HomeMy WebLinkAboutBLD2024-00406 - BLD CD Environmental Health Review - 4/1/2024 Ml
MASON COUNTY Parmit No: LJJZ y(
COMMUNITY DEVELOPMEN u
PermftASS)stance Center,Building,Planning MAR 28 2024
BUILDING PERMIT APPLICATION ider Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION,.
NAME: / e/Q/1 N
MAD.IN ADDRESS: Z m GADDRESS:
CTTY:O 10/2 S2ATE:/�[Q�ZB'. CITY. STATE:
PHONE R : - O - PHONE: �.I.: .p !� Z
PHONE., E(a(AIL: Vy�"}
FMGH: I L&I Il EXP._ j7 L
PRIMARY CONTACT: OWNEW CONINUil❑ OTHER 2 xJ
MME t(
EMIL
MAILINGADDRESS CITY—STATE_Up
t
PHONE CELL
PARCEL INFORMATION: r.
PARCELNUMBER(Il Digs Numba)vZ.OZy-�- 9LR0/y TAHDIG Poll -n
LEGAL DFSLTUPTION(AbGevamdJ FIRE DISTRICT r z
SITEADDRE 2u SS /S// E. L/2 n CTIY S/Te(!nn
DDRECIVMS TOSIib"DRESS
end 126 1,
35 THE PROJECT WIT�i300 FT OFSLOPE[S)GREATER THAN Ill Mo NOX SNOWLOAD:_.__paf
6 PROPERTY WTTHD1300 Pf OF TBE FOLIA)WDRG: RYaatmiAa�pty:
SALTWATER❑ LAKE❑ MVP.R/CRF D POND❑ WBTLAHD❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF W)RK: NEWIN ADDITION❑ ALTBRJjgnoN❑ /RRPADL❑ OTHER f)
USE OF STRUCTURE(Raalxove,Cm�pla Cn..rwWay,FcJ- /(PS/!(4JTlC../ 'fC✓G.GF
MUM: PRGIARYg SEASONAL❑ NUMBEROFTHII) MS �j NUMBEAOFBATHROOMS Z. -
F TEDSTBUCHJR YES(M/ Akl YFSP-WeAlail NO❑
DESCA®E WORK u1 Z?X&O 6!AL
la
FOOTAGE:&maap
ISTFLOOR al WDFLOOR_al 3EDFLOOA p.ft BASEF4T1'f_p.ft
DECK- COVEREDDEIX_p.R STORAGE
OAKAGtI' _p.&Aa W13 D Wcl CARPORT—al
O'[HER_p.ft
p.ft AnacArd❑ Deta:Ard❑
MANUF/rACTURED HOME IIVFORMATION: , U•g
COPIES OF THE FLOOR PLAN REQUIRED-
MAKE C/d li2n //*M&J MODEL Pl ar YEAR�LENGTH &L2
WIDTH
._--L— S BEDROOM BATHS i ,
SERIAL NUMBER
ENVHRONMENTAL HEALTH:
SEWAGWSEWFR SOURCE: SEPTIcx SEW D / NBw❑ EXISTINGO
PLUMBINGDISTRUCUNIr YPS$ NOD (jyar mmeF rongluee Wmn Adpmry Form
PERWETERMOUNDATION DPLUNS PROPOSED? VES❑ NOD ERISTING SQ.".. IIZ-15
EXISTINOBEDROOMS�_ PROPOSEDBEDHOOMS TOTAL
® lafbpxyk BEDROOMS
apendlem. M dw T bLyQYNERWi u — um ,mtl M m --y_
=MM..I am Mel lam macareraM NMaecLnVull amaMbdb-al"Mspam andbMMa aaggesp Ma
cemtlsslml hP'n el iM necessary paNm,intl�n9 enY aasmMnl M1dder mpMa dMCleatmpayFq Mb pq'efy {M1a gwyr mypBl
reyremmamxs represamamd NeeNcn nmoHeed isacme@YM eaSn ll&amdfsal Mown amldcmma rode mA aevleM
amry rmgzl mumm�,,ssu venxo m,as paod oft italioncemmes nun auvie xaan neumonzea mnarucuone nd mmmmiwdr.unua
Ma m x w�mwon won�a a�waneee a e ceeoa d rao mye.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTI OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 44.08.42) ? {J
/Sy�n,SaN'ra MOWNER ✓ zd 2-1
M R Dale
DEPARTMENTALREVIlV APPROVED DATE DEND:D DATE TAGSMOTESICONDTIIONE
BUDDDiGDEPARTMENT
PLANNDJG DEPARTMENT
HRE MARSHAL
PUBLICHEALTH (/
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za ecse-y �:
To %i'z2y aae _
"FL SETBACKS
Front(North): 26,S'- Sepfyc
Sides:5'
' > Rear:20'.
•all setbacks measured from the farit 9St
projection of thelbuilding
h S . OU`IOfi2� *subject to EH setbacks
.` �9P�y slcevPd
eyfher side of
3 8drm I /�rrke�G 7l
Vy'l la) F}dmG � t[
ta
� Aetachf i S�f,�
_ �igiu9e l 7anKs
EH APPROVED c y^
RlInda Thompson OSIO]_4 ^^ .SEyver l too
cYn/ !d L�f lanes sleeved I . �
i . in G 'p✓C (�i
� � LCn4rer (Jrr Vfiv[.cr
PLN Approved
y .: 04/25/2024
e Mason County Community Development
:1' 3} �,� r0 n j a Gavin Scouten
C. • ADC[_ All Changes Subject to Approval
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1 FIX�(o
Printed Rom Masws County DHSS ��� '