HomeMy WebLinkAboutBLD2024-00780 - BLD CD Environmental Health Review - 7/2/2024 PermR Nu: 3�ao2L4-oo /U/
MASON COUNTY E VED
COMMUNITY DEVELOPMENT JUL 01 2024
Permit Assistance Center,Building,Planning
s1 s W. Aldsr Sbog m
BUILDING PERMIT APPLICATION Z
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:°'"'a°'I° — NAME;.. Q
MAI.MG ADDRESg:laN11M'°A"ae MAB.INGADDRESS:1 —' ' ITN
LTTY:ro+n STA7B2H':�^! CITY,ar.r STATE' ZIP:— D Z
PHONERI'— PHONE: CELL: t—
PHONER2,.. EbCVL
EMAIL:ae'amDDMre+® LM REOA'°�®° EXP.__/24
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PRIMARY CONTACT: owNER❑ TANTMCI'ORB OTBS❑
NAMH p.oa..reo EMAIL
MMWNGADDR655 OTY WATE_21P_
PHONE CELL aat�
PARCEL AFORMATION: ��I�
PARCELNIIMBER(12 Digit Numbar) ZONING KJ4/ C
LEGAL DESCRITTION(AhbRviaefa)TRxarwmlavM FlREDISIRIC[ fps r
SITE ADD1tESS laud, eesr
DIXECITONSN SREADDRFSS G �
m
ISTREPROIECTWRHINOMIFTOFS PE(S)GREATERTMNIA%: NOD NO® SNOWLOAD:}1tu(
M MOPERTYWITHINLWFTOFTH MUOWING: Rie aAa. &
SALTWATERD LAXED MVERA: Mo POND❑ WETLANDD SEASONALRUNOFFD SiREAMD
TYPE OF WORK: NEW O ADDITION❑ ALTERATION❑ REPAIR D OTHER D
USEOFSTRUCMRE(Aau.m.rw , ... A4&Fie/11N1"ii0"^"'1
I.SUSE: PRIMARYQ SFASONAL❑ NUAIEEROFBEDROOMS?H1IMBER OFBATHHOOMSr_
REATFDSIRUCT(IM YES/xtW BWE YES~jeez D NOD
DESCRIBEwDergw� Fsd.u.ee�arauawmw
ROOARE FOOTAGE:D,..o
iSTtLOOR I�aS.R. 3 FLODA_q.ft MFLOOR ai.R BASEMENT_M.R
DECK_p,R COVERED pEC1C_aq.ft STORAGE aq.a, OTHa._sq.R
OAMGE q.R AeaoAN D Dn D CARPORT N.R. Am Ad D Qn []
MANUFACTURED HOME INFORMATION: 4 COPES OF THE FLOOR PLAN REQUIRED'
MAEE� YRAR I,ENNOTIM.M
WIDTHsee BmRODMSa BA1RSe SERW,NUNIDER—
ENVIRONMENTAL HEALTH:
SEWAGEISRWERSOURCE: SEPITCE] SEWERD / NEWD• MsTING❑
PLUMDMGINSTAUKTUREP YESQ NOD llfj ,a a ylNad Wac Adgwq Farm
PERoffTER/FOUNDATION DRAMS PROPOSPDI YES❑ NO® EMSDNGSQFT.
EXNBDNGBEDROOMS O PROPOSEDHEDROOMS 3 TOTALBEDROOMS-3—
IIWNER rMMebrya Naaubnobe direavnn TMma9xi mey nfMNamq xakaiduwpnWl[ercvtix AWvtlN]arreMdaW b q
¢ynaNe WGw.I hde211W l Yn Ne w.ie¢aM I NNW CCkre NM I yneMM¢EN reCeM1e N5 psrnM1 anC btlp Ne xnk a¢law�¢Ba l My
Mlalrep parm'¢9m M1an aIINe rwesury peMes,irEuCirg eny eesanenl NYEw w paNa[of Interest eapaNy Nk ptgect itre wmerw lagfl
�epreu�MEre.RgeselAs WI Ne inbrmallm govNetl-s awab enC galls amlYoyeea of Maspn Coun1V acmm W Ill eWre tlmcnEeG pmpMY
aw sOucWrelellw revie.am-n:pedoa.Tmsls^Nappa'ticnbvunesmeeeW rtwonwewvrv.e ux¢IrvQonu na wmmercM vnUYn ltl
aaya[.it wan,a�me[TON b a�apanam Iw a ceeae a+w eay[.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMR APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.0e.42)
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-DEPARTMENTAL REVIEW -APPROVED DATE DENIED -DATE TAGRMOTESCONDPFIONS-:
BUILDING DEPARTMENT
PLANNING DEPARTMENM
FIRE MARSHAL
PUBLIC HEALTH II T I !
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STORMWATER SITE PLAN N RESIDENCE
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