HomeMy WebLinkAboutBLD2024-01318 - BLD CD Environmental Health Review - 11/5/2024 Permit No: BLD qMASON COUNTY COMMUNITY SERVICES q —in13 1
' PERMITASSISTANCE CENTER:
.9UIIDING.PUNNING•PUBLICHEALTH•FIREM4R5
615W.A rSoeet, ar,WAWW RECEIVED
Plove SMrm:(3W)4V%70 a#=.Fro':(M0)4Y2-7nMPhone
SN/Nr(360)47SN6I.Phone EMe:(360N8F5M9
BUILDING PERMIT APPLICATION NOV 04 2OZ4
PROPERTYOWNER INFORMATION: CONTRACTOR INFORMATI@bix t* S, t
NAME: 0 l t NAME: GtF�6-� LLB . 'll L
MAILING ADDRE$ 62 ALL61 D MAD.INO D SS:2 G
CITY R,y1 STATE: ZIPyB)j7 CITYGe STATE. ZIP:
PHONE#l: i PHONE . I9CELL:
PHONE#2. igw
EMAIL Q o
EMAIL S o G G L&I REG# EXP.7—
PRIMARY CONTA OWNBRV CONTRACTOR❑ OTH¢ ❑ %G
NAME EMAIL'tr a • o
MAILING ADDRESS W CITY SLAT ZI
PHONE.
PARCEL AIFORMATION: c¢u
lope
PARCEL NUMBER.(12 Diga Nambv) s BI O O 6 ZONING
LBGAL DESCRIPTION(Abbmi.W L 'T;• g L LA 'L FlRE DISTRICT G F/p 16
SITE ADDRESS ll.) 4� .L• 4 L14 +—
DD2ECTIONS TO
TSTBEPROIECTWLTImY3NnOFSWPE(S)GREATERTHAN10A: YES❑ NOA
IS PROPERTY WT LASED
Pf OF THE POLO PON : (CRxkETLAND[
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW)t ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USEOFSTRUCI'URE(awaa Qnrop,camao 1AMS,sa) GR fi
ISUSE: PRIMARY❑ SEASONAL)k NUMBEROFBEDROOMS1 NUMBER OF BATHROOMS_
HEATED STRUCfIIREa YESS/��jBMd[] YES(Pma/Ma ❑ ND�
DESCRIBE WOW cc" .^a T _ J
SQUARE FOOTAGE:OvaPan.0
ISTFLOOR p.R ZMDFLOOR p.8 3RDFLOOR p.R BASEMENT—R.R
DECK p.R COVEREDDECIC R.It STORAGE p.ft. OTHER_p.R.
GARAGSN,0 K.R. Attached❑ Demdrd CARPORT p.R Attached❑ Demched❑
MANUFACTURED HOME INFORMATION: '4 COPIES OF THE FLOOR PLAN REQUIRED'
MAKE MODEL YEAR LENOTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC% SEWER❑ / NEW)( EXISTING❑
PLUMBINGINSTRUCTURE? YES❑ NOT$ {(Pee,adachcn,,k d)Fater Ad onry Form
PERIMETER/FOUNDATION DRAINS PROPOSED? Y84❑ NLI ETISDNGSQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOM$ TOTALBEDROOMS
OWNEReMnmr.I j tlal Imiselon of r and Mrnerma5on mry Tarn In W xvMaeer Pprnnt revxdlon. mrF aa3gam -I'o'sg Ey
apneWn 4bx. Baden Neil em Me owreraM lunnar eedaro tlul am?NINEbreceive Nb wmlll er91a MtM1e xaek arrhoopwee. nave
cplYctl pwmWlm M1an ell Ne neceawry paNw,intlueing anyewmem Mleeror peNea olimereal ragerairq Inia pmjed. The tuner a legal
rePresemanve,npresemsandins ecoon,lwlpmmaetlplicon e 9 nemgaywsof or ar Cowly mme Na not oornmontl Property
erd ahuGlurels)br reNawantl imped'gn.TMa parmNappliralion Mwmw nuR 8 void MxoM or eullariun wrmlrucllon*not canmencatl xiMln 180
tla,a a mm�awcmn emu re cuwenaetl tar a whotl a leg tleya.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTNRY OF THIS
PER APPLIC TION OF IS DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
T
COUNTY CODE 14.08.42)
mp"X
of oat n bvU%.OMERr Dole
DEPARTMENTALRE APPROVED DATE DEND:D DATE TAGS/NOTES/CONDTHONS
BUIIDING DEPARThDRJ'T
PLANNIJG DEPARThffiNT
FHtE MARSHAL
PUBLIC1 ML L4 fII/w
,Parcel #51901-50-02030
Scale 1"=60'
60,
` 3 Bdrm gravity trench drain Meld
t---D-Box _ ' .S', using Chambers. 4 @ 50'%3 -600 Sg Ft / L
Y
Off Site Reserve Area
^ f trenches 5 x 1 5 450s-010 R L�
for Parcel#51901-50.OlOfib
Clean out ..:. .ro ..... .
to'min
1000 gallon n rrtq
double Compartment 5 �Y'x 60'
septic tank 1C, shop - to FT. This site Is to have a primary drain field
with outlet filter 'G and reserve rated for 3 bedrooms.
t 4M shop build Mg.)
(2 bedroom In the house eae-ene-Ilt
no plumbing
'o There is be a 2 bedroom reserve area for
---50 0 //.,,.�� the an off site system located at
1194 West Lakeslde Dr.
Clean out
Parcel # 51901-50-01066
I� ' �� �°�
Reserve 0
15'
Area S
0% NOT AN APPROVED SEPTIC DESIGN
Sloped Mutt use SWG 2023-00062 for septic installation
t !� EH Setbacks
Clean out
A.) DianflelNReserverea.m.10'saa.kiromioo4ngrloundatons
Transport line �\ B.)Septic tank(s)reguires 5 se0ack foot all fowpao"rdations
from Off Site C.)No faundatoaPerimeter Dmm wimin soft,as vmraaiem m
OSS on 2 y Drelnli.WReserve area
Parcel# SI pe D.)No Cut Benk(s)(greater than 5ft am over 45 tle0mes)within
51901-50-010 6 U 50a,awn gradiem of Draiafaa Rasame area
1000 gallon double 2t
Ol�
compartment septic SI peci
tank W/o tlet filter j�t—
Water It..must be Proposed0 s This site map was developed by using existing resources and onsite
sleeved If crossing home measurements. Features shown are approximate.It Is not a legal survey
septic transport line
"40 .-- All surface water must be diverted away from tanks and drain Meld areas.
Q..� Site,design and construction t
herein shall conform to applla
D leeway
Water meter
NOTE:Tanks may 6e relocate,
are observed. 5'from proper[)
water supply piping, 50'from
Proposed 2'Transport line
from Off Site OSS
Parcel* 51901-SO-01066 4y
1194 West Lake or aPO