Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BLD2014-00856 Final Replace MFG Home with SFR DDR2014-00068 - BLD Permit / Conditions - 1/28/2015
y,6�N coUr MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 -F Mason Count Bldg. III Y 9 426 W. Cedar Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2014-00856 OWNER: R. J PEABODY RECEIVED: 9/15/2014 CONTRACTOR: LICENSE: EXP: ISSUED: 10/15/2014 SITE ADDRESS: 10 NE SKIPPER CT BELFAIR EXPIRES: 4/15/2015 PARCEL NUMBER: 123305100072 LEGAL DESCRIPTION: BEARDS COVE DIV 4 LOT: 72 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPLACING MFG HOME WITH STICK BUILT STOCK PLAN 2012-0002 ST RT 3 L ON ST RT 300/NORTH SHORE RD, R ON SAND HILL RD, L ON LARSON BLVD FOLLOW TO SKIPPER CT TO SITE ADDRESS ON THE RIGHT General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: Occ. Load: Building: Valuation: $ 183,911.96 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 10.0 Ft. Shoreline: Ft. Water Body: Rear: W 40.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: S 10.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: E 10.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 3 Furnace<100K 1 Plan Check Fee GMM 9/15/2014 $292.83 S1 20 1 400000001 Lavatories 2 Ventilation Fan 3 Planning Review Fee GMM 9/15/2014 $205.00 S1201400000001 Bath Tubs 2 Exhaust Hood 1 EH Minor Plan Review MRB 9/15/2014 $ 100.00 S7201400000001 Showers 2 Dryer Vent 1 Building Permit Fee RTB 10/14/201 $ 1,464.15 S1201400000001 Water Heaters 1 Building State Fee RTB 10/14/201 $4.50 S1 2 01 400000001 Clothes Washer 1 Mechanical Base Fee RTB 10/14/201 $28.50 S1201400000001 Kitchen Sink 1 Mechanical Permit Fee RTB 10/14/201 $67.50 S1201400000001 Dishwasher 1 Plumbing Base Fee RTB 10/14/201 $24.70 S1201400000001 Hosebibs 2 Plumbing Permit Fee RTB 10/14/201 $ 119.30 S1201400000001 BLD-Plan Copies RTB 10/14/201 $27.00 S1201400000001 Total $2,333.48 BLD2014-00856 Please refer to the following pages for conditions of this permit. Page 1 of 7 CASE NOTES FOR BLD2014-00856 CONDITIONS FOR BLD2014-00856 1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/Reserve requires a 1 Oft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. I oundation drains within 30ft, down gradient of drainfield/reserve area. X 2) Approv imensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X Vr� 3) All construction and demolition debris must be removed from the site after project completion. Pr er disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X ! 4) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent 7t,,es or properties. Silt fencing, straw, or surface matting must be installed and maintained until upland vegetation has become established. X � 5) Prior to final approval, all upland areas disturbed or newt reated by construction activities shall be seeded,vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X - 6) All property lines shall be clearly identified at the time of foundation inspection. X C1 " 7) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X ` � 8) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X 9) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved Plan"to ensure these structures are shown and meet the setback conditions listed. X BLD2014-00856 Please refer to the following pages for conditions of this permit. Page 2 of 7 AA 10) A Mason Uounty Stormwater ivianagerneni vvviKSnCCI waa wiIIPMcttu aiiu oiyiicu C30 Nail vi ana vuiiuniy Vc111uNr wuuvi y y, r ,. inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the owner/age nt/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. `NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contracW knowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 11) All other necessary permits from Mason County, Washington State and/or Federal Agencies that ar equired for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X 12) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. a person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 13) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Departme.pr or to any further inspections being performed or approvals granted. X \�'�`\ 14) Owner/Agent,is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X (� —s 15) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal M ed documents will result in failure of required building inspections. X 16) THE FWNNDAATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. X V 17) The "approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building artment prior to any further inspections being performed or approvals granted. X BLD2014-00856 Please refer to the following pages for conditions of this permit. Page 3 of 7 18) 2U12 IEUU/Wasnington Mate energy uoae uompnarrce nab ueGri appivvCu as lulluvvo. Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C, Window (Max U-Factor):0.30, Skylight (Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slab Insulation R-10. In addition the following credits from R406.2 shall be completed as follows: X _1L__i_ 19) A permanent certificate, completed by the owner, builder or registered design professional, shall be posted within three feet of the electrical distribution panel. The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC) of fenestration. Where there is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 105.4, and air leakage results if a blower door test was conducted. Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air changes per hour when tested with a blower door in accordanve with IECC/.WSEC Section R402.4. The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required for additions less than 750 square feet. Reference IECC/WSEC R401.3 & R101.4.3 Compliance certificates are available online at the WSU Energy program website titled, " WSEC 2012 Certificate" and are available in '/4 or % sheets. The Mason County Permit Center will also have some available. X a� 20) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. X 21) WIND LOADS- Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. X� \� 22) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. A drip edge shall t e provided at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5) X L BLD2014-00856 Please refer to the following pages for conditions of this permit. Page 4 of 7 23) StocK flan laenuncauon numuer. zu iz-uuu/_ This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department, original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building Inspect or.�a each required inspection. X 24) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X 25) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC Section R315. Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling. EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances), repairs, additions requiring a permit occur, or when one or more sleeping rooms are added or created. X 26) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be X charged\\ d shall be collected by the Building Department prior to any further inspections being performed or approvals granted. 27) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. — X 9z__� BLD2014-00856 Please refer to the following pages for conditions of this permit. Page 5 of 7 2u) Instanation of neatrng equipment in a smy1e-1dI I my I C51UCI K;C W Ic111 I I ICCI U IC I"Ulf C11 lot 11J vI a lc �ui I of It IRC, and IMC. Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.6. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be available for inspection during inspection. Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8 DUCT TIGHTNESS TESTING shall be conducted by person(s) trained to perform such testing. A signed affidavit documenting test results in accordance to IECC/WSEC Section R403.2.2 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not required if the air handler and all ducts are located within the heated space. X 29) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinan o�tion, must be reviewed and approved by Mason County prior to construction. X 30) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspect o hall be made prior to requesting additional inspections. X— , 31) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with X Mason CMA-1= ordinances and building regulations. 32) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have a entted action from being taken. No more than one extension may be granted. X BLD2014-00856 Please refer to the following pages for conditions of this permit. Page 6 of 7 33) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connector and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X I 1 y � 34) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approve Ste Plan" to ensure these structures are shown and meet the setback conditions listed. X OWNER / BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PE S WILL INVALIDATE THE APPLICATION. Signature Date OWNER 47 - CONTRACTOR ET Print Na a �R Rc BLD2014-00856 Please refer to the following pages for conditions of this permit. Page 7 of 7 co o CONCRETE MECHANICAL MANUFACTURED HOME D o Date By A Footings l Setbacks Gas Piping Ribbons 0 oInterior Date By interior-Date By Date By 0 rn Exterior Date I ZZ jH BY U5L_ Exterior-Date By Set-up < a Point Load t Isolated Footings INSULATION Late By 71 BG/SLAB INSULATION - L Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date BY Data j ZSt / By j,�' DECKS FRAMING Walls �,� Date By Date 7i ( By LI�L Data ti� LI By �'' PROPANE TANKS PLUM IN Vault Data ey Date By OTHER Groundwork Attic Date i -XV iSr By JAI(Date B y ( Type Date By D.W.V DRYWALL Type. a Int Brace Wail Date By � Date �.�i %�+�J��I( By' Date By �,, r CD DateFINAL INSPECTION 0 Water Lana Fire SeparationCD N Date By Date By Date /S' By 'L OA m � s Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Done By Comments M l0 L2 /`'f LAD�/ Yot�v `A. Ac rG'q-� t;1 rtGy AS . s P�1*K 5 f ro 'G pit V `� (7i "� J I ± � L'/ �`"' i'� •1 �DIS?i ' yl� 0 Permit# 0o MASON COUNTY BUILDING 111 426 W. CEDAR ' SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location I() C— fir This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been Oun Items listed below must be corrected to gain compliance you)I /) wt vti'1 Oi o -u ?(> .� a I P Lh tG �1 T 4 dot d'f G4S on ,,la i,►crf Lptff A Uc z'u e-,1 cam/ Y%-16 1 .,A e a re 4 G-. 6 vtkL ,-k a1,' You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office Make corrections, items will be checked on next inspection regarding possible structural Q OK to damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOT Date Department L CORRECTION NOTICE. Inspector��(,� (/ at N�L OT P r1 k * ; THIqx T, *4* qff' � �n PLANNING 0 �D PLANNI G: ALL SETBACKS ARE M ASU ED FROM THE FUR3H ST PROJECTION OFTHEA LDI hE APPROVED REC��D MASON COUNTY DCD PLANNING SITE PEES SU13JECT REQUIRED TO APPROVAL TO BE ON S CHANGES OCT 0 6 2014 O Date 426 W. CEDAR ST By Name � Parcel# �7 1 •WO-12 BLD#2--6 i L4 —QQ e`j t'o_ Mason County BOIL®I N G Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan 13 Required for this development activity. Title 14, Chapter 14.48 of the Mason County Code )regulates compliance requirements for Stormwater m Manageent in this Jurisdiction A compl py of th ordinance can be found on the Mason County website: htto//www.co.mason.wa---us/code/co si !mde . tm Please follow the links to "Title 14, haprya tormwater Management". Regulated activities shall be conducted o Maso o ty Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48.sectio8.701 You will receive a copy of the Public Works document entitled "Managing Storm Drainage on Small Lo The S)nall Parcel Stormwater Site Plan".This document will assist. you in preparing the necessary information and pla for Public Works to review and approve. Per Department of Public Works this document will constitute an approved p r of the relevant details* are to be installed in their entirety AND no part of the stormwater system a r a cts any septic system (see Environmental Health information below). If an alternative system is to be us a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more compl sites. *These details are found in the document Managing Storm Dr ' eon Smal1 Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITLA.L BELOW TO INDICATE THE STORMWATER AGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, P�J=11 Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Dep ent o Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,p If you have farther questions pertaining to parcel drainage and stormwater management ason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: (360}427-9670 EXT.450 Mail:P 0 Box 1850, Shelton WA 98584 Physical: 415 N 6th St, Shelton WA 98584 If this development has, or will have,a septic/drainfield system you may need to contact Mas County ion of Environmental Health to ensure that the stormwater system will not adversely affect the se 'c system or any other,parcel You may also wish to consult with the septic design professional involved with the p ' cL Mas County Division of Environmental Health can be reached at: Phone: (360)-427-967D EXT.352 Mail:P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. OwnerBuilder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative, or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- describe roperty(for�r 'ew and inspection as may be required. nt/ ntraetor circle one DCE WED Page 2 of 2 OCT 0 6 2014 V.._ _ ._ Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet(page I of 2) Per Mason County Code, Trtle 14,Chapter 14.48 a stormwater site plan is required whenever a building application is rnade for residential development,or redevelopment',with more than 2,0D0 square feet of impervious surface'. 'Redevaloyment means,on an already developed site on or additio of impervious surfaces,structural development including construction,installation or expansio or other slru e,and/or replacement of impervious surface that is not part of a routine maintenance activity,and es associ with structural or impervious redevelopment 'Common impervious surfaces include,but are not ' to,roo ps,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earth materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stonnwater.Open,uncovered 'on/detention facilities shall not be considered as impervious surfaces. a / :eiii: vs Ski` e'ash m`fe..L le Surface Type Length X Width = Area "All dimensions in feet Buildings X = X = Measurements for buildings are taken at the _ perimeter of the farthest projections(example:X eaves/gutters) X = Driveways X = X = Len begins at the right of way X Parking Areas X = X = Any paved, gravel or packed area per definition ber table X = PatiosMfalks X = X = Any paved vel or packed area per definition above table X = Others X X = ° kf.th6 to -impervious area of the proposed -site X _ .develop_ is-greatet thin_20 square.feet a Small Pa .Sto n is required.: Totalitn oi3s.Surfa' "Area:sum-af:`a71 areas - - - Pam os (. ). If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please rea ,acknowledge and sign below. Based Upon the information you have provided a Starmwater Site Plan H NOT required for this opm t activity. OwnerBuilder/Agent Acknowledges that submission of inaccurate information may result in a stop work ord ocation. Aclmowledgement of such is by signstre below.I declare that I am the owner,owners legal representative, r the con r.I further acknowledge that the information provided is accurate and employees of Mason County arc granted access to above- descnbed property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read.,acknowledge d sign the information provided on page 2 of 2. Page I of 2 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360) 427-9670 BELFAiR (360) 275-4467 Elma (360) 482-5269 FAX: (360) 427-7798 WEB SITE: www.co.mason.wa.us P.O. Box 279, SHELTON 98584 2012 International Energy Conservation Code, as amended by WAC 51-11 (IECC) Effective July 1, 2013. Ventilation code provisions are located in the 2012 International Residential Code (IRC), 2012 International Mechanical Code (IMC), & 2012 International Building Code A complete energy code application form will include information that clearly identifies compliance methods for heat sizing, thermal envelope, and whole-house ventilation. This form includes compliance instructions and information needed. Energy code compliance information, forms, worksheets, and educational information is also available on the Washington State University Extension Energy Program (WSU-EP) website. To access the website go to http://wvvw.energy.wsu.edu/BuildingEfficiency/EnergvCode/2012EnergyCode.aspx). The website includes a heat system sizing calculator. Submit a completed heat sizing calculator worksheet when the building permit is submitted. In addition to the heat sizing calculator the website has helpful compliance information and worksheets for prescriptive and component performance options along with a glazing schedule. INSTRUCTIONS: Complete the Mason County Energy Code application and submit with a heat sizing calculator available on the WSU-EP website, see item #4 below: 1 Identify the compliance method. The most common and simplest approach is the prescriptive method for energy code compliance. See prescriptive table R402.1.1 located at the end of the instructions. The component performance approach referenced in IECC Section R402.1.4 may also be used for energy code compliance. For more information contact Mason County building department staff at (360) 427- 9670 ext. 352 or WSU Energy Program at (360) 956-2042. 2 Identify the whole-house ventilation compliance method. A ventilation system shall be installed in accordance with The International Residential Code, Section M1507. The most common ventilation methods include a whole-house ventilation system using exhaust fans (M1507.3.4) and a whole-house ventilation system integrated with a forced-air system (M1507.3.5). Other ventilation systems include whole-house ventilation system using a supply fan (M1507.3.6) and whole-house ventilation system using a heat-recovery ventilation system (M1507.3.7). If you need additional information we recommend that you discuss with your heating and ventilation system professional. In addition Mason County staff will be happy to discuss the options if you are not sure which compliance option will work for you. 3 Identify the Additional Energy Efficiency Requirements listed in Table R406.2. The drawings included with the building permit application shall identify which options have been selected and the point value of each option. Each one and two-family dwelling unit and townhouses are required to achieve the following minimum number of credits: a) Small dwelling units less than 1500 sq. feet of heated or cooled area and less than 300 sq. ft fenestration area (skylights, doors, windows, etc), or additions to an existing building that is less than 750 sq. ft. of heated area. — 0.5 points b) Medium dwelling units not included in a) above {small dwelling}, OR c) below{large dwelling}— 1.5 points c) Large dwelling unit is a dwelling unit that exceeds 5000 sq. ft. of heated or cooled floor area. — 2.5 points. 4 Provide a completed heating/cooling system size worksheet to verify compliance to IECC R403.6. The calculator/worksheet is available on the WSU-Energy Program website at: http://www.energy.wsu.edu/BuildingEfficiency/EnergyCode/2O92EnergyCode.aspx. Staff can also assist with preparation of the worksheet. 5 To meet the prescriptive option all fenestration products shall comply with the required Ll-factor listed in Table R402.1.4. Windows, doors, and glazed doors shall have a tested U-factor or .30 or less. When using the small dwelling option for energy credits (a) or component performance approach provide a fenestration schedule that identifies the square feet and Ll-factor of each item. Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque doors, glazed-doors that include products with glass and non-glass glazing materials. 6 Identify the location and fuel type of the heating system, water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and concrete slab floors on the building plans. 7 Not less than 75% of all permanently installed lamps in lighting fixtures shall be high efficacy lamps. High efficacy lamps are defined in IECC Chapter 2 and are considered compact fluorescent lamps, T-8 or smaller diameter linear fluorescent lamps, or lamps with a minimum efficacy 40 lumens per watt for lamps 15 watts or less, 50 lumens per watt for lamps over 15 watts to 40 watts, and 60 lumens per watt for lamps over 40 watts. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. WSEC compliance information and code text is also available on the WSU-Energy Program website at: http://www.energy.wsu.edu/BuildingEfficiency/EnergyCode/2012EnergyCode.aspx. Prescriptive Requirements °,' for Mason County Climate Zone 4-C, Table R402.1.1 Fenestration Glazing U-factor Area% Vaulted Wall Wall Slab d on Option of Floor Vertical Skylight Ceiling Ceiling Above int c below grade Floor Grade (Includes doors, b Grade windows,etc. R-21 10/15/21 int 4C Unlimited .30 .50 R-49 R-38 int k,l TB R-30 R-10 Visit the WSU Energy Program website at: http://www.ener-y.wsu.edu/BuildingEfficiency/EnergyCode/2012Ener-gyCode.aspx or call (360) 427-9670 ext. 352 for footnote information. Log & solid timber wall with a min. avg. thickness of 3.5" are exempt from the above grade wall insulation requirements. MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/Ventilation Code Compliance Application Submit with heating/cooling system size worksheet (see instructions #4) Owner: Parcel#:8 Type of projecct:" Total Sq. Ft. 1 S Floor: 2" floor: Heated Basement: of heated area:: I 4- ,O 6 (,_Gj Q7 D-0 Heating System Type: O Electric wall heater Z�Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump O Boiler, specify fuel type: O Other: Specify: Prescriptive Option Table R402.1.1 Compliance Method O Component Performance, R402.1.3 — Calculation worksheets required Check one:: O Other (specify): Check one "� Whole House Ventilation system 0 Whole House Ventilation 0 Other, Ventilation _ \ using exhaust fans&window or Integrated with a Forced Air describe: System wall fresh air vents (M1507.3.4) System (M1507.3.5) Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to comply. If the table is not attached to this form you can access the table on our website at: http://www.co.mason.wa.us/forms/Community Dev/index.pho. Additional Energy a) Description: Small dwelling units with less than 1500 sq. feet of heated or cooled Efficiency space and less than 300 sq. ft fenestration (see definition below) or additions to an Requirements existing building that is less than 750 sq. ft. of heated area. To use this option complete a window schedule in order to verify that the fenestration area does not Energy credits exceed 300 sq. ft. Fenestration is defined in the IECC as skylights, roof windows, required: vertical windows, opaque doors, glazed-doors that include products with glass and non-glass glazing materials. —0.5 points • b) Medium dwelling units not includes in a) above, or b) below— 1.5 points c) Large dwelling unit is a dwelling unit that exceeds 5000 sq. ft. of heated or cooled floor area. — 2.5 points. Describe Energy Credit Option(s): "COWD Using Option number(s): 0CL .�Kt&1er Q 2014 5 -A OCT 13UILDING MOM Q9DMn FENESTRATION SCHEDULE USE FOR ENERGY CREDIT, a) SMALL DWELLING OPTION & COMPONENT PERFORMANCE COMPLIANCE List all windows, doors, skylights. (If needed, attach an additional sheet) 'Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors, glazed-doors that include products with glass and non-glass glazin materials. Manufacturer Location U-Factor Size Quantity Total (rough opening) Square Feet PIS 'D 13 A-03a 6 1 Ba o30 � e3b 1 4, SV Total Fenestration: windows, skylights and door area WASHINGTON STATE ENERGY CODE, RESIDENTIAL PROVISIONS TABLE 406.2 ENERGY CREDITS(DEBITS) OPTION DESCRIPTION CREDIT(S) la EFFICIENT BUILDING ENVELOPE la: 0.5 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Fenestration U:0.28 Floor R-38 Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 5%. lb EFFICIENT BUILDING ENVELOPE lb: 1.0 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Fenestration U.=0.25 Wall R-21 plus R-4 Floor R-38 Basement wall R-21 int plus R-5 ci Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 15%. lc EFFICIENT BUILDING ENVELOPE lc: 2.0 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Fenestration U:0.22 Ceiling and single-rafter or joist-vaulted R-49 advanced Wood frame wall R-21 int plus R-12 ci Floor R-38 Basement wall R-21 int plus R-12 ci Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 30%. 2a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2a: 0.5 Compliance based on R402.4.1.2: Reduce the tested air leakage to 4.0 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a high efficiency fan(maximum 0.35 watts/cfm),not interlocked with the furnace fan ventilation systems using a furnace including an ECM motor are allowed,provided that they are controlled to operate at low speed in ventilation only mode. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the heat recovery ventilation system. 2b AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2b: 1.0 Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 2.0 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a heat recovery ventilation system with minimum sensible heat recovery efficiency of 0.70. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the heat recovery ventilation system. 2c AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2c: 1.5 Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 1.5 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a heat recovery ventilation system with minimum sensible heat recovery efficiency of 0.85. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the heat recovery ventilations stem. 3a HIGH EFFICIENCY HVAC EQUIPMENT 3a: 0.5 Gas,propane or oil-fired furnace with minimum AFUE of 95% To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 3b HIGH EFFICIENCY HVAC EQUIPMENT 3b: 1.0 Air-source heat pump with minimum HSPF of 8.5 To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 3c HIGH EFFICIENCY HVAC EQUIPMENT 3c: 2.0 Closed-loop ground source heat pump;with a minimum COP of 3.3 or Open loop water source heat pump with a maximum pumping hydraulic head of 150 feet and minimum COP of 3.6 To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 3d HIGH EFFICIENCY HVAC EQUIPMENT 3d: 1.0 DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL CONTROL: In homes where the primary space heating system is zonal electric heating,a ductless heat pump system shall be installed and provide heating to at least one zone of the housing unit. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 4 HIGH EFFICIENCY HVAC DISTRIBUTION SYSTEM:` 1.0 All heating and cooling system components installed inside the conditioned space.All combustion equipment shall be direct vent or sealed combustion. Locating system components in conditioned crawl spaces is not permitted under this option. Electric resistance heat is not permitted under this option. Direct combustion heating equipment with AFUE less than 80%is not permitted under this option. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and shall show the location of the heating and cooling equipment and all the ductwork. 5a EFFICIENT WATER HEATING 5a: 0.5 Water heating system shall include one of the following: Gas,propane or oil water heater with a minimum EF of 0.62 or Electric water heater with a minimum EF of 0.93. and for both cases All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the water heater equipment type and the minimum equipment efficiency and shall specify the maximum flow rates for all showerheads, kitchen sink faucets and other lavatory faucets. 5b EFFICIENT WATER HEATING 5b: 1.5 Water heating system she include one of the following: Gas,propane or oil water heater with a minimum EF of 0.82 or Solar water heating supplementing a minimum standard water heater.Solar water heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation(SRCC)Annual Performance of OG-300 Certified Solar Water Heating Systems or Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards of NEEA's Northern Climate Specifications for Heat Pump Water Heaters or Water heater heated by ground source heat pump meeting the requirements of Option 3c. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the water heater equipment type and the minimum equipment efficiency and,for solar water heating systems,the calculation of the minimum energy savings. 6 RENEWABLE ELECTRIC ENERGY: 0.5 For each 1200 kWh of electrical generation provided annually by on-site wind or solar equipment a 0.5 credit shall be allowed,up to 3 credits.Generation shall be calculated as follows: For solar electric systems,the design shall be demonstrated to meet this requirement using the National Renewable Energy Laboratory calculator PV WATTs. Documentation noting solar access shall be included on the plans. For wind generation projects designs shall document annual power generation based on the following factors: The wind turbine power curve;average annual wind speed at the site;frequency distribution of the wind speed at the site and height of the tower. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall show the photovoltaic or wind turbine equipment type, provide documentation of solar and wind access,and include a calculation of the minimum annual energy power production. a. Interior Duct Placement.Ducts included as Option 4 of Table R406.2 shall be placed wholly within the heated envelope of the housing unit.The placement shall be inspected and certified to receive the credits associated with this option. Exception: Ducts complying with this section may have up to 5%of the total linear feet of ducts located in the exterior cavities or buffer spaces of the dwelling.If this exception is used the ducts will be tested to the following standards: Post-construction test: Leakage to outdoors shall be less than or equal to 1 CFM per 100 ft of conditioned floor area when tested at a pressure differential of 0.1 inches w.g.(25 Pa)across the entire system,including the manufacturer's air handler enclosure.All register boots shall be taped or otherwise sealed during the test b. Plumbing Fixtures Flow Ratings.Low flow plumbing fixtures(water closets and urinals)and fittings(faucets and showerheads)shall comply with the following requirements: 1. Residential bathroom lavatory sink faucets: Maximum flow rate-3.8 Lmin(1.0 gal/min)when tested in accordance with ASME Al 12.18.1/CSA B125.1. 2. Residential kitchen faucets: Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with ASME Al12.18.1/CSA B125.1. 3. Residential showerheads: Maximum flow rate-6.61/min(1.75 gal/min)when tested in accordance with ASME Al 12.18.1/CSA B125.1. �AQ°N c��rp MASON COUNTY PERMIT N0.60 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 _ Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352 Am Ig54 Shelton,WA 98584 (360)482-5269 Elma ext. 352DING BUILDING PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: rv-'� A NAME: MAILING ADDRESS: P. .r>[-C MAILING ADDRESS: CITY: 5 U r STATE: ZIP: 4- CITY: STATE: ZIP: PHONE: CELL: PHONE: CELL: EMAIL L&I REG# EXP. PARCEL INFORMATION: r PARCEL NUMBER(12 DIGIT NUMBER) 1 A 3 3 T; - FIRE DISTRICT_ LEGAL DESCRIPT ON(ABB TED): ., 'e C9 SITE ADDRESS Id V G CITY i DIRECJ7IONS TO SITE AD PRESS rs .,V 6 0'r r ` LA r art, v o IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO A TYPE OF JOB: NEW � ADDITION ❑ ALTERATITI'O�Np❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) .1T r✓ IS USE: PRIMARY� SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS DESCRIBE WORK ' SOUARE FOOTAGE: 1ST FLOOR _sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK .3 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq. ft. ATTACHED R DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑ INFORMATION: *4 COPIES OF THE FLOOR PLAN M YEAR TH BEDROOMS BA SE OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSP TION. IN TIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X pigna re of Applicant Date X ayvx.q OWNER/ RE RESE AT E /CONTRACTOR Print Namg LE TO IN LATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE -J4 ffFtMITIONS BUILDING DEPARTMENT JLJAo- PLANNING DEPARTMENT OCT 0 FIRE MARSHAL ' �tiA�O~ CO MASON COUNTY ` PERMIT NO. ft-dJOI-A -Cbb�(.p Y, DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 BUILDMMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: H W , NAME: MAILING ADDRESS: rj L S MAILING ADDRESS: CITY:1B c1 I,LL, _STATEAV ZIP: Y 9-3 S CITY: STATE: ZIP: PHONE: 0CELL: PHONE: CELL. EMAIL: . C EMAIL : e. -� ® Ste► — J L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): I X 3 3 © S I LEGAL DESCRIPTION(ABBREVIATED): G, T '7 a- SITE ADDRESS: I ® IV J�N— � CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB NEW y" ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1ST FLOOR 2'FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric le- LPG Natural Gas Ductless_ Toilets 3 ape of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers _21 Spot Vent Fan Water Heater 1 Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher I Kitchen Exhaust Hood Hose bibs '2 Dryer Vent —� Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X 9-4-'r, I Is I �- Signature of Applicant Date — X a h Yh 1 Owner/Owners Re res ntative/Contractor Print Name ''(i%r►dicate ich one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE / ONS BUILDING DEPARTMENT OCI 0 6 2D14 PLANNING DEPARTMENT FIRE MARSHAL 7 iypp-4 PLANNING 'MASON COUNTY we 3tk p Mason County Permit Center Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR,2/5 f`-� - baa, 411 N. Fifth Street/P.O. Box 279, Shelton WA 98584 360.427.9670 ext. 352 Date Rcvd q—1 S 01 -1 - 2 Request for Administrative Variance for Reduction in the Required Setbacks ($115.00) For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and gutters. "" � � Applicant/Owners (�Cch7 Mailing Address:'? 'n-&-'X ��S City: o State: W A Zip: 3 Telephone: D Email: If this reduction is tied to ra'building permit, please give permit case number. BLD ao �' - 0061 j Parcel Number(s):133'3 0 Zoning--R- Site Address: 1 O—f- Cc u'l� Requested setback variance: R) ft. XFront ❑ Rear ❑ Side L.6ur',)6 r1—tM V<C I( ft Front ❑ Rear ❑ Side Ili L+'p ' CO U e-TL ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side RECwED Front Setbacks-From access easements and road right of ways. Minimum 10 feet. OCT 0 6 2014 Rear Setbacks-From the rear property line. Minimum 10 feet. 426 W. CEDAR. $1, Side Setbacks-From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. IACommunity Development\PAC\VARIANCES\Admin Variance.doc Edited on 7/16/10 FRONT ND OR REAR YARD REDUCTION RE UESTS: F r e ng lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot (check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-fourth acre; e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot (check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-half acre; ❑ e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. - Ex Y? Owner/Agent (please indicate)--� C7- — Signature Date Official Use Only Approved by: Date �e(/ Denied by: Date Reason for denial: IACommunity DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7/16/10 PLANNING REC 'ED OCT 0 6 2014 426 W. CEDAR ST. 2,0, 8 10 G • /�o Vi i, v