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HomeMy WebLinkAboutBLD2024-00603 - BLD CD Environmental Health Review - 5/15/2024 MASON COUNTY Permit No: p-DRcg—I--K (PD3 COMMUNITY DEVELOPMENT RECEIVED m Permit Assistance Canter,Building,Planning MAY 14W C BUILDING PERMIT APPLICATION �.�.� PROPERTY OWNER WFORMATIOM CONTRACTOR INFORMATION: IS-m M NAMEC5Dog(t, ATb k-(A L.s NAtomjib poAaxlPµt:P.rT LLC .D Z MAILING ADDRESS: MARLING ADDRESS: & m CRY'f,%1,��_^STATE k^_KW: CIY: f la, s.&TA TIE:A ZBI PHONE WI 25S Z�g,3 •61z10 PHONE S m PHONE#2: EMAIL REGG:IpP/aar[T p�lA IP- LT Z EMAIL: L&I RDNARY CONTACT: OWNER$• CONTRACTOR❑ OTHER[I T- NAME IhE i^',ty� EMAIL Ce. MAILIPHONENEADDRESS PARCEL INFORMATION: O�9CEu, OTv( ybppElR�}'ATB vP �' 32 PARCELNUMHER(120git]R m )�-�{—S'M2-0 ZONING R.utl'R. ctOi LEGAL DESCRUi(AMa,,,aM)1nLZO FIRE DISTRICT t�Q 1p SITEADDRESS X%Y-Vt\llGf<eJ�.col CITY �•yplV DRtECTIONS TO SITE ADDRESS 'f ISTHEPROdECTWnBIN3MPTOFSLOPE(S)CREATERTHA 14%: YE R NOS SNOWLOAD:�f IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: �C'AMdtry ay,Jy): SALTWATER❑ LAKE[] WV IUEEIM POND❑ WHTL D SEASONALRUNOFF❑ STREAM❑ TYPE OF WORK NEWA ADDmoN❑ ALTERAnON❑ REPAIR❑ OTHER n USE OF SiRDCO1RE(aema�,fmage,co,��..rmmea rm/MMUFi1atR2en due IS USE: PRIMARY, SEASONAL NUMBEROFBEDROOMS ? NUMEEROF BATHROOMS, HEATED STRUCTURE! YES PPbNB&W)4 YES(ens fjfBW❑ NO DESCRIBE WORK SQUARE FOOTAGE:(PmPos4 ISTFLOOR2 0 ,K ft. 2NDFLOOR_si.R 3RDFLO0R sq.ft BASEMENT_sq.R DECKjt ft, COVEREDDECK s,.R. STORAGE R.ft OTHER KR GARAGE_sq.R Aaachd❑ Demchsd❑ CARPORT m.ft Aaach,,d❑ Drenched❑ MANUFFAC�TUR�E.DHHO(fME INFORMATION: •ICOPIESOFTBEFLOORPLANMUBRED- A^IJ<I MARE TIWORK MODEL 1Q'A65(033 yEAB 1MA LENGTR W Pr WIDTHti..A�BIDR00M5 _ BATHS, SERIAL NIRABER2�nI �S ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC• SIiWER(] / NEWJp( EXISTING PLUMBWGDi STRULI'URE/ YE* NO S {Tysa,mach c u,,l)uNWa AdegmryForm 1•ERIIAETER/FOUNDATION DRAINS PROPOSED4 YES❑ ]yOfB EXISTING SQ.". EXISTING BEDROOMS__4' PROPOSEDBEDROOMS 3 V TOTALBEDR0QMS_�LV avNERaww.n.dles nm mmm.pn MBcsuMe nmm.aon nmrrerJM a aw sons omx«wme = elm.aanm.leewmen,,wM xq :means nNox.i aeden,men I sm m.ommr.m i nmimaae.m men i.m mmnea io rocanremi:wnnn.m w oo me sons as Poaosae.l N,e o orwa wmrronaom ai�n<rewmn wmea :moa aro Yemeni nowm o,wmes mmierea rePa�e�na�n:aoi.a ma m.nm mNaN muusr, mre,mmesemo or ucbmm�m usmiamu.sswrere.�vmm..ndo�amevoucw�ry:ruessrome.eo ea.wnoa mowM mar vnry:)mrre.,e.,em niy0elon. Xnia pe�mmappwuuonessorne:nnnawenwon or aumon:m wnswmon i:ins mn.neina»mr ten afs narmmi.maonspo.eae tmew�onmteo een. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS PERMIT APPLICATION OF IN DAYS OF MORE PALL CAUSE THE APPLICATION TO BE EXPIRED.(MASON 14.118.42) X 5 13 e'1 naLuraOWNFR(MurtbaklM br tb OWNER) prn DEPARTMENTALR W APPROVED DATE DENIED DATE TAGSTTOTFS/CONDTIONS BUILDING DEPARTMENT PLANNING DEPARTMENT PHUT MARSHAL PUBLIC HEALTH _ cl N -2U ° } 3 / m�, �Nwi_z cubes \ m I = a22 _ � -- - � s ©' R - /LU ! � - #! � ) Zo _- � / - � - � � / CL§ !i! � \ #§ /w - - a ) y/ ' Zy 7 % • �� HIM + • §