HomeMy WebLinkAboutBLD2024-01324 - BLD CD Environmental Health Review - 11/12/2024 MASON COUNTY Penal °�Lf3a
COMMUNITY DEVELOPMENT
Permit Aulstance Centel Building,Planning
V - 4 2024
BUILDING PERMIT APPLICATION 5 Nl. Alder Street R1
PROPERTYOWNER INFORMATION: CONTILACTOj IN FORMATION,
NAME )GH 4r.I Ili/y L .Fr NAME
MAR.INOAD�S: MAILING ADDRESS:
CTTY: Memel, STATE yg_ZIP: CITY: STATE. ZIP: (11 O
PHONE#l: .ib19- 372.9ft.S1 PHONE: CELL: Js Z
PHONE#2: - O EMAIL:
EMAIL - GI. LRI REG# EXP.
PRIMARY CON TACT: k OWNER$ CONTRACTORp O 11 --- Z
NAM�I_n. r EMAIL dP� r 1.CtSM
MAIWNGADDRFSS__ CDY Z ]TAT_F. 1 in W_Mn i
PHONE TGi�•_RT]-2RG1 CELL 3LD-R01 - IS76 - __
PARCEL INFORMATION: �� 1 /I
PARCELNUMBERU3 M®c Number) _1 Sda- p Fyy.l U
�,�2�o wNMGucff to
LEGAL DESCRRTION IAbblovhxd) ; Lnf S6 FHU DISHl _; o�
SITEADDRESS ,SI E Isn k Re.4 (' f CITY Crr nVic Lll
DHRHCDONSTOSITEAD W DRESS &IO, . n n 1A. ,, Rr feel.# 6Ys Icrn S.\....1.-L4 D.y
1ST PRO2ECTWITH 3Wn OFSLOPF(S)GREATERT14%: YESD- NOp SNOW LOAD;36
MPROPERTY N200FTOFTREFOLLOWNG: MFedminw oFP?y):
SALTWATER❑ LAKE❑ RIVER/CREEE❑ POND❑ WETLAND[] SHASONALRUN40i STREAMD
TYPE OF WORK: NEW I ADDITION p ALTERATION pJJ REPAIR p OTHER n
USE OF STRUCTURE(Jtmi G,,ceamemm Ad,Ee) Rt$�iA��(Is
IS USE PRDMRYp SEASONAL❑ NUMEEROFBEDROOMS3NUMBER OF BATNROOMS�
HEATEDSTRUCTURE? YES IR,bb Bwy® YESObn(iyAid❑ NOp
DESCRIBE WORK
SQUARE FOOTAGE:rPns,raa)
I ST PLGOA q.R 2NDFICK) q.R 31DFLOOR q.R BMEMENF_q.R
DECK .R COVERID DHpC 19a q.ft STORAGE all OTHER—all
GARAGE all It A#achd❑ Dinhwhoip CARPORT q.R ARacAdp Donal[) s
MANUFACTURED HOME INFORMATION: V COPIES OF Te1..HaaE FLOOR PLAN REQMR®•
MAKE FleeltAmi MODEL EV"j,CCn YEAR_,2015-_LENGTH if$a
WLDTH__. L BEDROOMS SAMS .7 SERIALNUMBEK F�(}
ENVIRONMENTAL HEALTH:
SEWAGPBEWER SOURCE: SErYl SEWER ? NEWp EXISTINEK
PLUMBNGMETRUCTURET YMB NOp 1fes aemu5 cumylned Waw Adegaay Porn
PBRA�1'HUPOUNDATION DRAMS PROPOSED? Yll NOR E%LATINGS%FT.
EXISTLNOHEDROOMS PROPOSHD BEDROOMS TOTAL BEDROOMS
IXiNER WnaxMEpeetlW wb111nM MhuvunY Mloim+bnmry leMFeeCpvM wEerwpe�mYn AbI�.IdpvMMpanlnitdeltliYhy
91gruMe ompaln,cm tlull naeaoxxreMINMmn,my misommn olamorpaum Imustraamto Eotl p e¢pmpcedJ.l Mw
cblainetl pemisaim M1om all Na rexaary,pael'res,inclu6�g any easement M1oloaror parllas of imerasl regvdrp IM pgeq. TM nme�w bpal
represenlalNe,repnaaMe artIM aN ebu rorre InspIencrotiromn e.lbn s peny W Iaucial bmagneraan null
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PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 11.00A2) Te-
X2� S liala°bvtlw OWNERI Al 4 .l W
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TACBNOTE CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH I
S( E Lookoln,� Cou_r� , G�oPeV�ev�
kus�l< v roc A v o2 Lok 56
�vocl #1212� -51 � co
I Schunre = 14 -P - '1' LQO OU.� Cf"JUC �
r foot over 1b.n w�+h
dome '
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—' Power Ilr,e GK 1s1�1tna
New Power l c
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V,6-Acr L�n< FiX iS n _ _ 'ice
�i q �3� _ o3.y„ �b- rI
New WC, 4,ne U /
y1�Q%ci: wa.l l ✓ �hr it //. m�
34' IIleck wall Ijl�
32' 61ock call I' h�8,h kl _
.Door +u Cnd oC Deck d � La
as Shown wi�� 5#eps t' I
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pok I_ V( `I(rasd�
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EH APPROVED
Rhonda Thompson 12/0 12 G
Gl)
Public sewer and ter '
Ana
Nome n�0.Cemcn�, I„ ,�)�ere o�t'A honne wo_;. /Iq hom< WAS .�4 K`o✓