HomeMy WebLinkAboutMIS96-0384 Cancelled Pier, Moorage and Ramp - MIS Application - 6/19/1996 I
MASON COUNTY �:,{�
.. MISCELLANEOUS PERMIT APPLICA N 0 .
426 W. Cedar/P.O. Box 186, Shelton, WA 98584.427-9670 ��Ur� r
PLEASE PRINT '
#1 Owner Stephen Drugge i Phone# [ 206 ] 284-2111 Fire District#
Site Address,_n� 10181 Highway 106 (So Shore Road ) City U
Mail Address 1714 Magnolia Blvd. West
City Seattle St Wa . Zip
Applicant Stephen Drugge Phone # 206 284-2111
Applicant Address Same as above
City St Zip
Directions to Site: Take South Shore Road (Hw . ,106 ) a rbximatel.y....2. miles ..west . of
Twanoh State Park to 101 1 add ss . Site is also situat d a i
2 . 5 miles east of the A derbrook �d. velo ment .
#2 Parcel No. 322 - ti" _ 100008
Legal Description See A - ached egal Description
3 : Indicate by in applicable s urce if any water is on or adjacent to the property site:
saltwater lake river creek strea pond wetland. seasonal runoff marsh other
4 Proj ct Start Date arch .1 1996
_ Project Completion Date June 1 ,' 1996
>5 Use of ildiing Exis ing Single Family Residence
Describe proposed construction
Pro os l is to onstruct a private moorage facilit at applicants property.
-Cons tru ion . w' ll include a 35," w6
od pier., 4 '
teel ramp and
a 20 ' X 3 '' — 'U" sha ed moora e float . The ier and float will be su orted
Qr stabilized by creosoted wood piles as indica P on the atta.chpd site
j.an
'Depending upon.the type.of permit,a floor plan and plot plan may be required.
'This permit is valid for 180 days from the date of issuance.
OWNERS AFFIDAVIT
- CONTRACTORS AFFIDAVIT
t
CERTIFY THAT 1. AM.EXEMPT.FROM THE REQUIRE I CERTIFY THAT I AM A CURRENTLY REGISTERED CON-
VfENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON•AND;I AM
:ICW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OFTHE ORDINANCE REQUIREMENTS REGULAT
DRDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH,THE PERMIT IS ISSUED AND
IS ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL'BE IN CONFORMANCE THERE-
=ORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
NIT HOUTFIRSTOBTAININGAPPROVALFROMTHEBUILD- OBTAINING.APPROVAL FROM THE BUILDING DEPART-
NG.DEPARTMENT. MENT.
C OWNER.. ... .. X:BY
)ATE
DATE
Show following on the site plan
Lot Dimensions Flood Zones
Existing Structures Fences
Structure Setbacks Wells '
Water Lines Shorelines
Drainage Plan Easements / ��^
Septic Systems Name of Fronting Street / Ipdicate dire cre 4y
Proposed Improvements Name of Flanking Street , �'`' S� � ;
i
-PLOT PLAN AREA
vV
4r
Or
n �
PLAN V1 W
rx' 4A axJ£y�e. `k'" 6''.' F ""' "'9''�°°n a'r�£' r B'!i`•'X. x �.? - yes _
ax :> -.• st x" s3a 'ow§�.2.sr�.3� a �z`a � 6a c &
MISS, 00
� '�C� F k2y NOW
�•x`k�£
pie KS �� � J�Qate
a F,oSE�"iy'S'�as`Y .755.. S 'Stfwya z"Rts
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY -
Planning � D�� 5W-q '-0�3/ APP COND APP HOLD
�I!Z
3uilding
Fire Marshal
Dther
Special Conditions
Fees ,
iuivL� ro . _ 2b Permit Fee
rpd ,T 7 Plan Check 5Tc, PLAN' --�
- � Other
Other
State Building Fee �•�
TOTAL DUE $ '
i
�JI65 V.,TS-C 1.221
ry a
5246
CG
5R-l.Ol�
a, r f 50, sHoaE lzo,)
� 1n� �-'; O� =r-t 106{
/ Site% �� ,A, FEET
6
D� `` r `<` C�.•� `�� 5245
' VICINITY MAP
10
`�, SCALE IN NAUTICAL MILES
�0, /FRGM* 5C c G5�CR�RT Na. A7123-C1-'!F �2q
�N so
N5i P
,O
SGALK:I=SO
PLAN VI W 4 PIN
ice
iZlw. (-141q(.
PREPARED BY: /' 4CST-.-_. ' ° _ 4 C@`'
PURPOSE:Private Boat floorage PLAN:& PROPOSED: PIER.,RAMP,AND.
DATUM:' mLLW a o,o� MOORAGE FLOAT
ADJACENT PPTY. OWNERS: P R OF.I..L E IN: HOOD CANAL
1. Bon St.Hill do The WBlows
3201 Pine Rd.N.E.,Apt.342 AT: THE GREAT BEND OF H.C.
Bremerton,Wash.98310 O ZS so 75 160
2. William A.Latta STEPHEN A. DRUGGE COUNTY OF:MASON STATE:WA.
Olympia.
ia.Was L 9 Br.S E. 1714 MAGNOLIA BLVD.W. APPLICATION BY. -S. DRUGGE
Olympia,Wash.88501
3. S.R-toe,-state of Wash. SEATTLE,WASH. 98119 SHEET 1 OF 2 DATE:11140