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HomeMy WebLinkAboutBLD19184 Carport/ Shed - BLD Permit / Conditions - 8/21/1986 TYPE CARPORT/STORAGE SHED Permit No. 19184 No. Floors Sq Ftg 324 Owner ADAMS, Alan D. Tel898-2966 Date 8-21-86 Address E 9741 Hwy 106 Union Zip Contractor Self Address Zip Legal Description Merrimount Bl. 1. Lot 5 Direction to project site 2-1/2 miles East of Alderhronk Inn on Hwy 106 Plumbing Mechanical Sewer Wood Stove Fireplace Deck Garage Carport Basement Loft Other Carport 18xl8 Storage Shed Addition 6x16 L Shorelines: Plumbing: Setback: _ © Mechanical: Special Interior: Conditions: FINAL:4 y 7 Mobile Home: Smoke Detector: Remarks: Footin /{ 7 �G SetbaCK: Foundation Walls: Framing IOZ Fireplace: Wood Stove: Sept 3, 1986 Note to File: Don Fawver reviewed the file and asked me to call Mr. Adams. I did and so notified Mr. Adams of our oversight regarding his storage unit and the propossed addition which will be up to the property line. Mr. Adams' choise is to move the addition to the storage unit back 5' from the property line - or - to get a variance. I mailed the variance request forms to Mr. Adams on this date. Nancy "11-1Z �..2 �r�o ✓Yzc� G�oGCa�� �t,C� BUILDING PERMIT APPLICATION MASON COUNTY DEPARTMENT of GENERAL SERVICES P.O. BOX 186 SHELTON, WASHINGTON 98584 G 426-5593 DATE ISSUEKe HVI_5/ � PERMIT NO. OWNER NAME MAILADDRESS CITY&STATE ZIP PHONE d L �r 74�1 l cvy « ��c�u `� i�z ` DIRECTIONS TO JOB SITE 2`�Z_fZ�L� LEGAL DESCR. Z—U 7-- NAME MAIL ADDRESS CITY&STATE LICENSE NO. ZIP PHONE CONTRACTOR USE BUILDING CLASS OF NEW ADDITION ALTERATION REPAIR MOVE REMOVE WORK DESCRIBE WORK G trG-'C.1%> �u 7`'-Licxz'l. z- 1" r' /Z X r ) , X BEDROOMS DECKS CARPORT r,� NOTICE BATHROOMS TOTALSQ.FT. GARAGE c� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. NO.OF STORIES BASEMENT ATTACHED THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR TOTAL SQ.FT. FIREPLACE DETACHED ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. PERMANENT SHORELINE SEASONAL OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIREMENTS OF THE CONTRACTORS I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR IN THE STATE OF REGI RATION LAW RCW 18.27, AND AM AWARE OF THE MASON COUNTY ORDINANCE WASHINGTON AND I AM AWARE OF THE ORDINANCE REQUIREMENTS REGULATING THE REQ REMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL WORK DONE WILL BE WORK FOR WHICH THE PERMIT IS ISSUED AND ALL WORK DONE WILL BE IN IN 4INFORMANCE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT FIRST CONFORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITHOUT FIRST OBTAINING OBT NING APPROV FROM THE BU D EPARTMENT. APPROVAL FROM THE BUILDING DEPARTMENT. X OWNER " /��DATE X BY DATE FOR OFFICE USE ONLY DEPARTMENT APPROVED DEPARTMENT APPROVED BUILDING VALUATION YES NO YES NO HEALTH PUBLIC WORKS FEE PLANNING FIRE BUILDING PERMIT D.O.T. BUILDING e / PLAN CHECK SPECIAL CONDITIONS BUILDING GROUP /Yj / fy PRE-INSPECTION oCc m S ray Shea cc G C'S fvv �Iot SHORELINE PLANNING G $,S'} �� ✓ PLUMBING it MECHANICAL STATE BUILDING FEE STATE SURCHARGE APPLICATION ACCEPTED BY P NS CHECK APPROVED FOR ISSUANCE PERMIT VALIDATION A) ��3Y� BY 0Ol— CASH CK MO TOTAL ��� ' 3s_ PLOT PLAN `3 6 ADDRESS E /2Y 1 h (IJA 725Y,LPERMIT NO o = o n > LEGAL DESCRIPTION LOT ,Jl BLK ADDITION SITE AREA " Sq. Ft. AREA OF SITE OCCUPIED BY BUILDINGS�3 6 Sq. Ft. ? INSTRUCTIONS TO APPLICANT THIS FORM NEED NOT BE USED WHEN PLOT PLANS DRAWN TO SCALE OF NOT LESS THAN 1,'=20' ARE FILED WITH PERMIT APPLICATION. (EACH BUILDING SITE MUST HAVE A SEPARATE PLOT PLAN.) FOR NEW BUILDINGS PROVIDE THE FOLLOWING INFORMATION IN THE SPACE BELOW: LOCATION OF PROPOSED CONSTRUCTION AND EXISTING IMPROVEMENTS.SHOW BUILDING,SITE,AND SETBACK DIMEN- SIONS. SHOW EASEMENTS, FINISH CONTOURS OR DRAINAGE, FIRST FLOOR ELEVATION, STREET ELEVA- TION A-ID SEWER SERVICE ELEVATION. SHOW LOCATION OF WATER, SEWER, GAS AND ELECTRICAL SERVICE LINES.SHOW LOCATION OF SURVEY PINS.SPECIFY THE USE OF EACH BUILDING AND MAJOR POR- TION THEREOF. 0 INDICATE NORTH IN CIRCLE GRAPH SQUARES ARE 5' X 5' OR 1"=20' + i , I .r. j'1 lZ � i r I/We certify that the proposed construction will Conform to the dimensions and uses shown above and that no changes will be made without first obtaining approval. NAMES) OF OWNER(S) OF S1TE S STRUCTURE(S) (PRINT) IGNATURE OF OWNER(S) OR AUTHORIZED REPRESENTATIVE DO NOT WRITE BELOW THIS LINE APPROVED DISTRICT AS NOTED DATE CHRISTMASTOWN PRINTING