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Home My WebLink AboutBLD2024-01324 ADV2024-00156 MFG Home - BLD Application - 11/4/2024 MASON COUNTY Permit No: &I X/2 0 2 p f 3 COMMUNITY DEVELOPMENP E C E I V E D Permit Assistance Center,Building,Planning BUILDING PERMIT APPLICATION NOV - 4 2024 PROPERTY OWNER INFORMATION: CONTRACTOR MFORMATI9Nt rj W. Alder Street NAME: AUV IIV c4 no ,J r/t/ L4 X e NAME: MAILING ADDRE S: P6 80se 21 MAILING ADDRESS: CITY: 9 142"', STATE: k1A ZIP: 9P, CITY: STATE: ZIP: PHONE#1: _3rae3- 372-.2R, 2 PHONE: CELL: PHONE#2: 3&0 - 1-IS 70 EMAIL: EMAIL: 1. L&I REG# EXP. PRIMARY CONTACT: OWNER fa CONTRACTOR❑ OTHER NAME EMAIL lT�\Sr a►D I. MAILING ADDRESS I CITY �t �n r r- STATE V 1 tl ZIP PHONE CELL 3G0-8o1 - ISTb PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) -2,2 1,2 7-`S�-00bL5G ZONING Ku S T I e LEGAL DESCRIPTION(Abbreviated) bj-'V 'Q L'5 f .5*6 FIRE DISTRICT 3 SITE ADDRESS S1 E Lankesu:j Court CITY I DIRECTIONS TO SITE ADDRESS M�,fin n w _ t a 6± a h k rn Ww--Vk4 Qm 1 IS TH PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO❑ SNOW LOAD:Mpsf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheek alt that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ID ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Ete.) ke IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS { HEATED STRUCTURE?,YES(whole Bldg)® YES(Parr[sI of8tdg)❑ NO❑ DESCRIBE WORK I� C. Q 1 A Male uQaA t." home,—kq/i+V% r\r.vj D n e, SQUARE FOOTAGE:(proposed) I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.& COVERED DECK I�i' sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.fL Attached❑ Detached❑ CARPORT sq.fL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE FJ(!e4 W d0 cl MODEL Evc ra see n YEAR LENGTH t f WIDTII--.2�f— BEDROOMS_„ BATHS ? SERIAL NUMBER___F,/(} ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC❑ SEWER[k / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YES J9 NO❑ Ifyes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ NO2L EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS 3 TOTAL BEDROOMS _ OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and 1 further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null&void if work or authorized construction Is not commenced within 180 days or if construction work is suspended for a period of 180 days. 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 T O BE EXPIRED.(MASON COUNTY CODE 14.08A2) "P"d- X o1ao4 r . 2�{ Signature of OWN (Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY Mason County Permit Center Use`. COMMUNITY SERVICES ADVRC)aq0 t5(n Building,Planning,Environmental Health,Community Health 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd Phone:(360)427-9670 ext.352♦Fax:(360)427-7798 _71 E I VE U0.00 Request for Administrative Variance for Reduction in the Required Setbacks NOV - 4 2024 For administrative review, the minimum variance on a setback request is 5 feet froiri tl 009 q%i1Mgtt lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and gutters. �' Applicant/Owners: 90. f 1 al �y t-N l�ct Mailing Address: P oA a)� 0131 City: State: Z' 1p 0 Telephone:�'�`�Q�—�7 ( ��(SJU C12 7 Email: If this reduction, is tied to a building permit,please give permit case number. BLDr��`iT Parcel Number(s): I iQ7" �''d�(� �p Zoning Site Address: 51 r Lo�k,_)to1�: e :�4 Requested setback variance: ft. ❑ Front ❑ Rear Side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks—From access easements and road right of ways. Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, and set backs to all property lines and existing buildings, slopes, surface water,wetlands, critical areas, septic, well and driveway. Show all proposed new development. �I s FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-fourth acre; ❑ e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; INC'd) lot size of no more than one-half acre; ❑ e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. r 1 Owner/Agent(please indicate) Signature Date Official Use Only Approved by: Date Denied by: - Date Reason for denial: