HomeMy WebLinkAboutBLD2024-01179 - BLD CD Environmental Health Review - 10/4/2024 IkuwAq
MASON COUNTY Remit NO: - I1,7q
RE El p m
COMMUNITY DEVELOPMENT V z
Pemlit Assistance[enttt,Building,Planning
OCT 0 2 tall <
BUILDING PERMIT APPLICA71ON 616 W. Alder SY O
PROPERTY OWNER' BMATI N: CONTRACTOR INFORMATION: n Z
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NAME: Tuory eIv�rc— NAME: 1✓ff Vitw {411NA>LS --i
MAILINOADDRESS' n 172L MAD.INGADDRESS: 2 DTI
CITY: B 1 ei SPATE: CITY 54kI STATE: TAP:_ z
PHONE#i: _PLa— LM 131117 PHON& CELL: .—q
PHONEQ EMAIL D
EMAIL; L&I REG# EKP._r r—
Y OWNER[] CGNTMROR[I WHER&
MAILING AODR CM—STATE 211,
STATPSIB 19
C11
PHONE CELL /O V
PARCEL INFORMATION: !�//a�" ><O
PARCELNUMBER(12DiWINp ) 177(T 7_ Z1— eJr S A WNMO
LEGAL DESCRIPTION(Abb .mvd) FIREDISTRICT O
SITEADDRESS IS's Be. 9�1 CITY B^/pGlb
pIBECRONS TOSITEADDRESS IV a.".
� a. i.e Y_ —, OM16 K1/ - .w G
N THE PROJECT WIMl 300 FT OF SLOPE(S)GREATER TRAM i4%: YEBQ ZILE—LOAO:,yaf
IS PROPERWRIMUN I NI FI OF TILE FOLLOWING: ICMwMs gYyl:
SALTWATER[] LAKE[] RIVER/CREFK[] POND D WETLAND D SEASONAL RUNDFF[] STREAM❑
TYPE OF WORK: NEWP ADDITIONO ALTERATIONND��/I RFE�P/A�IRD� (OTHER []
USE OF STRUCTURE,..ddOw' .,.&n .CwrwNd AU -) I_(1_f_!N V�isl TIry��
ISOM: MI,ARYyaEASONAL❑ NUMBER OF BEDROOMS NUMBER OP BATHROOM4
RPATED STRVCTURER YES/WlaleBMal Ymo? d,14,nv❑ NOD
DESCRIBE WORK
SOUARE FrO1OTAGE:l..yd.0
ISTFLOORJyQ&q.fl. 2NDFL00R q.ft. 3RDFLOOR q.8 EASEMENT q.8
DECK_g8 COVEREDDECK q.8 STORAGE ,fl. MER q.fl.
GARAGE_K.ft. Almw[] Data#cd❑ CARPORT q.8 Aua.W[] DCehed❑
MANUFACTURED HOME INFORMATION: 'd COPIES OF THE FLOOR PLAN REQUIRED'
MARE TCMeQj -1;^T MODEL SAI VWf YEAR ZU2y IENOTH ,SQL
WMTH��BEDROOMS BATHS -Z SERIAL NUMBER
ENVIRONMENTAL HEALTH: 67d& 006L2
SEWAGMEWER SOURCE: SPPTTCge SEWER[] I NEW E%ISTINO❑
MUMBINGMSTRUCTUREI YES)W NO[] Y/ .nuW rvmpined ft,t,Ade ,Form
PERIMETEFTOUNDATION DRAMS PROPOSED' YES[] NQ& � P.KISGNGS(I".
EKJSTMG BEDROOMS PROPOSED BEDROOMS '/TOTAL BEDROOMS
OWNE0.eGmMeOaae WlautlnLLekn o(inWJleb MolmYbn%I+II lneepPxwk o�Mar pappX mncetlon.AJ.IvwMepemMdwtllb Ly
µgia,we Cebw.l aetlert mel l am Ine wmr wM I ArlMraxYre Nnl an Mtltleab rtuM We perml,ene b eo are xcrks pNpoee0.1 Ma
Cpglnee pelmlwlonlmm al tM1e mwe9ary paNr„iricMbn9 any wmemenl Mae,o,FVX®olinM�ee,repeNy utis pmpct TXewex/alpel
repeeaMalm,,presenM Intl Ilw IMOlmetlm govvJea ix s¢wele eM amnia emplo}ma of Maem Cwnlyecce9e b Me ehe.�deMbMpWny
.a Mrina..leimrremw.�a m.,pe<uoo. m�e permMa�'mation cewmee o�ai s vole n worc or.mnor�ae m.awatlo.N m mminanewanallq
den m nwatlmwm wo+M.uRamea,m.peace or lea ay..
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INAGTMTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.IMASON
COUNTY CODE 14.0M)
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SIRneWmaOWNER fM:ml be alonetl Er Ure OWNER' �p� Z OW
DEPARTMENTAL REVIEW APPROVED UNTIE DENIED DATE TAG"DOESSECONDITIONS
BUILDING DEPARTMENT
PLAPDBNGDePARTMENT
PIRE MARSHAL
Pueuc PALTH S
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