HomeMy WebLinkAboutBLD2024-00630 - BLD CD Environmental Health Review - 5/24/2024.tr.
MASON CO� IV EDpe`,:6&0 2 o0(050
COMMUNITY DEVELOPMENT
Permit Assistance Center,Building, la^ ing {
BUILDING %EW.'W4~ A y .
PROPERTYOWNER INFORMATION• CONTRACT OR INFORMATION: m v
NAMEA^xT1eXf NAME:^"°°"Wo<cw.uwa L 1--i
MAIf.WOADDRPSB:�WOi'Wi°" MAH,ING ADDRESS:WOW& Vx m G t
CITY:°`r°' STATE:Vr" ffi: CITY:. STATE—W ZEN°°6B Q
PHONE#l: PHONE r°0'a°°Ou' CELL:
F•—
PHONE#Z: EMAIL
:
EMAIL:
L&I REG#"Pa - EXP. /_l LLI =
pR1MARY CONTACT': OWNER[I CONMACPOREl OTHER❑ J
NAME Mbrin EMAIL'+�^""°:"m'n^' Z Q
MAILING ADDRESS't°°wRr. m CITY•'" STATE VM ZIPS
PHONE CELL O Lu
cc
PARCEL INFORMATION:
PARCELNUMBER(12Di9l Nmnber) ulasmmas TAXING R.N°.A
I.EGALDESCRE'TION(AbbreviYd) ,' PBIH DISIRICIIO z
SITE ADDRESS ON wo..trw CCTYw"X°" W
DIRECTIONSTOSUEADDRHSS Ti°i1%btl��°'I^wwpN .
Bi PROIP.LTWITBDi300PFOFSLOPE(S)GBEATERTBANI/%: YBS[] NOB SNOWLOAD:�--af
ISPROP TER O THm 200 FT OFi� POND[]
W W LAND[
SALTWATER D I fYP❑ RIVER/CRBEK❑ POND❑ WEDAND❑ SEASONAL RUNOPP❑ STREAM❑
TYPE OF WORK: NEW® ADDITION 0 ALTERATION G REPAIR OTHER ❑
use of STRUCTURE(Aamnn,Grox cawawanew�)P1tl
MUSE: PRIMARY0 SEASONALQ NUMBER OF BEDROOMS NUIdBEROPHAl'HROOM9_
II'ATEDSTRUCTURE? YES(v XW❑ YES(pffJeAW❑ Nob
DESCRIBE WORK^"`�^"�1X•N
NODARE F )OTAGE:&,,-0
1ST FLOOR p.fl 2NDFLOOR_.q.& 71DFLOOR_N.fl BASEMENT_9-ft
DECK e & COVEREDDECK_.q& SI'ORAGE�N & OTHER_y.8
GARAGE Q p.& AO of[3 Dn )d CARPORT y.It A—w I3 Dem 13
MANUFACTURED HOME INFORMATION: V COPHIS OF THE FLOORPLAN REQUIRED'
MAKE MODEL YEAR LENGTH
wmTI BEDROOMS BATHS SERW.NUMBER
IMNLRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPPICx SEWER❑ I NEW[] EGSTING)(
'PI:uNIENG IN STRUCTURE? YES D NOB ffP .O h[n.W/tld NaterAdwO FPrW
'pERTMBTER/FOUNDATION DRAWS PROPOSED? YESD EZISDNGSQ.P.
E)OSTINGBEDROOMS IROPOSEDBIDROOMS TOTM BEDROOMS
lign
Weagea Nei aNnYtiai d w.l eeaare MM:am M.axiubn M1om all Ne nemsury.repreaeTa mal Ma imonnaa)Mrrtview eaa Nmeaion.si mew.�n:is a�asmm F CON? UATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PLI(I�tpN OF L80 DAYS OF MORE WILL CAUSE THE APPOCADON TO BE ERPIRED.(MASON//✓�`'--lCOUMY CODE 10.08A2)L/f/pyylln.owxFR1 1
DEPABTMIiN REVIEW APPROVED DATE Muniz DATE TACSMOTIisK.ONDTOONS
BUEDING DEPARTMENT
PLANNING DEPARTMENT
I=MARSHAL
PUBOCHEALTH Q
APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES SUBJECT TO APPROVAL
By: /" �"'T Date: 07/11/2024
PLANNING:
ALL SETBACKS ARE MEASURED FROM
THE FARTHEST PROJECTION OF THE
BUILDING
PLANNING SETBACKS
Front: 25'
Rear and Side: 20'
'Subject to EH Setbacks
EH APPROVED
Rhonda Thompson 07/24/2024
This structure not
reviewed under this
permit
5' min to tanks
I -
EH setbacks nwa
AI Dnwnry6ld/ e. ewires 5'aelEazk Irom lootirg/IouMations
with WAI A-Q(10V—
B)Sa0zlank(s)niquires 5'setaaM lmm all twtirglbundalions
wM WAI—NYA 5' min to reserve
C.)No MmidalunPenmaler OMM within a ,m npradenl of
Drainw&R...area
D.)No am eank(s)(Vremer man sit and wer ae"ma)within
5M,Eown wadiem of DrankeWReaarva area
6�ozo2� -ooto3O
APPROVED PLANNING:
— MASON COUNTY DCD PLANNING ALL SETBACKS ARE MEASURED FROM
THE FARTHEST PROJECTION OF THE
SITE PLAN REQUIRED TO BE ON SITE BUILDING
CHANGES SUBJECT TO APPROVAL
By: xeo w Date: 07/11/2024 PLANNING SETBACKS
Front: 25'
Rear and Side: 20'
"Subject to EH Setbacks
���Mfsa� � 6cowvtoa
This structure not
reviewed under this
permit
.v
r«�
x
ores® V xax
5' min to tanks
" a
�tv6rdaLwl
5' min to reserve
EH setbacks
a.)oambeWRaosom requves 5 sero from mofnrymondafons
w10 WAIN4QQQ6j'
aii
EH APPROVED WAI NLA�dm:;5o;re Mr 3 r n a ,ftl aa
Orelno foumatow area
Rhonda Thompson 07/24/2024 5-)No cut Rankle,ccrearer dun SX and wer45 do,,mos,wNm
5
Ott,down gre mm or oramfealReserre area