HomeMy WebLinkAboutBLD2024-00412 - BLD CD Environmental Health Review - 4/1/2024 Permit Nm�3t—L1PC�ofh—nl JY-��
MASON COUNTY
10 COMMUNITY DEVELOPMENT RECEIVED
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PermitAMistawe Cents,BRIIeRM,PMnninO z
BUILDING PERMIT APPLICATION MAR 14 2024 <
PROPERTY OWNER INFORMATION: of t et M O
NAME:1Z W4 $11 L- bcAw. NAME:AS116Y Il�wleg IVc.. > Z
MA O �D a^S: 2 2— MAILJNO DI�SS: • e mIT_ r
CrrY: a STATE: Ie zip: CITY: Sw-nA STATE:W& zlp: gBSE
PHONE 3b Ia 931Ie PHONE:3i n-lift CELL: Z
PHONE
EMAIL: Nt— PaAe91l
EMAIL: L REO#b •S EXP. / 2 D
PRIMARY CON ACT: OWNRRp CONTAMR� OTIIRRp r
NAME NP;M Ih Ane_S EMAIL
MAILINGADDRESS mpg ZIG 4icr...e1 CRY STATE-pI$_2-W
PHONE Sloey_94 fi. CELL.
PARCEL INFORMATION:
PARCELNUMBER(12DWtNR ) ZZaL`t-3`f -`IQO J.I ZONING 9A
tEGALDBSCRIP]ION(AnEmi.ad)L+� t oF- Sp'T9'P FIRE DISTRICT �1 'P
SITEADDRPSS t90 S�GD.Na�e %Mr RA- CPTY SA4-L.x%1.1 /n� 67
DIR:! UONS TOSRE ADDRESS /iRC.-C W 2D L.cFr L S ee3v ce.l,lcpr. pr Re c�
S IT't PS n.l
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ISTREPROH!CTPHIN 3m FTOFSLOLLCH NG: TadN ,FP: YPSp N0�8NOW 1gAp.�a(
B PROPERTY WTTRIN 20B FT OF T'HE FOLLOWING: (Csa au AmyFyj: '
SALTWATER❑ LAKE❑ BrvENCR Ll PONDD WETLAND❑ SEMONALRUNOFFp STBEAMp
TYPE OF WORK: NEW 9 ADDITION p ALTERATION❑ REPAIR❑ OTHER FI
USEOF BTRUCTURE(xmi.um camgt cwmdde✓�,smJ S'F>Z
13 DEE: PRIMARY 0. SEASONAL❑ NUMBER OF BEDAipMS_ _NUMBEROF BATHRODMS Y_S
HEATED STRUCTURE? YES(monde euhl� YES rymrl•I alNW❑ NOD
DESCRBEWORKgail-0 IA FxI Zblb C�a STY♦_
SQUARE FOOTAGE: aN
ISTFLOORgidi, q.ft 2NDFLOOR_q.R 3RDFLOOR_q.R BASFAffiTP_q.R
DECK_q.R NYERED..,DCECK ENRAGE R.ft. OTHER_q,R
OARAGE(lo°f q.R Atb jg Deo<M1ee❑ CARPORT q.R AvadMp Dab []
MANUFACTURED ROME INFORMATION: AO COPIES OF THE FLOOR PLAN REQUIRED-
MAKE MODEL YEAR LENGTH
WrOm BEDROOMS BATHS SERIAL NUMBER
FNVIRONMFNTAI. .A ML
SEWAGF/SEWERSOURCE: SEPIIC(- sEwEE❑ / NEwa EXISTING I]
PLUMBMOR4STRUCTURE? YESIR NO[I #''ea.amchm ad WPmAdrgwry Furw
PERINETER/FOUNDATION DRAMS PROPOSED? YES[I N(Z EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS__ TOTAL BEDROOMS-__
me1ARl.domae -mm euaewwa aae a mmmaeaa mry melt m e ebp wrt ame a Name Vim.aemwropemM dwas a,
e roc EeW.I aed..mmIemme wma mq INMer eedam me I am aeea m resolve me Pmmt md..mock r�IMa
dsmsae pe�m5amn mmeanme necesse.y pawa.,mdwo-re em eeeemem ndaerm pamea aimm rregaa,mmea
mpmee .(arspmse—madmemtwm. mpm+�eeE Is accum�e ane arems emgoyau mMxeon coumy aaessmme�Ye�pe!
da,cI nemaamnmak na vomaaa,was on diBo aa,oammes nun svoiettwik or aumoeree mrstruMwl4nu fAmr txYmM lq
eey¢a JranaWceon xoa b wspenese bra poets d 180 bays.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF ISO DAYS OF MORE WILL CAUSE THE APPLICATHM TO W EXPIRED.(MASON
COUNTY CODE ie.URR)
Liz yBlpe naDWNER
DEPAR NTAL REVIEW APPROVED DATE DEN® DATE TAG&NOTFHrC'ONpITIONE
RUI DNG DEPARTMENT
PLANNING DEPARTMENT
FDtEMAEsn L
PUBLIC HEALTH
[PAN EH SETBACKS i
A)Drainfleld/Reserve requires 10'setback from footing/foundations
APR 2 5 2024 St septic Rhos)requires 5' entrails from all footing/foundations
q No foundation/perimeter drains within 30 down-grad,ent of drainGelG
RECEIVED ' reserve area
-NOT AN APPROVED SEPTIC DESIGN' DI No cut(s),bank(s)(greater than 5'&wet 45 degrees)within 50'
Ux iPwM:grc Design fw xn�ic sygan invul Winn down-gradient of drainflekbreurve area
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10o S e- CpNN Etcy Pa ih - DR Slil Ter1 PLN SETBACKS a' _g
ZLOZ`�- 34 1—9O01, 1 Front(S):25' fl � ;�, �.. 00 F olr$g
Sides:20' 0 E
f Kd �^ Rear:20' „I I i C.� � �H 55
'all setbacks measuretl from tRd fprthes 4 . n I>.- i
projection of the building Z U d EE
'subject to EH setbacks d 2a e 3
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