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Home My WebLink AboutADV2024-00087 BLD2024-00435 - BLD Application - 5/13/2024 MASON COUNTY Mason County Permit Center Use: COMMUNITY SERVICES , L ADV �IJ �f1 t' Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and Qutters. Applicant/Owners: Td'l / Mailing Address: OUJ City: State: Zip: a� 0Z Telephone: "-fo�� -�C« -(t'�h D. Email: J)y i o9 u Y&tjO m I'Y1Li ►tom 0 ne f- If this reduction is tied to a building permit,please give permit case number. BLD .�LDZ - U ParcelNumber(s): 6te - lbba Zoning R'J Site Address: (� �� ►"�O fa rn LCU bri, V Requested setback variance: 10 ft. Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks-From access easements and road right of ways. Minimum 10 feet. Rear Setbacks-From the rear property line. Minimum 10 feet. Side Setbacks-From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water,wetlands, critical areas, septic, well and driveway. Show all proposed new development. FRON)ting AND OR REAR YARD REDUCTION RE VESTS: Fore ' lots of record as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-fourth acre; ❑ e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; �] ❑ c) lot width at the front yard line of no more than 50 feet; �1 ❑ d) lot size of no more than one-half acre; 4- ❑ e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. Owner/Agent(please indicate) Signature Date O e On Approved by: Date Denied by: Date Reason for denial: ' .. MASON COUNTY NTY Permit No:V1t1&Mrg0WVE D COMMUNITY DEVELOPMENT APR 0 3 2024 Permit Assistance Center, Building,Planning BUILDING PERMIT APPLICATION 615 W. Alder Street .�J PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: pNAME: �0 `� S�`t` �\ NAME: Sam �! MAILING ADDRESS: 2.63 u MAILING ADDRESS: '• CITY:C) `\ STATE: wN ZIP:_ CITY: STATE: ZIP: PHONE#1: PHONE: CELL: PHONE# k- Z a 'L EMAIL: E L ' Y L&I REG# EXP. t PRIMARY CONTACT: OWNER CO RACTOR❑ OTHER❑ cif NAME EMAIL J MAILING ADDRESS CITY STATE ZIP �l PHONE CELL PARCEL INFORMATION: n /� ( ry,/� _ PARCEL NUMBER(12 Digit Number) �},A(7,I ' UL 'lJ t��'/l� ZONING LEGAL DESCRIPTION(Abbr�ate f 1- FIRE DISTRICT' SITEADDRESS_ 1D 1, Idq �r�jl�r�(.{fV1Cl� Di-II/L CITY DIRECTIONS TO SITE ADDRESS s cv C'rt f IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOl SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all thatappl)): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑' STREAM❑ TYPE OF WORK: NEW, ADDITION❑ ALTE(R�A�TIO`N❑'j/REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Camm ercial Bldg,Etc.) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDRO MS 3 NUMBER OF BATHROOMS '2-- HEATED STRUCTURE? YES(Whol Bldg) r�YES,(Parils)ojBldg)ElNO❑ DESCRIBE WORK 111-1t l�1 r C7 A M SOUARE FOOTAGE:(proposed) (� 1ST FL .ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. sq.ft COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: n *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE_ MODEL 0knA v-Pa('70 C EAR 20-zq LENGTH 4f FL WIDTH BEDROOMS BATHS_ _SERIAL NUMBER_ ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC,2' SEWER❑ / NEW,' EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ Ijyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NOl EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS—:ZL� TOTAL BEDROOMS OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review an&inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. 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 COUNTY CODE 14.08.42) Signature of O'NER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH (, ( Zuz-4 —001A