HomeMy WebLinkAboutBLD2024-00987 - BLD CD Environmental Health Review - 9/3/2024 L/1910 1
\ MASON COUNTY C l
COMMUNITY DEVELOPMENT AUG 12 2024
BUILDING PERMIT APPLICATION 615 W. AI treet
PROPERTY OWNER INFORMATION: CONTRACTOR RMA ON• ..J
NAME.-Iaw il-AW 4 111144.4 NAME: eI'x
MARING ADDRESS 190aw lo KlAnWG ADDRESS:
CfCY: STATE:seek. ZIP: CITY: STATE: 78 z =
/21
PHONE#1' i PHONE: CELL:
PHONE#2 zJ'3r�( y EMAIL J
EMAIL: - LBcI REG# EXP. z Q
PRIMARYCONTA OWNER CONPRACPOR❑ OTHER❑ QLu
NAME n a /))_ ef) 1'}4G IP.y- EMAIL a^ =
uxnn_nv_S +n Y4 al m.! CITY SLATE I! —ZIP
�O PHONE - CRLL
PARCEL INFORMATIOM u `z
O �1` PARCELNUhHiER(12 Di®t Nlvober) IZyyO 4D— 406D!1 TONING W
LEGAL DEsciuFnON(AMegviMeS) Lt)+ 9 9 l0 FIRE DLSTRICf D4<8-.IF7. IMP` S-�
SITE ADDRESS �t3D E Svl1:✓aN 41 CITY u
DUU3CUONSn)SITEADDRESS Ng-
O MS PROJeCPWI'I'BH MFTOFSLOPE(S)GREATF.RTHAN14%: YES[] N01d SNOWLOAD:--- af
SALTWATER[]
FFPVER OLP.OWOND l[.BegWYeE pgtl9: F�
SALTWATER❑ LAKE❑ AIVER/CREPX❑ POND[] WETLAND❑ SEASONALRUNOFP[] S'1'RBAM❑ .N
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATP)NlA� REPAIR ok OTHER W t�wa L `I+. L••I p:�`d+
C^ USEOFSTRUCI1 (xemuv.tmvgac�SSk. ) SlLle1'LL C+O�CJ Cbm�lwlf r 1
Vl LS USE: PRAfARSEASONAL❑ R.1 NlBEROF BEDRO0M8 -411NUMBHR OF HATHROOMR n�11
�j HEATEO Sn(IICTIIRE4 YES IRe .W[] YES lPaq+IMBW❑ NO�(
'7 DESCRIBE WORK v i ti v a: ti - d
SQUARE FOOTAb (gmya I .� ua.v 50
\�'(�' 1ST FLOOR sq.fl ZND 1211
� 3RD FIAORaq.R BASEhffiN'P_sq.R m4
` DECK lCUVFvYn DEIX vI.R STORAGE sq.R. OTHER K.& /NYC
GARAGE _sq.R Au Md[] DSO 0 CARPORT sq.RAv W(3 DesrcMd❑
MANUFACTURED H ME IVF'ORMATIO e4 COPIES OF THE FLOOR PLAN REQUIRED'
MARE 4!an PSG MODEL YEAR LENGTH
W TH B ROOMS BATHS SERIAL NUhffiER r
ENVIRONMENTAL HEALTH: p-t(f SO0336 l � 44'S m 0 roc,T�
SEWAGF/SEWER SOURCe: sEPTIC❑ SEW $+ER / NEW❑ IOU G❑ (
PLUMBING DN STINUCI'UREP YES❑ NOK lJyee, chmaplered WierAdegam.TFom kHA s.1 /Iefr>,L
PeRI.�TTER/FOUNDATKYN DRAINS PROPOSED'' YESJ( NO[] MSIINGSQ.FT. ZN- k I✓'e°'l.(
EXLSTINUBEOROOMS_ PROPOSEDBEDROOMS_ TOTAL BEDROOMS �YSO 1
DwxeR.arwiv.anvIedemasam.mima mmnnsum m.r main m.YOP.eax aaera Pamlreo®um.xlrw. eatdam1.q
ipmNe Seb ,IaMemlli I an Ne eM I Mftereetlare MM ISM amdad m rewiVe INs SMMS am Io Ea nnxwk a.ao .I Mw
CU.InM PamudoohanWva reass.ry Panle:.�uwmv am ,�Inole.rawnmdi.r.d rev.rtlmv mle ageu meo..eral.q.I
mpmumN�e,repmserdztlW tlx iMamerbn Pmuiae4ls acmrale antl 4md$afWaA..el x.mn Lanry aazu ro Ore 9Eme eeuaiEeE pc}My
eM SOufuel[)Ia reJew aM ingetlim. TNa permlVappBution cemmes nu118�dE KvpkmeunnrizM mnsnu tionhMwmnn NMIM tm
rlry5 a Xmnshurdm xwk b uraWke]for a peM d 180 EBYa.
PRO OF IUATION0 ON IS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE NDA IC TON 80 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08A2)
SlpIffi#MOWIERIMrvl M a] Mad yMOWMERI D�
DFPARA&TA REVIiR' I APPROVED DATE DENEB DATE TAGS/NOTESSODNDITONS
BUR.DINGDEPAR'1'MEN'T
PLANNDIG DEPARTMENT
FBIE MARSHAL
PUBUCHE.4LTH
— liav c L-- .
3UILQ ON& PLAT PLAN - FReNCN DRR1N
q �/ $ —(•rUrEKDCatnlDtb4T ORRIN EHSEMe
hell 2b''2-1 - QD v:' ROAD
-�ISLLII 0E W A -_ j O9I Rs
( PROPERTY uN WLL/51-Cpe)
WeLL
Disclaimer: Masan County does not require a
survey to obtain a building permit.As a result, site 311 TO 9,0AD
plans may not reflect accurate data. It is the
applicant's respon blity to comply with setback
requirements.
Allyn Zoning:R-2 ,
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flearyutl-,p kel.le cases w0en Ne mar yutl aeuls a
liemd-wav,ma vn,sa,y nllw,we':e,oaex anal ce zp roe.
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09110/2024 T}p-
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