HomeMy WebLinkAboutBLD2024-00812 - BLD CD Environmental Health Review - 7/10/2024 wn�r:ga io.aerasenaaags-EF Permit No:l I JYELE LV2 M
MASON COUNTY
COMMUNITY DEVELOPMENT JUL 09
Permit Assistance Center,Building.Planning 615 W. Al rStree
BUILDING PERMIT APPLICATION ✓(/� ��2
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: SSf- NAME: ADDRESS
MALLWGADDzJ�• WI MAB.B4G ADDAESS1 40 NA)
CITY: STATE:�w ZIP: CITY-POfl R STATEIr/�1' 7-iP- bu
PHONE#I?4�3 ''G -1-50`I PNONEiIS�L S� CELL.
#2: EMAIL:
PHONE MA 6NIA1L8M 91s.A "�^
PRONE- I&I REEMAIL: #Pr-ONaN(t'IOKF'1 E%P(J�O.L+fB
PRIMARY CONTACT: OWNERO CONTRACTOR❑ oTxgR❑ D..
NAME ENAI.�,�� �� ""��������'',,ww
MAILINGADDRESS G [TIS' 1 pA M421 STATg VA ZIP (e
_BE 9<2-A^C - 2 CELL
PARCRLINFORMATION'
PARCELNUhNER 112 DiplNmnbm) l - �- �' ZONING cr
LEGAL DESCRIPTION(AbbrcviatW)T ^ la FIRE DISI'RI_. ,.�T #S
SITEADDRESS —hq,]'0✓�—,D/�—
ONNSTOSCfEADDRESS __IC L t. ) LA.lyd an
:Ts 9 s I V Lola Q/� "
ISTIIE PROJECT WITHIN OqO FT OF,LOpRS)GREATER THAN I4X YES[l NqW SNUWLOAD.�Pe
44 PROPERTY WTTHIN 200 tT OF THE FDLLOWINC: IfJ.4o0rFarroPAl�
SALTWATER❑ LAKE❑ RNER/CRGL•K❑ PONCE WETLAND❑ SEASONAL RUNOFF ] STREAM[
TYPE OF WORK: N, WAJ ADDITIONO ALTIE.R,ATION REPAM13 OTHEIND
USE OF STRUIMCNIIE fR.dA_f ..G .iurAM1+P M.)�„' tl? IIFA QXIIOY/lCY
IS USE: PRARY," SCAsONA [I NUMBEROF BEDROOMS BEER OF BATHROOMS
HEATED SIRUCDIRE" YESm2 ,uv)!L YEsw gjyvw0 NO❑
DESCRIBE WORK
SQUARE FOOTAGE:o^,./
IST FLOORtU�_q R. ZND FLOOR M IA K.R. ORD FLOOR_•v sq.R RASEMEWf A K-B.
DECK��,J_q�a COVERED DECK_ _sq.R STORAGE qft O"fNE0. Ilk sq.ft
GARAGE-W �q.A. Ar=o DderAM❑ CARYORTN q.ft AuaMdQ fJnaMA❑
MAMINACTURED E INF /TIION: �y p 4 OPIRS OF T^MEE+FILOOR PLAN NEQUIRED'
MAKE ltt-�WDO MODEL�ryL Z02A LENGfN�
WIDT)Iz"j REDROOMS� BATHS SERLLL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC SERTlR❑ / NEW❑ IXISTBIG
PLUMBING IN STRUCTURE'! YEs� NO3 lf, r.auacAcampletM rvaer AdegwxT
PFRLNETER+FOUNDATIO��N���D�qRRAM PROPOSED? ITS❑ N90 EZISTINGSO.".
"ISTINGBEDROOMS y, PROPOSED BEDROOMS 91 TOTALBEDROOMS
ONNBtatbw�lM9^-°Hal&Lrtimc�dGatwYe iNam�Mri6'rsWlMeawPwvkpOertt Fm�mwaf .MfmMetl�amenld9uU6M
sae Dtiva.l Otthrc Nel l aalM wns W I fuYiv Ndse tlult sn armrE m reo?rvz tlis P�aSmi wGo L'u xvk nPmPa� ltaue
KIaiKU Wmasv'Irpnal VO�YP�.vaAafr?aaY aek^tl�IILiMIX Wriirs W Nntlregarr6Al N6P4a0.T100nV Mb9a1
mwaa.+rw•mPsaes ua qr brvne4oa PiamM E avran m v+� d uam Cuarr a�a w w awe awmma aavanr
xn aintlma(sllar.aew'and n¢peegm.Tr+s cemiYaoPF gyp^bam�M awia a.wx mawwuaE mcuudm aw mnn®ma.iuu�1eo
ears ar a�.smrsv�aan s ysnaw4l«a vane d Im ean.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. IgACTMiY OF THIS
PERMIT A IM
APPLICATION OF 1R0 DAYS OF ME WILL CAUSE THE APPLICATION TO RE EKPIRED.IMASON
rr ,BUNTir CODE a m.121 07/04/24
RlRutk Russell 1»m
SiBaawre Of OlmHt ba lamd WBm OWNER,
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGWNOTFSKANDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH ZL 4S a
roved PLN SETBACK
PLN App Front(SW): 25
07/11/2024 Sides: 10'
Mason County community Development Rear: 20' �\
Gavin Scouten -all setbacks measured from the farthest
All Changes Subject to Approval
projection of the building ;
'subject to EH setbacks
-____ ___ b ..
II6a1D Daek
f
I ati �pFl Yn '
( Yt•5311'
•a-12'
_4P,elµ•
4+ New ManiuTactured
y Home 2bdr2ba 1001
ig (with 8 p rch)
front
covered
t parch)
o� N
Zoo
1..11''..
^Y`'' omeooza
EH SETBACKS
q D,awtaw ervorequamio'x aAhwnrautingHoun"6ons
II� / 915epYc.nw equlres5'seWnck from all foodn Oourwa ans
E.Raccoon C..t�— �/ / qN foundatiaNparinierer drains wiMin 3tl down-gratlient of dminri
�,p• r aarea
oi dnm5ela 1s a V&a er 45 degrees)WftM W
tlwn-gr clent of
No clawing W W done
ParcaW PropaM Owner. Scabs
T20166a-0a279 Ruth Russell t..`p. %'aPtMhi9btlu
Dnaan Ily.
Adtlresa: Pinr 253- 2540 ctlgrl eabtOn' Ractwl Mayen
Be ERaccoon CL T53-2T5-Toga
,NOT AN APPROVED SEPTIC DESIGN*
Ux approved aepdc deuce fm aepri<eyafem inamllanion