLink AboutBLD2024-00013 - BLD CD Environmental Health Review - 1/4/2024 Permit Na:��,,pp��v d�J m"orr corrNTY RECEIVED JAN 0 4 2024 m BUILDING PERMIT APPLICATION 615 yy Aklsr$t eet Z G PROPERTY OWNER INFORMATION CONTRACTOR INFORMATION: NAME:AManv NAME: m z MA1L MAE.INO AiIDRFSS;m+sxfmn..A.. I*GADDRESS: Y STATE:°R ZIP- CTTY: STATE: ZF:T r K7 PHONE iI:sm�mw PHONE: CELL: ='—I PHONE i2: EMAIL: m m EMAE,:p•msaOP+m" L&3 REOi EXP. / / z PRIMARY CONTACT: o [oNrRAcroRn arms lI D NANE r. — BMML MAILWGADDRESSs®xE.ry.a fDTY^�'d S[ATE=ZIP^Hf r PHONE alabans L0L a+®'^a PARCEL INFORMATION: =RECEIVED PARCELNUMBER(12 Lna[N.mbcJ +r+�°°�° TANINGR LEGAL DFSCR@LION(Abbrtviead) 'I"^rn�°°N�+O1P08bOYr FIRE DLSTRICTs SD'EADDRPSS 1-6w Re. clTva•M DIFECTIMT0$R'EADDRFS$au.wxb xe.xaF.YmWbMxi.exaPYPoYYpE.]FI.Y.xiemb Eae.xmwn Mm .,..eEnmbla.nRn r.mlb..wxx LS THR PROJECT WTTJ@lJIIS Ff OP SLOPR(41 GBGTTRTHAN It%: YEU NO�NOWLOAD:V�f IS PROPER OFTHR FO WING. .aem LLJJ SALTWA LAKE RIVEErDRE6K POND SEASONALRU "o Sl'RWM TYPEOFWOM NEW© ADDTITON[]ALTERATION[—] RPPAMU OI=E] UEEOF STRUC[URE AW.R C�eucw..uaq,W�++HTM G MUSE: PIUMARYZSEASONALF1 NUMBEROFBEDROOM$?NUMlIMOFBATH b5_2 EFATEDSTRUCTURE! m;m( .n lI NC[:] DESCRIBE SQUARE FOOTAGE:0,.,4 15T FLOOR+r+ w.R 2NDPI.00R"�eq.R 3RD FLOOR_w.R BASEMINI' w.ft DECK w.ft ODY EDDECK p.R S[ORAGE+°° sq.h OTHER w.ft GARAGE—'.It A A CARPORT- w.R A AM MANUFACTURED HOME INFORMATION: •4 COPIES OF I=FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNIIMBM ENVIRONMENTAL HEALTH: SEWAGESEWERSOURCE SEP11 SEWER© / NEW© EXISTDIQ❑ - PLUNffiDIGWSTItUCTURH! YE NO❑ Jrye.,anrch.nmplevd lP°loA&qb..y Form PBRD4EIEN/JOUNDATTON DRAWS PROPOSED? YES© NC] SOSITNG%FT.° EXISTING BEDROOMS° MOD SD BEDROOMS° TOTALBEDRO ! MNER WbM MNM4rMYvtl.n d lMCEta YI1.TeM1 rrW ranabi.ffi9.bn wM w[mrrH leuV2M 4dw ....Y g' ewmre e=mr.I e.dereanl..n...maa.e�n�mrne.mre mn I...�m.am re®w w...mRM ma.Mmti u pmp.M.I n... aul.m va°°me..x.r.ell m...®ssny.as®.IMa,a�a.m=a:m.am rae.rn.ae..mmere.r mN.mrN w.wti.d.Th.wnwnNml rrgresmtze.=,re.reseimmat ure im.mne.n p.ulrea-i=gate aia green=mpwyrzs m rias.n e.unryaa=ssm Ne m.w eemr°.e p.pM nc=mbmrel=I mrm.,mr a,emwan�...m�=°=�v.wive..°a�=a.nlnaaaw.n.r..m°ia=a mwr,m.°tre ra.e.me Mln.sw ay..rnm..mm..wx n:�..°me mr...nm m rm ems. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTry OF THIS PERMIT APPLICATION OF?SO DAYS OF MORE WILL CAUSE THE APPLICATION TO SE EXPIRED.(MASON /J COUNTY CODE 14.0E.t3) '/ SISmWSMOWNERm� by Bw OWNEIB OMn tier,:rcirAEniALRsv1Xw ; :AePRoveD IIATL' DFNIBP`'-DaTG :TnG'smoTEsicQ�iuff7on�>> BI16.DWODEPARTMENl PLANNP]ODEPARTMENT FDUi AL1RSB.AL FUBLTC HEALTH \ � -AM* \ � / \ } ( //aI ` Q/ a . / 2§RJ : 2 | ( 2 ƒ \ ! CL . 6 � / -) {/ / \■ CD C Pot n< D �� ] .