HomeMy WebLinkAboutBLD2024-00379 - BLD CD Environmental Health Review - 3/19/2024 MASON COUNTY Permit Nq: E5�_00? I0
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center, Building,Planning MAR 19 2024
BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACT/OR INFORMATION:
NAME: JaIhe,6 Q On NAME:di" r .�•,cx Z
MAR,ING D 2D SS- F : MAB,TN(iCM{t .PRE": !ST ,tµJ..a
CHY: STATE: 21P: CHY: Tel STATE:_y14 2iP: XS
PHONE#1: 9Lo-319- KY
3360 PHONE:? - i fl' CELL: d+ ! ))P
PHONE 02: EMAE,: Y•a ! ' i - '�� O
EMAD,: Lw RW1 JDC :/(L(fL24(. EXP. /� j
PRIMARY CONTACT: OWNER❑ CONTRACrORD OT9gR❑
NAME EMAIL K( G� ` ,
MAILINGADDRESS <{ CITY STATE ZIP O
PHONE CEW
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22- 26 - I - ZANRR'i f�i Ili- 5 r
LEGALDESCRIPTION(Abbmvi&ud) C FlRE DISTRICT 5
SHE ADDRESS �i'4`I 1 t Gnt I cTrr Y�
D TIONSTOSHEADDRESS
ISTHEPRWECTWPFRMN3 OFSLOPE(S)GREATERTHANIO%: YFSIN NOD SNOW LOAD:jff-p¢
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: IcnrYmweusArl:
SALTWATER❑ LAKE❑ MVERTMEEl PONDIJ WEILAND❑ SEASONALRUNOFF❑ STREAM[]
TYPE OF WORK: NEW ta ADDITION❑ ALTERATION❑ REPAIR[] OTLIER
USEOFSTRUCTUREI%w .,GemgeCwxreMaIHNA9e) R-' Je.nee.
MUSE: PRIMARYWb SEASONAL[] NUMBEROFBEDROOMS NUMBEROFBATEROOMS 2 _
HEATED STRUCTURE?? YES Slay� YES geley❑ NO❑
DESCRIBE WORK_ /¢^F"NP T4 Cf V.0 I-�agr"
SOIL_.RBO;AGE:revpue/
�1SSTT(FWOR�IS:�'( NfIDD 3NDFLOOR aq.R ]RDFLOOR K.A BASEMENT K.ft
EC - gyp.IL COVEREDDECK • aq.ft STORAGE N ¢q.ft OTHER \ aq.R
GARAGE \ sq.I Abr#ed❑ DereeMd❑ CARPORT I N.A Ae d❑ Tla.Wo
MANUFACTURED HOME INFORMATION: e1 COPIES OF THE FLOOR PLAN REQUIREQa
MAKE (.1kM 14 V MODEL a edL/ Lonl,r• 2111 YEAR %%02 N LENGTH
WD)THI'I'L• BEDROOMS . .3 BATHS y SERIAIMMBER fg➢
ENVIRONMENTAL HEALTH: �/
SEWAGEISEWER SOURCE: SEPTIC SEWERS / NEW[I EXISTINGi7
PLUMBINGMSTRUCTURE? YE&E' NO❑ UreA anoM cnmDfwa WwarA*a ,v Farm
PEIUAIR ERTOUNDATION DRAINS PROPOSED? YES❑ t�pEr OUSTING SQ.
EKISTDIGBEDROOMSD PROPOSED BEDROOMS TOTALBEDROOMS
OWNER kriwAeyes MeibMLon mNem�mbinbnne0on mry mauXlnagq wA wUwwpmHlawalkn.MArurMe manlNe,Y.laq
¢YjuWe Ctlmv.l bYae tlol l em Newmer eM I NNa'Eetlere Nal l am Wi11Y to�www Nia PomksNbUo Ne vmh es pOyvwU.l eM
odeineO Po�mbnmhwn Y me mwaauy peNea IrAUEMq eny eaumenl bolOeror penis¢of iNeroel ipv9�p Mb pgett. The wnarry k0al
mwefenlatlw,rewtlmeNY Ne IYO�mNM qOW M I¢ecpi2le entl Bram¢employees W Mesm Conly eabtl b Na eEOw CeeuiOetl pgeny
vtl¢hutlwela)bmNew aM in¢petlbn. inia pennX/a(gllrs4'on EemmeanullawiCaxorF weutlwf¢m mreauGw�ie nN mnmoMBE xiNF 1W
Erya wRmn¢4uNm vwM i¢euepentle0 for a PonoE d 100 Caye.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
P MIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 140EA3)
K - 2— it�z
SgnYu AWEIR IMYY be slanetl by Me OWNERI Dab
D4fARTMENTALIUOVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS
WINING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBWC HEALTH
w�
O c z'm T� FFv�
aN E ."o $�
pE _
Q N (J CNN O U' i
p co W>
Z owe
J = - ww0
d a =r2
0
T
a
a
�,ys 8
/ E
mm
0
R U
CL
Q = €e�
W E
g �QiQs w
a Esc
Ms
o- £
N
Ri
Y J
H' I
Q � ` l
TT
A `✓
3 N
€ w
a
U3
a
z o 3 € ro
mwm 3 -•'
N T W Q Q
A!l m
v� � ON
WNm3e
-N 'ry NN
SO T@0
= a m
� S
�C.Brfu.�d I6 IdZ OualiN since f9d5"
1124 Gerber SL.P.O.BOK250 Celtlxall.ID 838069250 208-454-5000 8OD-B5B-034] Fex 2p8-45532]4 www.kiMes[mm
,y "a
arll sar
Ir
6 cr
ti
n e
File ,
3=�q$q = p D
Is s bb. Ya
> 0o,2Z9
pN 3m3 N � O
$ i A
3 gym
it
ar
J
A^
W
1 /
L
o_ , DPI
O r y
r
d F o Z
M�- wd D
coo v o c �'O
c g m
Dyy n � cN �
yas
0 0.
v°
i
m i 3