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Home My WebLink AboutBLD2024-00241 - BLD CD Environmental Health Review - 3/4/2024 MASON COUNTY Permit COMMUNITY DEVELOPMENT pertnXAzeisbxe Centan U11clim PHmiq FEP 202024 BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION CONTRACT OR INFORMATION• NAMR 413AD NAME:PmIXvp mnmwumk Cg,RJG ADDRESS:a4leMam M-X MAMNO ADDRESS:I Al eeatlgM �.. CITY:---xe STATE:_y1 RISE CITY:amlix STATE:•- E/P.05114 L PHONE NI:anaoe.0ns PHONE: +'rtTl PHONE N2: CeT'L:5aa�o•un—� SAOAI,:leO.¢.®mDmXl.epm EMAIL.Oaat®IaaNeskprXwcum<Ra --� G�iZ I,&.I REG#tmN�Nm04ab EXP. I <_l_ PRDIIARY CONTA — � owxsR❑ coxTRAcroR❑ DTxnm❑ n MAIWNGADDRESS'IOet-e vYaM EMAILftR+H6lmdte-amn-awbn CITY�+^ STATE en ZIPea5a4 r PHONE CELL—I- T � _ PARCEL INFORMATION• PARCEL NUMBER(12 Digit Number)4=50000VFINE ZONING LEGAL DSSCRW]'ION(AbGeviekX)kanmm�263] SDE ADDRESS22inpr4lpmr ermM L1TY�peX CT �r D DHtECfIONN TO STCE ADDRESS n101 bRmnkka aXbmenplen pn nl-W oalmen A,IannmvuXC-pylp ebyXennmR-E . ITS Nvtlr p.Wm n m n patlNli p,pgyty yr IYI MTRRPR0.5ELTWITHIN300F1'OFSLOPE(S)GRSATERTHAN I<%: YFSD NOQ BNOW LOAD• IS PROPERTY WIT®N 200 FT OF THE FOLLOWING: (cx.•xmeyayyy): SALTWATER❑ LAKH 0 RIVER/CREEK❑ POND❑ WETLAND p SEASONALRUNOFF❑ STREAM D TYPE OF WORK: NEW❑ ADDITION D ALTFRATION I] REPAIR❑ OTHER n USE OF STRUCTURE(xwam..,ceoxe comme.MlaNa ge)tlryX4m ml4ce ISUSE: PRIMARY❑ SEASONAL❑ NUMBEROFBEDROOMS3 NUMBEROPHATHROOMSS HEATED STRUCHIREY YES lx"DW B YES IPmW Wand,)❑ NO❑ — DESCRIBE WORK�^a0N prwEwene etlE eelms-m mM SODARE FOOTAGE:(prN„rr) P7YIOCIC.e. SO J ISTFW0R_q,@ 2NDFLOOR012 q,@ 3RD FLOOfl_ q.@ BASEMPM q,@ GARAGE q.@ COVERED DECK q.@ STORAGE q.@ Ot 13R m q.@ GARAOE_q.ft AnucAeA❑ Derached❑ CARPORT q.@ANocAWD Depytpi l MANUFACTURED HOME INFORMATION: •s COPIES OR THE FLOOR PLAN REQUItED• MARE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNUMBSR ENVIRONMENT T EFEAIXIL SEWAOPJSEW1Dt SOURCE: SEPTICO+ sEwFE❑ / NEW EXISTING 0 PLUMBIIG IN STRllCfIIRET YESEI NOD )Tye.,morph c-Vetm HblerAdgvecyForm PERENETEENCUNDATION DRAINS PROPOSSO9 YES❑ NOp ETISTINGSQ.FT. EXISTING HEDRCOMSa PROPOSED BEDROOM30 TOTAL BEDROOMS OWXER aGnowbtlpea M-teuCmka'm p(Ineay2lemlpmybn rreY reerlX In a ebp vork operor permtt raveulmri.pyrivMypemanl W augl M Ey alOnelwa CaYm. tletlen tM em iM oxrereM mMerneckla Nel l am entltletl b receive rniz permX enE W Eo tlq yg1r ea prgpp,I Mw ��zenetlw�mPreeenl¢d0R me inlonnepmna,lndutlnp enY ee¢pnenl Mltlw or penles allnlenY rwtllnp btiv pgeG The wmsvlNel enE abuclure(al brnNBW anE In pmXE°n is epN2le vna grantae&mid ff of Mazon CpurM1yeaevblM eNu-Ue¢plylpmpgly aenanm�sovapn wnie¢ �maa'ta,lepmnNeppllnSm Eecamaa nullavoiE uaan<o.ew,aue conawaen nnpl mmnem.E wnan IN eme PaEm ertw Eeye. 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 FRPIREO.(MABON COUNTY CODE 14.05.42) X 11/29/23 gneiup pfOWNER IM lbe i edb M OWN R Dab EPARTMENTAL REVIEW APPROVED DATE DENIED -DATE T'AG"OTEWCONDTITONs HUE WO DEPARTMENT PLANNING DEPARTMENT FDIE MARSHAL PUBLICHF.AI.TH