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HomeMy WebLinkAboutBLD2024-01123 - BLD CD Environmental Health Review - 9/18/2024 MASON COUNTY Pe.ft No: & 0904A-GI\2 > COMMUNITY DEVELOPMENT RECEIVED :N. Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION SEP 1 7 2024 PROPERTY,OWNER INFORMATION: CONTRA(C� TOR INFrO�RMATTON: 8,15 W NAME. IITV R. AIfTIlVF.AI NAME:J� 9tt'Pi �:r✓1 MAILING ADDRESS:,S�'j0.S 4?la PL MAI[..INr:AnnR_PccS' k..se�— CRY:TA<alm ' -5`TA7E:�ZIP:� CRY: fTi"rTt_STATE:_ PHONE RI:� 3'A7 ODg(� PHONE: - Y - 1! CELL: PHONE#2: L - - EMAIL: - 'n V'¢a N.n4: �I EMAIL: LRI REG R 5 V ,•< S .j�l /£Y f PRIMARY CONTACT: O WNER CONTRACTOR❑ OTHER NAME � EMAIL507 MLN ' �1 P- 1%, as❑ I LTIY A f _ZIP op PHONE eT 1aJ CELL PARCEL INFORMATION: PARCELNUMRER(12 Digit Nlenbv)312 n)Il 7f//L/)31 ZONING LEGAL DFSCFB'DON(Abbreviated) FETE DISTRICT SITEADDRESS " R .>e✓ ` c C1TY shwdj DBtECTIONS TO SITE ADDRESS IS THE PRWECT WITHHN NIS FT OF SLOPE(S)GREATER THAN 14%: YFSO NO Ef SNOWLOADlipef ISPROPERTYW1171114200FFOFTHEFOLLOWING: Fxeclmlevgpk: SALTWATER[I LAKE❑ WVEIUCREEKE] POND❑ WETLAND❑ SEASONALRUNOFF❑ STREAM❑ TYPE OF WORK: NEWIA ADDIRON❑ ALTERATIONEIUSA/IR❑ OTHER O RE USEOFSTRUCTU (w+uma.Gm�g¢.Lo�.m/Bwz,,/ RR5j tl,4 M ME: PRIMARY❑ SEASONAL° NUFIDEROFBIDROOMS_3_NIIMHEROFBATHROOMS2-- M,TFD STRUCTURE? YES YES 1 1elHSMaI❑ NO❑ DESCRIBE WORK Maw SOUARE FOOTAGE: w 0, .q IST FLOOR 1129.SGq.R 2NDFLOOR K.A. 3RDFIAOR , aq.ft BASEMENT � p.ft DECK_,ft COVEREDDECK '\ aq.& STORAGE N aq.ft OTHER � Kfl GARAGE N aq.R.Alu W O DeM l ed❑ CARPORT \ sq.ft Alr [j De.W o MANUFACTIM1ED HOME DWORMATTpIOM1 a4 COPIES OF THE FLOOR PLAN REQUERED' MAKE K;+ ii%.%K'.r ("k.^:S MODELI;'•r1e"e:} a" 1 YEAR ZVI LENGTH N� WIDTN/_E '1 :. B®ROOMS _ BATHS 2 SERIAL NUMBEIL TLF� ENVIRONMENTAL HEALTH: SEWAOF/SEWER SOURCE: SEPTIC'Er SEWER[I 1 NEWu/ EXISTING❑ PLUMBOiOINSTR=m? YFs® NO❑ /Tpea,au wo leted WmerA&e Form PERRAETER/FOUNDATION DRAINS PROPOSED? YES❑ NO® EXnnit;SQ.FT. EXISTDIGBEDROOMS PROPOSED HFDROOMS.��TOTAL BEDROOMS oWxERemlw.M.roe.mal.w::¢ma d�ammle wommum m fi leanin a amo•on o:aermxmaeew®um.rcbmwleeA¢m.�n wwmNq uOyWrt Mbxl OetlYe Teal l am Ne O.wa�eM I NMm Oetlae Ntl I em eMIkG to exxive Ibis peemil mtl b Go NexvM es pvp+sei l Ma pMaNetl pmussim M1vm ell lxenemssary paNes.'nduGLnA arty Iilpds arceNiWo,�e<,s,In appa¢rtgMmews Haapl NmeW inO(eotoimna Eioln ppme+m0ielL04 i1s Le'lir anl¢e e[evsewtlm mBrnealsm ntsu mn a wvl 1pa aeixlix oo!M1 m owf oaun tlCnwnrgxMrye NmI0n sssw tNo pmlOe j uedM. Odn¢aursanaoevC vleAW eyM eale del, pNln I lw PROOF OF CONTINUATION OF WORK ON THIS PERMO IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION O SO DAYS OF MORE WILL CAUSE THE APPLICATION TOM EXPIRED.(MASON COUNTY CODE IY00.42) e OWNER(M b red MUre OWNER DMe DEPARTMENTALREVIEW .APPROVED DATE DENIED DATE TAGSNOTE&CONDITIONS BURRING OFPAA'1'MENT PLANNOIG DEPARTMENT FTREMARHHAL PUBLIC HFAIIH 1 6 t_O2o29-Oltz� - E SHog.FMFST DRIvE— Cr.at °I 20 p o 30 i EH APPROVED tier Rhorbarhompson 1ero8202/ �, ��'( A�1 AN lA 0 w zM V--N— p.�.n sZmzl-S3-046P,8 1t>� ti g'RtM�Yt-I-N. tort �x1 fold DF. -MP-NU' E5 ® 5' Q.G. WPM 200 LINE4�4. ® FEE 1 OF 9-'P5l .VE 9 l o'ntN 5' min d - d=TEST �OL� 2-7 ' x q g' m 1: 0-31d' ks to Fine 36R is 'roots, 6v-50 silkysom&' NLc@5�` MANurrALTu\2�p aa; 0�'jla" is �of�ne gr VA0MEstml- loi CA ✓\�c� \s f ��wCY i rooi-6, no HzO. 9p�v W i O Audio-Visual Alarm flat- © Cleeaout — E. BR\DOER t.ANE— © 12DD Gallon Septic Teak or r 2-Compartment with r Effluent FUter m N O 1000 Gallon Pomp Cbamber V G © Valve Contol Boa m a PLN Approved w = - m asna/2024 EH Setbacks n W County o m Mason Cnty Community Development E m A.) DrainfielNReseree requires l0'setback from footing/foundations Z = Gavin Scoucen B.)Septic tank(s)requires 5'setback from all footing/foundations J W All Changes Subject to Approval C.)No foundatiowl"immeter Drains within 30p,downgradient of er Drainfield/Rese area d W N n« o 0 Mason County does noDisclaib rve equire surveys for D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within m = m m buiidiig.As a result site pans may rot reflect SMt,down gradient of Dminfield/Rei area IL N cc 2 us sixteen,dmpYl mseth�� aquu.nentsslbllity