HomeMy WebLinkAboutBLD2024-00761 - BLD CD Environmental Health Review - 6/26/2024 MASON COUNTY Permit No:R11L24-Lr l
COMMUNITY DEVELOPMENT RECEIVED rn
Pmit Assistance Center,Building,Planning
JUN 2 4 2024
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BUILDING PERMIT APPLICATION 615 W. Alder Stem O
PROPERTY OWNERINFORMATION: CONTRA''CT--O�--R'1�11,1/_ORMATION: > Z
NAME: R%UJAe . NI r1/, NAME: / p(l� E L -r-I �
MAILING AMR S: MAl1.INO'•ADDRPP S = z
CITY. :L 1 STATE: I zBl. tgFy NfNkl15 D eti: -
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PHONE#2: EMAII. ee i 014 PO/. on i--A D{
EMAIL: I 1 LAI REG# J EX /
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NAME EMAI
MAILING DRF S CITY STATE ZIPg85"Qd
PHONE - C61.L `� n�ry
PARCEL INFORMATION• 1 �t tl /1 �j/� pTft � "�
PARCELNUMBLR 112 Digil NnmM) 7,1 IZI � -y�-�I�O J{,' ZONING �wv-t� Ok
- LEGAL DESCRIPItON(AbbrcvietN) PHtE DISTRICf ci O
SITE ADDRESS �� CFFY Q
DIRP.CTIONS TO SITE ADDRESS e M ID _ rlvY•IDi/ Ns)V'. E GYL
!FE FJLInA'IYIELI r;� � 1
1S TBEPROJECT WITHIN aW"OF SLDPi GREATER THAN 14%; YES❑ NOSRPSNOWLOAD
ISPROPERTYWTfHINRt FFOFTREFOLLOWING: (CWSII n.ryp,yl. I
SALTWATER❑ LIRE❑ RIVERICREEK❑ POND❑ WETLAND[) SIASONALRUNOFF❑ STREAM❑
TYPE OF WORN:: NEWT ADDITION ALTERATION13 "TAIR❑ OTHER LI
USE OF STRUCIORE(Ba+tia4 CauecCnm.am.ASS eal I�E5I DEN GE
ISUSE: PRIMARY SEASONAL❑ NIUMBEROFBEDROOMS 2 NUMBER OF BATHROOMS 2-
HEATEDS'FRUCrORE? YES Baler® VESt 1oJRNA❑ U
DESCRIBE WORK 19— �MA d V FALTVRED HOME I'ROgE-GT
COUARE.FOOTAGR•huPu.enJ TOM RATEV/FAr.ToWAl>PP COMM -f4ctuYv)A1
IST FLOOR 117 Si it ��R ��� Sol 3RDFLOOB ai BASEMEN Si T_
DECK sq.R COVEREDDcr,r. I r��'L-NF STORAGE mal OTHER sq.&
GARAGE_Sq.ft. AmSehed as CARPORT M.11 Aua EM❑ Dttachd❑
MAKTACTURED HOME INFORMATION: o •4 COPIES OR THE FLOOR PLAN REQQUMED•
MART: ��fV� t T- MODEL ?-a H D YEAR za LENGTH ii
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WIDTHWRrr BEURUOMS 2 BATHS SERIAL NUMBER
FNVIRON RNTAL HEALTH:
WWAGFISEWER SOURCE: SFPTCI9 SEWER i NEW❑ FXISTri
PLUMBWGWSTROCTURCI YESX NOD JJru,maid romPkmJW.•,,,Adryemy Fame
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO)o MSTING,%FT.
ETOSTING BEDROOMS PROPOSEDBFDROOMS Z TOTALBEDRWMS 2-
OWNERaa,wSmuxawalvnmlenayurarale ntonnrpn ll.y maAueam aaraaaalal11i1rcWutla4 Arxmds,yemaeaa neM
05nMPe enam1nfron lMembe,paimM1 IUV01M1 magi der Moue o Nb Ve•I inannn MIS j Me 4mleo
oElaN00�rtnrsslon Iran tll II10 necessary pelves,Induinp any eeean0p:M1dEO!IX peNP801 inle,rgl bgeNi�N IM1i4 plpl0tl i0P Owlz,alkQa
ani SomIabV IS,r00n15 amiinsiMg Th penaled'0inall BMnas mill&v Bona MmOrfCWay%00051oon BOwOannrana0 pall?
aMBNAue14)IIXre..BN Inearman. Sarod0 AAk""tecwne4 n1116Vtld NvulY.IXBOIMd3M cOnBIniNBn IB mot rommBnced wllM1ln1�
dM a It mMtuGtlm work kBlwpaW N la a pen00 d t00 OBys
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTIOK INACTIVITY OF THNI
PERM APPLICATION OF IRO DAYS Of MORE YJILL CAUSE THE APPLICATION TO BE EI(PIRED.(NASON
COUNTY CODE 14A9.42(
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DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGSINOTESIGONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIREMARSNAL
PUBLIC FB?ALTB
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CUSTOMER: RICK MANNNG cu LL 56 as LE 2.
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