HomeMy WebLinkAboutMIS94-0127 Pre-Inspection - MIS Inspections - 4/4/1994 GARY YANDO,DIRECTOR
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o A u U N DEPARTMENT OF COMMUMTY DEVELOPMENT
Y o T i PLANNING-SOLID WASTE-UTILITIES
N Y y BLDG. III • 426 W. CEDAR * P.O. BOX 578
1864 SHELTON, WA 98584 • (206)427-9670
April 4, 1994
Mr. Edward D. Matkovick
E 8333 State Route 106
Union, WA 98592
Re: Shoreline Pre-inspection of property (& E. 8333 SR 106, Union. Hood Canal.
i
Dear Mr. Matkovick:
A shoreline pre-inspection was conducted on April 1, 1994 to determine permitting requirements
for the proposal. It was found that the proposed 12 X 24 addition would infringe on the
minimum default setback of 15 feet for the Urban designation. As proposed, the shoreyard
setback would be 11 feet at the west corner and approx 9 feet on the east corner. There are no
residences within 50 feet of the project site which infringe on the setback. A shoreline Variance
is required for this proposal because it is not consistent with the setback criteria as listed in
Chapter 7.16.080 of the Mason County Shoreline Master Program. The total application fee,
including the SEPA checklist is $550.00.
Please find enclosed the application materials necessary for applying for the variance.
R?J4ason
spectfully, y
ana , Planner
artme of Community Development
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file
Recycled
MIS
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MASON COUNTY
x.� &INSPECTION APPLICATION
MAR 15 1994 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670
PLEASE PRINT
$25.00 Fee Required prior to inspection �4h `�-
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#1 Owner '
W& o Vw � �o v 1 c� Phone# Z0� 3 CAd g
Site Address ity
Mail Address OCX33 AW 10
City n N ,zb b v L st W 4 zip °l gS
Applicant _���3rdl D. M V+V—0 V- L C K Phone#— g°I — a `1 o
Applican Address W` Iti
city N +� v� St W Pt zip
#2 Parcel No.�� 3 - Y
Legal Description ,
#3 Purpose of Pre-Inspection QA� `
' t
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#4 Use of building ltA, t1'"k
#5 Indicate by circling the applicable source if any water is on or adjacent to subject pr rty:
saltwater lake creek stream marsh river pond wetland seasonal runoff other
Directions to Site:
Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems,
Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc.
t _
Applicant Signature �" � V Date
--------
FOR OFFICIAL USE ONLY: Accepted by: Date:
Receipt No. Referred To
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
Special Conditions
BUILDING PERMIT APPLICATION
MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584
427-9670 DATE ISSUED
PERMIT NO.
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
DIRECTIONS
TO JOB SITE Z�7
PARCEL LEGAL f
NUMBER *DESCR. / V f
CONTRACTOR
NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. ZIP PHONE
USE OF
BUILDING
CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE
WORK r
DESCRIBE
WORK �Zc
BEDROOMS DECKS Y OR N CARPORT NOTICE
TOTAL SO.FT. �'^n- �i��
BATHROOMS DECK GARAGE SEPARATECONDITION / �J7��-OR AIR
TOTAL SQ.FT. TOTAL SQ.FT. -fQJ bl'Lt
NO.OF STORIES BASEMENT YORN THIS PERMI :DISNOT
LIVING AREA BASEMENT COMMENCE d� �Q IDED OR
TOTAL SO.FT. TOTAL SO.FT. CHECK ONE ABANDONE /
PERMANENT FIREPLACE ATTACHED
SEASONAL SHORELINE DETACHED C! .'L�l
VxC:.�E-yt �y.I.
OWNERS AFFIDAVIT CONTRA
I CERTIFY THAT I AM EXEMPT =ROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY TATE OF
REGISTRATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGT PING THE
REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FO L BE IN
IN CONFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORM..n aCI'1C.a r..wv�.r...�ww or+..��oc.a..uc.a i..w _dTAINING
OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT.
X OWNER DATE X BY DATE
FOR OFFICE USE ONLY
DEPARTMENT YES
PPROVE NO DEPARTMENT YES APPROVEDBUILDING VALUATION
HEALTH PUBLIC WORKS FEE
PLANNING FIRE BUILDING PERMIT
D.O.T. BUILDING PLAN CHECK
SPECIAL CONDITIONS BUILDING GROUP PRE-INSPECTION
i SHORELINE
i ¢ v�, WOODSTOVE
PLUMBING
MECHANICAL
STATE BUILDING FEE
STATE SURCHARGE
APPLICATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE PERMIT VALIDATION
TOTAL
BY CASH CK MO
MR. & MRS. EDw. MATKOVICK
E.8333 Hwy. 106
UNION.WA 98592
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