Loading...
HomeMy WebLinkAboutBLD2024-01514 - BLD CD Environmental Health Review - 1/7/2025 wWe, JD:2E19]]3a-0ACAer: aeon Permit No:_QjJ �ISt�• MASON COUNTY COMMUNITY DEVELOPMENT R E C E I V D Permit Assistance Center,Building.Planning DE 2024 BUILDING PERMIT APPLICATION 615 t PROPERTY OWNER INFORMATION: CONTRA--litWORMATION• F NAME:��,pNd3vuJrO m (� NAME:P�rw.r to f�(lb4ruc•1•IIM G �O M MAB.MG ADDRESS: a MAD.RVG ADDRESS'(l 1 =T FQ �f Z CRY:�,Ir.�\�'Dn SrATE:,y I`PLZIP: Cnv:S STATE: ti/PL LIP: PHONE#Lgnl,T,�t-444 fi PHON o - CELI.ZSi-.1AS ZYYSt( PHONE#2: EMAIL: a EMAIL. xR LAT REG# EXPO/]}f 5 D O P AARY CQQ��j''��C�T•. OWNERQ COMINCroR$ R� r MAILINCADDRESS L t C STATE MP = Z PHONE ea15 S� CELL_ PARCEL INFORMATION• GG��11 ^^ y D PARCEL NUMBER(12 Digit Nwaber)0 �7'�• OCY97-O ZONINGRV'I R�in'H r IE(:AI,DESCRIP�O'O,N�lAebre iabd) �. ,y(—rLnFDtE DIStR1Iln STI'E ADDRESSti millf �.R1Y� •� CITY ShP I•FSfI v� DIRE ONST SOEADDRESS H�101 It h(GA A V] Flv W.nl\E (d .Q�an Uja 4• L 1 sue.+' 1 on M 1 ldc QAv/ m a _ L4J Ny-}f �TE 1 f —rT ISTRE PROJECT WITWNMO Ff OF SIAPE(S)GREATER T'BAN IAY.: YES[] NOWSNOW LOAO:�psf ISPROPERTY] R KE1a0 FTOFTHR EKEI PrNG: Ic'eeWETLANPry1: SALTWATER[] LAKE❑ RTVERKREEKQ POND❑ WETLANDQ SEASONAL RUNOFPQ STREAMQ TYPE OF WORK: NEW ADIXTION❑ ALTERAT�IOpN,n❑ REPAINQ OTHERQ USE OPSTRUCNRE(aaumz�mc•.�•^'°I aNa Er/QQ.SI'^^�•uy' MUSE: PRDAKRYIR SEASONAL❑ NUMBER OF BEDROOMS_NtIMBEROF BATHRODMS HEATED STRUCTIIRE? YES#VAde eJel® YES rv+aGl lNJtl❑ NO❑ a1_ __ .c...L. ...A LIMna DESCRIBE WORK aan&RF FOOT& .Ft puwm 1STPLOORLLLq& a.R 2NDFLO0RN P N.E JRDFLOORI.1n sq.R BA�SE�ME�N�r�p 84R DECK�_sq.fi. COVEREDDBCKUtt aq.R SFGEAGEajI ,_N'H- O:nen✓lurR.a GARAGE NI s sq.R ADrcha7Q DNrched13 CARPORT NSA W.fl. AvacAeAQ DeaeAed❑ M1ANUFFACT'URED HOME INFORMATION: aA COPMS OF TREFLOOKpLANREQUIREDW MAKE t-�QQ}t MODEL G�18�J13� vFAR �oa'-1 -TCET>Tx 5(0I t BEDROOMS BATNS�_SERIACNUMBER IB— WIDTF7_ _ EMUoNMENTAL HEALTH: q EKISTMc El SOURCE: SEPncl§ SE'WERQ / NEWy PLUMBING IN STRUCTURE? YESIy NO❑ j),auwA rumWoed lVdwAJ.Y L)'Fw 0.( 1p' PEUMETMMUNDATION�DTRAWS PROPOSED? YESQ NQ� ERISTINGSQPC ry EJUSTINGBEDROOMS l� PROPOSED BEDROOMS TOTAL BEDROOMS 3 4Y1eERi[bwM.N+.tlueeWnbY6ndias+bla Ydmiub�nW m�IeaKpMwJ.t>PaNlfc stlen.IMVMM�meAr/wTbEY eamaeaa etlaa.l ae6vo der I an an awc mE I Aaabr ercJae mn I en y W eC b remM Nb Ma^�se b Oo tiv uvk®P�W m�a i Nw MIWwI PeaaS�u.hunJbere�ry(aNa.lb�al9aaVamebsal MiMUYNC MainCwb�sma�w You OoobW IVOWaY �mep�a..apnubmswbfamatlanpaubJbeavamaJ9�bs.J°A^" W alVtaslalgmM W bWa�b^.Tia Yn^N4flt'ab�0ecmieeNdwNewwk a mlalzo!mrtiutlM bNmmreal aillin ILe anarmm�amd+bn.Pab®me'aaee 1>•onba d tw mys. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIWTY OF THIS PEREIIT APPLICATION OF 180 DAYS OF MOREWILL CAUSE THE APPLICATION TO BE EKPH"B"IrASON x ���verity AA�MAAA T2/27/24 y D Data sL2namre a OWNER Ir tee a.a e.me awNER) DEPARTMENTAL RE VIEW APPROVED DAl7? DENIED DATE TAGSNOTESICONDITIONS BUILDING DEPARTMENT PCANMNG DEPARTMEM' FRtEMARSNAL PUBLICHEALTH N m � 0p�1 a Gi Q � � m O m i . ......... _...._L:.:. ...::. i i N � g � D Z - � O ! ! . • § © } ) | £ | § \ � \ )/ , \\ !!|, . 9 CL /& ~ \