HomeMy WebLinkAboutBLD CD Environmental Health Review - 3/18/2024 PBnnH 11 -1
MASON COUNTY �1 rl `P' 310
COMMUNITY DEVELOPMENT „I
Permit resistance Center Building.Planning
BUILDING PERMIT APPLICATION 615 W. Atider SYe�Dt M
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
1 NAMF:lemey s maoe Media-re NAME:Torry E.ans Constructed LLo = .�
MAILING ADDRESS z14HBN PL S MAILING ADDRESS:P.O_Bom 1551 M Q
CITY:Des monies STATE.WA ZP,dur °a°e CITY:seenon STATE,WA 224mi^ D Z
PHONEFI 206714 — _ PHONE7yRd`e`aRC` CELL. 36alen tC z
PHGNE k2: EMAIL:ra ri1m@nmmaiearn
EMAIL: L&1 REGkTEERYECFIRO ERR 5/2U/25 = M
PRIMARY CONTACT: OWNER CONTRACTOR H OTHER[IZ
NAME T^rt..,r EMAIL B1.1.1uueer@ddmail.wm D
MAILING ADDRESS RD.Box 1551 CITY a^nio^ STATE WA ZIP9e584
PHONE aw+somsx CELL sayner- _
PARCEL INFORMATION: p
1PARCEL
NUMBER
Digit Number) 221RLM-0BDm ZONING
LEGAL DESCRIPTION(Abbrcvis[cJ)BFSBory LANE 2TR2g FIRE DISTRICT
SITE n Lake Cole CITYOmpi C
DIRECTIONS TO SITE ADDRESS Out HWY Into 1011an Mason Benson Rd.Turn tenon yod Benson Lake Dr.entrance DDDraeway is onlell \ FivFO
IS THE PROJECT WITHIN 300 FT OF SLOPED)GREATER THAN 14%: YES[] NOE] SNOWLOAO: psf
IS PROPERTY WITHIN 200 FT OF=FOLLOWING: ich.doll Jmrapp[v/v
SAL'I'WA"I'ER❑ CAKEQ+ RIVER/CREEK❑ POND❑ WEI'LANDL] SEASONALRUNOFF❑ STREAM_0
TYPE OF WORK: NEW 0 ADD]'I ION ALTERATION ❑ REPAIR❑ OTHER Ll
USE OF STRUCTURE(Faud—E...P..cama,.rdaf lads Ed)Beelde sed
ISU.SF,: PR/MARYQ SEASONAL[] NUMBEROFBEDROOMS3 NUMBEROFBATHROOMS2113
HEATED STRUCTURE? YES C wr, N,[1 YES fe,,jd,, rl NO❑
DESCRIBE WORK buud may a real.¢amen..
SQUARE FOOTAGE: rvr'vot•51 �s 1
IST FLOORIBP3 eq.fin 2N'DELOOR1324 sq.IT JRD FLOOR sq.R. BASEMENT sq.IF
DECK , IL COVEREDDECK976 sq.ft. STORAGE_ sq.. OTHER sq.ft.
GARAOF612 sq.ft. A11,1MO DemohEd❑ CARPORT sq.R. Anaohed[I DISHed❑
MANUFACTURED HOME INFORMATION: -4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMB ER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE,. SEPTIC❑ SEWER❑ / NEW Q+ EXISTING[I
THINKING IN STRUCTURE' YES[' NO I'Yes,atmch mml Waty Adih Farm
PERIMETER/FOUNDATION DRAINS PROPOSED? YES(] NO. EXISTING SQ.PT._
EXISTING BEDROOMS PROPOSED BEDROOMSS TOTAL BEDROOMSB
OWNER a6nov ...am used-onal.....u21e in1ormalion may resup lnasl0p wod ortler or pertnJ revocation.ACMowleddementofauchal
signaWre ha ow.I Eedere Nat I am an.owner atb I EMer Oeclere that am entitled 10 receive this permit and 0 do the nem as pmposee,I Cm
donned permission I'm MO.necessary panieq edutling any easement Mlder or roir se of lends sl regar0ing tine prgetl, hte mvnaror legal
representativa,regeemb lhat Pe inimmetion pmnded h..curate and grenls employees a(Masan Courtly awes 10 Ne agave descndM pro
and tlure(s�srm Or review and In mmi spaden. This piJappl ca wm vd tNn dees null& d R more or authorized consai 15 did m ednenCM wi00�80
days ar Tconstmglon wnrh Is suspended fora petlw of 18D days
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMWOF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
\A COUNTY CODE 1d.O8A3)X �_
,,ff-M-J`T) 3- I Z
It-
-sqnatuie RDWNER(Must be zianetlbvthe OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
FIT DOING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH r
for : D�ane.'� FPr Marrtmsoh
�`4rcc\qua\o3 \- 0
EH Setbacks
V640 E,� Zr - s ' ; m �
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\—. a a ' .y D um3o a lem^r ra,
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S:fie I.11 ^, °s ,,.� ,
P� ti ,
aao^m1Da L. _ ,.
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j1� £ Er1 APPRovED
II �r Q
1
0 3(o �vra.dbS�nA �o�_�n
36°-'lam 5nto�cTec )ovrn
40' -4i V+o'ef NoasF, �1;rPA\ �
0' -35 -
40
y�grov n.
t E
0 P I Noo6
ADV2024-00061-SIDE 5' MIN
SHEDAll
pajaet,on are measures from lM19lunM1asl V
v�eiecm^A t �y;I'
��.-ytnIIF1 i \
D i,III, SEA 3AC1Ir
sl9^oe AS P60. ft i1 kVb 4 \
Qx san "'w u Reayn
RR5 Zoning o [ III
Front Yard Setback. 25'. o
Side & Rear Yard Setbacks. Residential dwelling
and accessory structures is 20'. °e,^Liue,^Lh
OR 10%width of lot it not more than 100' wide B�rSoo. I,jk
OR approved ADV 04/11/2024 1
APPROVED
MASON COUNTY DCD PLANNING
500TT WEDY,AW