HomeMy WebLinkAboutBLD2024-00338 - BLD CD Environmental Health Review - 4/18/2024 PermRNu: a G 00338
MASON COUNTY C D
COMMUNITY DEVELOPMENT
PermkAulsbrrce CmM,BUltlirp,PlanninQ MAR 12 2024 FA-
BUILDING PERMIT APPLICAT'0,1,11ii Alder - n
PROPERTY OWNER INFORMATION: CONTRACTOR IWORMATION:
NAME: NAME:
MAIL GADDRESS: MAII]NG ADDRESS:
CIT STA CITY: STATE:
PHONE RI' - PHONE: CELL: -1
PHONE p2: EMAIL:
g REG If
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHERQ
NAME - 6 EMAIL
MAIWNGADnRESS [I ATE ZIP
PHON L
PARCEL LFORMATTON:
PARCEL NUMBER(12 Digit Nombeh) A - d-Z2 - Ng O 27
LEGAL DESCRIPTION(Abbenvred) FIRE DISTRICT 1
SITEADDRESS�j/.�_R3P zbbzrs < . cm" rj t(.2�� FO
DlcEcnoNs ro srre ADnREss
nS pROIP.C'TWITHIN nOFSLOPE(S)GREATERTHAN14%: YFSD NO;KsNOWLOAD:2�
ISPROPERTYWI'LASED Ff OFTREFOLLOWING: ICb WETLAND
SAL1VlATIX❑ LASED RIVER/CREIX❑ POND❑ WETLAND❑ SEASONALRJUNOFTO STREAM❑
TYPE OF WORK: NEWA ADDITION❑ ALTERAnON❑ REPAIR❑ OTtffR DK YLAP-1
UsE OF STRUCTURE/Aendave,Cie Cow g,hgl FUY L Tl H F 2k Sl o x rill-9
IS USE: PRIAARY;K SEASONAL NUMBEROFBEDROOMS---L--NUNIBEROFBAT WNLS 'I
HEATEDSTRUCTURE? YFShRtta RtW� YES IAaI+)yg�❑ NOD
DESCRIBE WOM-F-LI LTI}EIf�ILIR'T - 2ei`e oF4� CPK4 N"39) "
RLR I.L9 7 FOOTAGE:torhooM
I ST FLOOR sq.ft 2NDF1,OOR_aq.ft. 3RD FLOOR N.ft BASEMENT eq.ft
DECR_W.ft COVERED DECK_eq.ft STORAGE NI.ft OTNER eq.ft
GA 01_eq.R AtdMd❑ DeMcill CARPORT eq.ft Aauched❑ DedoeJoh D
MANpFACTURED HOME INFORMATTON: `4 COPIES OF THE FLOOR PLAN REQUIRED`
MAKE MODEL - YEAR LENGTH
WID1H BEDROOMS BATHS SERLV,NUMBER
ENVERONMENTAL HEALTH: ,,,',�,/
SEWAGESEWER SOURCE: SEPTIC� sEWER❑ I NEW' ERISTDNG❑
PLUMBINGBNSTRDCMtE! YES[ NO Ifye:,adi endteeed Where Adegrmry Form
PER1MErERTOUNDAn0N DRAINS PROPOSED? YES❑ NQH EXLSTINGSQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
dYNER a#rhhodd s Ned su4eemon M Mv^tle Mwrional may hi in a Cry ruM1¢Net apenX no,00sow,/rbu.Medgre LdwM LLq
SgnaWre...I htl reWll eTNe wlnereMlluMerErJan Kellam eMillMM +3.etivs{mnP eMbEONe wvA eS plopasel.IMA
obd .pamisvm M1omMNe onei{artierie",,;any easement holder or Ibnke m norm re ,,,We Peered T ohdrer>bpl
,h000d. represarte Nm meimwma'm—mea'n reel am yante amployeaa of Ebean county¢ease ro he ah—aemhm pmpeM
am Aootori rm ne—aM mepeSon.TM1a p hmnrppecaeon Mrvmee m11&wid ov a moonred mrmoneron 5 not¢mrnm[ed WNm IW
dal or rcmnah on.ie 9uapCMt her a pe(gd I I der drys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF IN DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 10.08.43)
�-pnawre DOWNER MUM eaemoatl by tlee OWNER,
DEPARTMENTALREVIEW APPROVED DATE DENIED DATE TAG&NOTFAN.'ONDTHONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIXEMARSHAL
PUBLICHEALTH Y
'IRT
ADDRESS: 61 EBWOH0RE DR
POSSIBLE / 1
WATERLINE fX ,� 1
101+ FROM SEPTIC a,
COMPONENTS
I ,
ameter
F0
SEPTIC C/O
TANK
PUMP, S 1
TANK
� 1
\``
100%RESERVE 10X36SAND
LINED DRNFLD
PLN Approved
04118/2024
Mason County Community Development
Gavin Scouten
All Changes Subject to Approval
PLN SETBACKS
Front (SW): 25'
Sides: 5'
Rear: 10'
'all setbacks measured from the farthest EH APPROVED
projection of the building n.Ate.- Qfn93024
'subject to EH setbacks EH SETBACKS
A)DramfielWoserve regwres 10 setback from footmWfoundations
B)Septic tanks)requires 5'setback from all footing/foundations
q No foundation/lmmmeter drains wifhln 3D'dawn-g(adlem of drainfield
reserve area
DI No coo) bank(s)(greaten than S'&over 4S degrees)with'm 50'
dowmgrad.emt of drainfield/reserve are