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Home My WebLink AboutBLD2024-01415 - BLD CD Environmental Health Review - 12/13/2024 MASON COUNTY P`""""° D COMMUNITY DEVELOPMENT CZ� 2 Zf124 m PermltAssistance Center,Building,Planning z BUILDING PERMIT APPLICATION 615 W.Alder Skeet C O ER INFORMATION: CONTRA CFORINFORMATION: (/ I� m O NAME: S Yar D Ta0 NAME:APA CDKskm, 1'A ZtiL- ]> z MAILTNQ ADDRESS: ,,✓4 MARLING PRESS' t r CITY: G' r STATE: Z :g resr CITY: IvA4�at+ STAAM tom_ZIP: —j PHONF.#1:� O PHONE: L+1$gSICv PHONE 42: EMAIL: [sk Ssas. Q M1w/l.cerw� EMAIL: L&I REON ALWg.g �.f1.1NEXP.•6/01/].73 PRI PIT CT: OWNER❑ COMMCTORQ OMER❑ Q� NAME EMAIL�l�dw ✓�}rEara'7.urs MAILINGADDRE S I Vw ✓s �� CITY ¢TI+'p.- + c'P�'Fd ✓ '?�� PHONE.73f0.-7447 `1 CELL T� �(n� V2 e/ . PARCEL INFORMATION: y q r� �e/�G �p PARCEL NUMSE11 H 2 Digit Numx) 2ZOSO�IO�O`/IZO ZMN0 QR5 �O f LEGAL DESCRIPTION(ARnnbawd) Il 9—o I—fo LOf —MA JrZ DII TRICT 1 SITE ADDRESS _ CITY: IIFAa DIRECT{ONSTO SHE RTY ADDRESS a •w ►tURP EIRM F F4. ISTHEPROHtCEMWIN 2WPFOFSLOLLOWING: r TFIAN 14Ye: YE3p N0J SNOW LOAD:Ip.r ISPROPEER[I LHIN280 FT OF THE FOLLOWING: FAxTMINwgAIPJ: SALTWATER❑ LAKE RIVFR/CREEK❑ POND[] WETLAND[] SEASONAL RUNOFF❑ S'IRHAM❑ TYPE OF WORK: NEW 0 ADDITION❑ ALTERATION❑ REPAIR 0 OTHER [I USE OF STRUCTURE(qulawc( .oawee MUSE PRMARY# SEASONAL❑ NUMB ER OP BEDROOMS_NUMBEROFBATHROOMS HEATED STRUCTURE? YES fRa✓a&W o YES rymr/rlgNQd❑ NO DescluBewoRx .TAgalb M.Rr/i.1...1 Knc. SQUARE FOOTAGE:PnYaM 1ST FLOORJI2,,?—,ft 2ND FLOOR / M.ft 2RD FLOOR / aq.I BASEMENT / sq,ft. DECK vq.ft COVERED PECK_sq., STORAGE aq.R OTHER-- R. GARAGE,re-aq.R. AnaNNd❑ DsmMrd❑ CARPORT sq.I. Amadat Duadhado MANUEACPURED HOME INFORMATION: a4 COPIES OF THE FLOOR PLAN REQUIRED` MAKE ekyAid, MODEL a YEA, 202,1f LENGTM O71 WIDTH 2 BEDROOM3 RA SERIAL NUMBER 91&Az u"* ENVIRONMENTAL HEALTH: SEWAGOSEWERSOURCE: SEPTIC it SEwCao / NBW EXISTMG❑ PLUMHINOMSTKUCTURE? YEso NO❑ 7Paa.atmnF nd Wder Ade Fomr PERIMETER/FOUNDATION DRAINS PROPOSED? ML] yNO11i EXISTINGS(l.FT.� E)CMITNGBEDROOMS I PROPOSEDBEDROOMS / t' TOTAL BEDROOMS OWNERx arches that atMmeYan>NmMa lMormallon may rxMln a tlap voh draw at Tmrat m—m,n.MnvMMOamenr M wtli is at, alit.Cab..t a...NY I—that end I IoMar dadana vat Iam.11.to—hoa.Innnd and b ao Me—.as Pmpoaaa.I here vgeYad Perm ion M1om MlM1e rereavery peNe,Intlla@q airy eacemenl CONeror pelaes dlnteres:re0aNm0 rNs proietl. TTewmerdrlega rpeah,hhdw repramnas that the inlu'ma on prorldod ls—an and grants employees of Meson County eae¢¢Io Ne Aave daal, ec yop., arastr roialbrmaaweMIrhwscaoan TN¢pennNappM1[allon Eemmee null6 wId awoM araulponzM wnaW dlon?not mmman¢]ytryn 1W t eq+m a[omw[tionwn Netapemea tor.penM. dtgq a.n. 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 LOVNtt LODE 14.09.43) �Z -2 /2ciL( SDrtMYra 0 OME0.(Mini In alvrredMNa OWNER? MY DEPARTMENTAL REVIEW I APPROVED DATE I DENIED DATE TAGSNOTESrCONDITIONS BUILDIN I DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH LT 1 vI in wi ENVIRONMENT4L HEALTH �aPo saraEs zrarz Neva m ,e[mm6M,reeTM eo�. 27 WIDE CLAYTON LACEY SARNO LLC 11@V24 • ^�\ ^ | | ® § | \ < y�� #�! /\&! k!/| ~ \\ � 3018 ® •/| f ` i ! ■ | !SIDE \ /4 2 m � z { / | | ! ■ ! ; { -D , 0 /S| ©� a� ! ! ! f £ ! ® SIR R gil§)� | § � § ) | $h � � �� / / • | , � , � ■ . .. . . .