HomeMy WebLinkAboutBLD2024-00884 - BLD CD Environmental Health Review - 7/23/2024 permllAUlmnce remer,aunalaE,Plamm�E
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BUILDING PERMIT APPLICATION RECEIVED
PROPERTY OWNER INFORMATIONS CONTRACTOR INFORMATION:
NAME:wawaaPNepwnaa .. JUL 2 3 2024
MAILING ADDRESS:--`n- MAILING ADDRESS^—"s1 ,wnr,o
�:nwe=, SIATE:_� as CIrx:P�"m"r STATE:"'" �:� 815 W. Aker Street
PHONE MI:mttwaa PHONE:
mm*• CELL:—a'ax"'
PHONE k2: LAIR ' ..
EMAIL:"1Oid'�eO1M L&1 REG pxPnn ERP.___
PRTMARYCONTACT: OWNERD CONTRACTOR[] O*HER❑ ENVIRONMENTAL
NAME dada n. EMAIL mae"ram — HEALTH
MAILINGADDRESS CITY STATE_ZIP__
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER112 Dieit Ntatnber) arxaa®t ZONING^16 A
LEGAL DESCRIPTION(Abkam ui d)faaaMetouearamaam FIRE DISTRICT•
SITE ADDREISmapnxmdae.ae CI'fYU^°e`Ex f'
DIRECTIONS TO SITE ADDRESS rruwwawata*we wawrwupaesrtruar maom waaaa.aemweaa.oaena
touaotwtan w we
IS THE PRO]ECT WIT'®u308 FT OF SLOPEIsI GREATER TRAM I/%s ]TSp NOD SNOM'LOAD:_ps(
ISPROPERw VATHLN2METOFTHEFOLLOWING: m.nda Ma.yPy+:
SALTWATER LARED RIYFRICREEKEl Pom13 wETIAFIDp SEASONAL RUNOFF p STREAMp
TYPE OF WORK: NEW[] ADI EDON❑ ALTERATION I] REPAIR❑ OTHER p
USE OF SIEIKTVRE taaA..v.came..eeAeaw w4,ial pxaewaraMaea-e
RUSE: PRIMARY❑ SEASONAL NUMBEROFBEDROOMS' NUMBEROFBATHROOk
HEATED STRUCTURE? YES,mawawrE) YEs,P N-04''r NO❑
DESCRIBE WORK"°aO�"E'a�1e"ppF1X1°"w
SQUARE FOOTAGE:, E'45fti n� Sc�• Bt0 ffon. 33 S%Tt
ISTFLOOR__aq.A. 1NDFLOOR"a aq.A. 31U)FLOYR_aq.A. BASEMENT_sq.A.
DECK_aq.1L COVEREDDECK aq.A. STORAGE aq.R OTHER_aq.A.
GARAGE_aq.R. .{ymrhadp Damrhedp CARPORT aq.R daaehedp Daaandp
MANUFACTURED HOME INFORMAT10Na 'a COPIES OF THE FLOOR PLAN REQUIRFD-
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC El SEWE.R11 1 NEW❑ EXISTING
PLUMBING IN STRUCTURE? YES El NOp ff3'ea.aRm*Mna,lemd D•aaarAdegaanr Finan
PERIMETERTOUNDATION DRAMS PROPOSED? YES NOe EXISTINGSQPT.
EXISTING BEDROOMS' 1'IKRPOSED BEDROOMS TOTAL BEDROOMS__
OMXER SMmmiadudo Sat mhmWan d Feccutete IMmmatlon mar—da Ina atop aarAaraar or psnR mvocanan.A}naaaaOmmadada al,6 by
.urea,,,bwaw.lE,daeNe,Iam me awnx and I I dhar oxlare that I am amen to MCNe ak pam'It anal do do lMw eaP Pmad Iha've
dMaircG pam,adm ham an Ne mceasary PaR s,mcNda,am,easendant IpWx of Panlm Of lmxm reyxdng Nu 0ofam'Tba mad"an"I
mpgad"' mpmaama Nat eta N(ammadd pmndeo Ia accxata eM 9I-'emPbYas alMmon f,dam,.-ad In...-dmIOW peWM
eM ordood amn—m aM Inalxpbn. i11u PatmNapplicdays,oecmrea nW 8 wN it aoM ar euNxized cotuVuctlm is m mmmmaed wNMm 1B0
days mttaxtm�dw eory a aaayxwed mr a Panm m taP aura.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIWTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF M COUNTY EWILL C U pg.6THE 21 APPLICATION TO BE EXPIRED.(MASON
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of OWNER( tot M kidded by ft OWNER) DbL REVIEW APPROVED DATE DENIED DATE TAGSINOTESICONDTOONS
RTMENTARTMENT
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