HomeMy WebLinkAboutBLD2024-01033 - BLD CD Environmental Health Review - 10/9/2024 NIASON COUNTY Permit No:aj)g 4 -O-Otom
COMMUNITY DEVELOPMENT RECEIVED
Permtt Asslstance Center,Bullding,Planning AUG 2 64
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BUILDING PERMIT APPLICATION 615 W.Alder Street z
PROPERTY OWNER INFORMATION CONTR��/A/CTORQII,,N��F,,ORMATION•
NAME: NAMRAWCS 99EG. LI.L
MA➢I OA RESS: + • MAE, OARDRESS; Z
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II1T Y O A f OWNER II CONFMLTOR❑ OTHER
NAME CI UDI.! /6DR qGl L�(Bfr gMAlt D
MAIWNGADORHSS Pn �[.!. ITY STATE. ZIP r -
PHONE CELL _ a
PPAARCELNUMBFEORR(eA Digit • Off ^�
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LEGAL DESCRIPTION(Abitplemd) P253b PIRG DISTRICT �(
SITE ADDAIiSS�'Z.' E PA5AAQA VAVE LAI CITY.CJ/ELTo �CF 91O
DIRECTIONS TO SITE ADDRESS
ISTHEPROIELTWIrMN300P1'OFSLOPRMORKATERTBAN14%; YES[] NOV BNOW LOAD: T
ISPROPERTYWITHINS00FTOFTHEFOLLOWINCf Ra.ellwtlef nPy):
SALTWATBRp LAKE[] RIVER/CREEK❑ POND[] WBr"ND❑ SEASONALRUNOFP❑ FTRSAMD
TYPE OF WORK: NSW ADDITION❑ ALTERATION❑ RE/PAnI�R„� ,,MnO
usE OF srxucTTlRa(R..Me,.x Da.oe cmuoeweuc,eklfiJ'flEF�AE 6W
MUSE: PRIMARY[] SEASONAL[] NUMBEROFBEDROOMS I NUMBER OF BATHROOMS
HEATEDSTRUCTURE? YES IMed,mly YES(naJ W) NO
DlscRmEwoBKSt/.rA/L G;A SUFA(IITLIIZD13 L A6 A11 hPU
SOUA F FOOTA E:ry,.?,,.d) '
ISTFLOOR-W_N.R 2NDFLO0R_aq.IL 3RDFLO0R_eq.R BASEMENT A.
DBCK_N.R COVERBDDHCK_N.ft STORAGE N.ft OTHER_
N.R
aARAae_N,R. AN«nw❑ dWend❑ caneogr N.ft AnarA.d❑ Dem,Aed❑
MANU....OF000ACTURED ROMP.INFORMA�TdION: rr..Ifp` e4 COPIES OF THE FLOOR PLAN RE��QQQUIRED-
MAKE�-(Ba _MODEL1!FyQ((E�f�l13_ A_EAR OZ LENGTN�yF�
WIDTH 2 BEDROOMS BATN9�SBRIAI.NUMSER
ENVIRONMENTAL HEALTH.• Sµ ti2624-66A
SEWAOB/SEWERSOURCE: SEPITC)l SEWER13 / NEW)( ERISTINO13
PLUMBING W STRU(7TURE? YES y NO[] ///ce,mma w.pkl dW.-Adequary Fans
PERpITTERTOUNDATION DRAMS PROPOSED? YES❑ NO[] EXISTINCS%"..
EXISTING BEDROOMS PROPOSEDBSDROOMS_I__ TOTALBEDROOMS� _
mt'+ER JlmxltlPn tlltleudnbelm gmeaWab YlMmeLLVITy IewJl Nle Nep Mwk utivcrpemylrtwwWrt PCFnwAtlpement,leWlbpy
mOnelwe nelaw.Iaw.n afet I Na nN wmer eea I nmNe.uere nut I vn.mN.em IeWku Mb pem,n ena w a,Me rA,F..PI,P,e.d.l ne..
rdtWM IemlbM F,m aptln nemeury paNae,M�IWnP enY a®mv{Yaltln RpMlee dlMenel re9erdrq We p�gect The,wnar wbpel
ryplaealNtlw,�graeMe McIN®Inlwmalmn PmNtle!b epn�eeb xtl pnMe wnpby2eed Meeon CounlYecaes m IM epwa tlexrlhatl Orvpe4Y
W emtlun(e)mrievlewenE Inepeclbn. TM1b OelmlYepp'Icetlm brdnu nW 6 wN19vvh„euManz,tl cpnflrvcWn le nol uvnmanwtl WIM1N t90
Wye mtlmllEWNpn Y,qk b euspeMeE lo,a petletl N fBa Mye.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATI N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE E)UPIRED.(MASON
COUNTY CODE 14.08,M)��f''T//��/f[.J,^C
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DEPARTMENTAL REVIEW kj I APPROVED I DATE I DENIED I DATE I TAOSNGTPA/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
' PUBLIC HEALTH
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