HomeMy WebLinkAboutBLD2024-00662 - BLD CD Environmental Health Review - 6/26/2024 Perk Nw — L
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED
PermRAaaisfaame Wfn,Buildi�;Maanir�{ m
BUILDING PERMIT APPLICATION SUN 24 2024 G
PROPERTY OWNER TFORMATION: CONTRACTORe O
oaaurxa"x NAME:'bea""�aR"naa M Z
NAME: y
MAILING ADDRESS:W STATE:
CITY: ADDRESS:Tx SFA`E^a M'
7—
CITY:"—Na"'�^" STATE:N" ZIP: C1TY:T"^b' STATR:'N" ZIP:eMn
PRONE RI PHONE:amen twe CELL:
PHONE N2:..". EMAIL:✓�0'°"'^m'�" —L
EMAIL:� L&I REG ggcTamvavRa EXP.UNglip �{
PRIMARY CONTACT: OWNER❑ WmTaxCroRp DTHRR❑ --- r
NAME Max EMAIL le' a>•am
MAILINGADDRESS ma^""'aaa"' CITY T"re STATE"'^2lPwx2
PHONE"e""m CELL
PARCEL INFORMATION:
r�Zl a
PARCEL NIDOlER(12 Digit Namba) 7ANINOW381Oei i^ N
LBGALDESCRIPTION(ANneviaW) FIRBDISTRICTa L L�
a CS
STIB ADDRESS st no..amew CITY... � ry
DIRECTIONSTOSREADDRESS 4Anoib1�'�Vin6Tin"'0iaibnr.amw wbP"tevarae N.rwea4`) O N
BS PROJELTWPFHIM"OFSLOPE(S)GREATERT 14%: YASB NOD SNOWLOAD:_Pxf
ISPROPERTY WTDHN 200 FT OF THE FOLLOWRYG: 2>K2vuxw gyajl�
SALTWATER0 LAKE❑ RIWRICREEK❑ POND❑ WETLANDD SEASONALRUNOFF❑ STREAM❑
TYPE OF WORK: NEW D ADDITION D ALTERATION D' REPAIR D OTHER IT
Um OF STRUCTURE(aquas G n .cten� W F")VioOon n"
1SUSE: PRIMARY[] SEASONALD NUMBEROFBEDROOMSa NUMBER OF BATHROOMS
NEATED STRUCTURF? YES(w Mw D' YES(Panr✓rAW❑ ROD
DESCRIBE WORKa"^aaa"a.m.mte.e.m..—a—....am...rtsbaaaaaaaa .
SOUAM FOOTAGE:rP,,P
ISTFLOOR'm .q.R 2NDFLOOR bq.fL 3RDFLOOR sq.& BAREMENT1Ya aq.R
DECK'® q.R COVERED DECK sq.R STORAGE K.& OTHER_W R
GARAG4<--aq.R Aaa Iehio Daa . El CARPORT ,R Axx [] Detorh [3
MANUFACTURED HOME MFORMATION: 'd COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATES SERWL,NUMBER
ENYLRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC El SEWER / NEW EKISTINOD
PLUMBMGIN STRUCTURE? YES[] NO D Jjr..attach ce D&ded Wa AdMaary Foxe
PERIMETEWFOUNDATWN DRAINS PROPOSED? YES❑ NOT] EKLSTINGSQFT.
EKISTBTG BEDROOMS a PROPOSED BEDROOMS a TOTALREDROOMS a
MWR etla.oMeapx tluteudnh..bn NlrecunbInbnMlm mayneW Inaebp wAaEerapermttmeeatl".MAoMe4jm dvumbby
aa2reaaa eeio... h—inm nemeo-maanee ncaae.daese one.eeeee ma"a<mb Pe'eut.ea maoaewa ovoro®a. 1"ae
obbmea Sae^msme�en ma eamssan Saelea mcr,beb any reaemem nmaer"w'0ea of 0a.nmlecx TM o.e.er"b0ai
rea".eemwe,'av'aaeme mm ne:emnnaaoe POMea's.rwrNa eea Sreets amoiovoo:or n+aaee co�„v ae"e.m a.e.bea.a�b.a Pega'U
em days -km km watantdeoCn fot,.ha na of IWenoenewnes nWlavoiexwon or ewnor ee c"m9vm"bnolaamercaawmm tw
Erys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF TKS
PERMIT PLM N F 160 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.MUM
COUNT(COOE14.08A2)
Mreaae o(OWNER MuaOMalm.Nl Mtlr dNNFAI T///�1/_/7J
DEPARTMENTAL REVIETF .APPROVED DATE DEN® DATE 'TAC&NOUTWONDITIONS
WRONG DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PURLICHEALTH
E 51 Howard Cove Lane Remodel e'j"gabo`L��ob[Dl9`Z-
O'Dair, Nancy J., at at O
Vicinity Map LD r 2
�.
1
EH Setbacks /
/r •1% a�.9 C 45' ) onin, In. reQutre:ID'serbark 4om loaMyrlouneetbns
s\ /P �"'�'i• ! a.lsraarinko)reaunes s mined .an I oeny+oumaaam 1
G)NoiavdevavPenmerer DrainswLM1in 3011,tlown9r�enr /
Dronlbiamia.l.area
D)No Cut Danko) Draer Man 5.aMover lS Eegreesl vnMin
Al r son eomeraeiam of Dninnemaeee•ve arm
A
,
olr� wq,
Taer /
rt v�
is
I
� 1
i.
c \
- EH APPROVED
a
Rhonda Thompson 07I0812024
7�
N
r• ' �y .. Z.
}; K.. 1• uHSr rlr..i(_, I,_ Lots ow a1:
2003-34-000302.
E �lAKS71Nt ��I '.4�E 3. 2203-4-00160
� ' yo rp Tau
c
o
0 2 a¢ oC
m z m S�
--�-. 0" m m43
1C) z I ,fir
33 h
v� C 0 O
V yv K
0 M Do cJ ��y
* x m
o y
�.
� (11
ly
�20, 1/4ti r
w ,
o
q
V
9
g
s �
v�