HomeMy WebLinkAboutBLD2024-00519 Addition to Cabin ADV2024-00079 - BLD Permit / Conditions - 6/12/2024 p��o20
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*NOT AN APPROVED SEPTIC DESIGN* SBA \ �Qf
Use approved septic design for septic system installation , P
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EH SETBACKS - - - - - - ' sec L , ajh_�9
A) Drainfield/Reserve requires 10' setback from footing/foundations Set Back Lines \ ,d / 4`
B) Septic tank(s) requires 5' setback from all footing/foundations se�� \ 4
Q No foundation/perimeter drains within 30' dow -gradient of drainfield/ Property Line �'eSe�e �� as• V
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reserve area SB�� � � ea �
D) No cut(s), bank(s) (greater than 5' &over 45 degrees) within 50' EH APPROVED
down-gradient of drainfield/reserve area D.Andenon 06/07/2024 23CJ� -- lb
Site Plan Scale: 1 " = 40'
Site Address: 26'13 East Mason Lake Drive East Parcel #22255-52-00051
Revised: June 5, 2024
rg SELBY DESIGN LTD VESION FOR: Address: 2613 �, Mason Lake Dr. E.H Page
q5528p Karl & Robin Schulbach p March 24 2023
P.O. Box 11it Belfair, Wa 0-64q Gra eview Na �i8546 '
u�a�.selbydesignitd.com 360-649-1826 �
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Name K&r I(1a71�/\ Clu$k Parcel# ZZZ33—S L—oWs7 BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website:
httn//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to"Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document
entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details*are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at:
Phone:(360)-427-9670 EXT.450
Mail:P 0 Box 1850,Shelton WA 98584
Physical:415 N 6th St,Shelton WA 98584
ff this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason
County Division of Environmental Health can be reached at:
Phone:(360)-427-9670 EXT.352
Mail:P 0 Box 1666,Shelton WA 98584
Physical:426 W Cedar St,Shelton WA 98584
A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent 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,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
descri property for review and inspection as may be required.
X Owner/Agen �tractocircle one)Date: /
Page 2 of 2
Name km i Q 6& WJV/ O•\ Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment', with more than 2,000 square feet of impervious surface'.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area `All dimensions in feet
Buildings �10 X 3v = (Zc>o
X Measurements for buildings are taken at the
K� X 3v _ !3 perimeter of the farthest projections(example:
eaves/gutters)
X 'YU = 22 0 v
Driveways X Za = 6 cw
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks J X 10 = 3U o
X = Any paved, gravel or packed area per definition
above table
X
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) 1Z 6
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent 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,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described roperty for review and inspection as may be required.
X Owner/Agent/C(ntract ircle one)Date:� ,704V
If de Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
MASON COUNTY BLD TG EffD
COMMUNITY DEVELOPMENT ' d0 MAR 142024
Permit Assistance Center,Building,Planning RCVD BY:
6 5 W. Alder Stree
APPLICANT INFORMATION (please print clearly) 1
Name of Applicant:�a t Q- K u b i n A v���t C 1n Parcel Number Z-2?..33 -noU 5 7
Site Address: ZF-,73 C t Alaies Ik. Di". (�rH�� �:; +�A qV s �Z6
This checklist must be completed and signed by the owner or owner's authorized agents at
time of submittal.
Incomplete applications will NOT be accented. For a complete application.all items on this checklist shall
be submitted, unless waived by Staff.
PERMIT APPLICATION RECEIVED
Provide a completed and signed(by owner or authorized representative)application and applicable /
fees are due at submittal. ✓
Provide a completed plumbing and Mechanical Application
SITE PLAN VERIFIED
Provide one(1)copy of proposed site plan. Drawn to scale of either. ✓
1"= 10' or 1"=20' depending on lot size.
North Arrow,location and dimensions of all property lines and easements.
Vicinity map showing location and names of all roads and easements. ublie andprivate)
Show distances to all structures,septic tanks,drain fields,property lines,top of slopes or cuts and
easements. ✓
Zoning(indicate):
Rural Residential: 2.5 G3 10 20 Other:
Urban Growth Area: Zone:
Front yard: Direction: Side yard: Direction:
Rear yard: Direction: Side yard: Direction:
All access points,width of access. easements and driveways). ✓
Contour lines in twenty 20 foot increments. See Parcel Map Viewer on website ✓
Building height shown on elevations at all four corners of structure. ✓
Flood lain boundaries and setback distances. See Plans for additional requirements.
Wetland or surface water(if any)and any applicable buffers.If yes,a wetland report may need to be
submitted.
Is the site near a Shoreline stream creek lake saltwater if yes,please indicate?
Name of shoreline:
Shoreline designation:
Stream F S Ns N :
Is the proposed site within 300 feet of a slope 15%or greater?If yes,a geological report or assessment n
may be required. A
Existing/proposed on-site septic s stem and reserve areas,providing setback to structures.
Existing/proposed wells show 100 ft well radius with distances to structures). ✓
Existin and proposed stormwater controls(downspouts,dry wells etc.
Exterior storage tanks(propane)and HVAC equipment.
CONSTRUCTION PLANS
1 � i
LOCATED
Provide three(1)copy of plans(1 full size min. 18"x 24"and 1 small size)and one(1)copy of all
specifications and engineering.Plans must be drawn to scale of/."= 1'.All notations and drawings must
be clear and legible.All Engineering callouts must be on plans.
Engineered plans most provide calculations/analysis.Analysis must include the following information:
• Adopted International Code
• Snow load(by location)
• Seismic zone(D-2)
• Exposure(by location and topography)
• Wind speed 85 MPH basic and 110 ultimate w/3 second
a If project is inflood hazard area,the submittal must include an Elevation Certificate,flood venting
compliance and an elevation detail indicating the location of finished floor relative to the Base Flood
Elevation or Design Flood Elevation as designated by surveyor or engineer.
FOUNDATION PLAN
Plan view of foundation/footings/pads
Type,size and location of footing(stepped foundation provide detail
Elevation view of foundation steps,with final grade
Cross-sections of footing and foundation(including height of wall). ✓
Floor joist andspacing each floor).
Location of flood venting,size and method of compliance for venting. when in a flood zone
---
Type and locations of hold-downs and anchors.
Crawl access location and size.
Insulation value for foundation(if slab or basement).See Energy Credits for additional requirements,
credits must be indicated on the plans. ✓
If the project is in floodplain provide flood venting compliance including vent locations,vent type,
elevation detail for venting location interior and exterior of the crawl space.
FLOOR PLAN
S uare footage of each floor
Use of each room
Attic access size and location
Dimensions of building and rooms.
Location and type of furnaces,water heaters,smoke detectors,and carbon monoxide detectors.Include ✓
location of bollard for appliances located in garage.
Heat Detector in garage(required in all garages attached,must be hardwired to smoke&carbon
Plumbing fixture locations
Location of doors windows include size egress,tempered andskylights)
Insulation value in floor.See Energy Credits for additional requirements,must be indicated on the plans. ✓
Location of ventilation fans and CFM for each.
Location of whole house fan and CFM continuous or intermittent
Location,side and type of brace wall or shear-wall panels.If structure is engineered,must supply two
copies of required analysis calculations
Dimensions and framing details of decks(including joists,beams,posts,ledgers.Plan MUST include
size e spacing,length and species or type of material
ELEVATIONS AND WALL DETAILS
Typical and rated walls(garage separation)
Listing of fire-resistive wall designs(duplex or townhouse
Building elevations-all 4 sides Show distance from grade at each corner.
If project is in floodplain must provide Elevation detail indicating the location of finished floor relative to
the Base Flood Elevation or Design Flood Elevation as designated by surveyor or engineer.
Exterior wall details when distance between overhangs is less than 5 feet to property line or other
structures.
Insulation value for walls.See Energy Credits for additional requirements,must be indicated on the plans.
ROOF PLAN
Layout of roof system
Label type of roofs stem rafters engineered trusses& spacing
Headers noted at each location or typical header noted.
Roof pitch and covering materials ✓
Sheathing types, dimensions and fastenin ✓
Attic venting location and amount ✓
"indicatevd
or roof(R38 vault and R49 ceiling)See Energy Credits for addition requirements,must
e plans.
ENERGY CODE REQUIREMENTS RECIEVD
Completed Washington State Energy Code form
Plans must indicate fuel source for furnaces water heaters and other appliances. ✓
Manufactures Specifications for each unit or component for HVAC &plumbing
Compliance to the Washington State Energy Code and required Credits. Construction drawings/plans PAGE
MUST include all credit information on the plan details such as insulation,ventilation,furnaces,
windows etc. Plans must also include the number of credits and which credits are chosen.
I verify all required documents,plans, and specifications associated with this application have been submitted and are
accurate.
Lzo
Si ature of owner or authorized agent Print Name Date
Genie McFarland
From: Genie McFarland
Sent: Monday, April 22, 2024 3:06 PM
To: 'Jason Stanley'
Subject: BLD2024-00519 - SHULBACH ADDITION
Hi Jason, Shulbach's case number is BLD2024-00519 with an added stop clock,the stop clock will be removed
once we receive some additional information/items.
1. We need an interior floor plan with the room uses for the existing cabin
2. Energy Credits,Tami Selby selected credit 2.2 on the construction plans (2.2 is reduce the tested air
leakage to 2.0 air changes per hour this totals 1 credit). The submitted work sheet has 2.1 (reduce the
tested air leakage to 3.0 air changes per hour this total 0.5 credits) &4.1 (all supply and return ducts
located in an unconditioned attic shall be deeply buried in ceiling insulation this totals 0.5 credits.) I will fix
the paperwork,just let me know which one to go with.
3. The submitted site plan is not to scale, 1" =40' is too big and 1" =30' is too small, also the planner for your
area will not except site plans that do not show the structures on either side and the common line marked.
Once we have received all the above items,we can send it back for review. You can e-mail them to me if you
want. Let me know if you have any questions.. Q
Genie McFarland
Permit Specialist
1.360.427.9670 cxt. 284
ginm@masoncountywa.gov
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4 _6 Permit NoliA L ZA -PA�i 1
MASON COUNTY R E C E I V rE
0 COMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning MAR 14 2024
BUILDING PERMIT APPLICATION 615 �v. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME t9t) A .S61battk NAMEZSq .ti 5"nje-1
MAILING ADDRESS:2673 e• Ma5o^ 1k.Dr.4E MAILING ADDRESS: Pb Bok 70
CTI'Y:C 'ev STATE:0 A ZIP: 18S`/6 CITY: 6►►,j,' STATE:0 jk_ZIP: I Z`(
PHONE#I: uu 73-742Y PHONE: CELI(j6o S(U7-IR yZ
PHONE#2: EMAIL: ' �.n le., ut i r5 19 w►q, .Co.r. co
EMAIL:Kar LJl/7(37 1I&-coe^ L&I RE��A36� 1%)D T 3 12 4Z
PRIMARY CONTACT: OWNER❑ CONTRACTOR K OTHER E]
NAME r 5 At EMAIL , n v e/S m 9MQ: Loe+1
MAILING ADDRESS CITY -STATE WA ZIP 4 S7y
PHONE t, 60) MI -i it V Z CELL O
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 4y�ZZ33-SZ- OCO 5-7 ZONING
LEGAL DESCRIPTION(Abbreviated) 011 .S-►tny Skid Qii. C Ibf 00E DISTRICT
SITE ADDRESS 2673 E• Mas..^ �l�r. E-. CITY 15na w'tw, wj4 9eM ._
DIRECTIONS TO SITE ADDRESS YYl47w� /Y• Or fo Si- ��y_n , 2�M
h 2-C13 &�'_ Jeff
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NOR SNOW LOAD:-Z-'5-psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (checkal/thatapply):
SALTWATER❑ LAKE® RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION® ALTERA`T�ION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) QBY BOLL 1 K�
IS USE: PRIMARY K_SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS S
HEATED STRUCTURE? YEIS(WholeBld--g/IlR YES(Pan[s)ofBldg)❑ NO❑
DESCRIBE WORK Add,TIC 7y seoigi/ od,k_
SQUARE FOOTAGE:(pmpmed) f�n. Pam/
1ST FLOOR !yo0 sq.R 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT P/6 sq.ft.
DECK&Q sq.ft. COVERED DECK&Y sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTU ON: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL LING
TH BEDROOMS BATHS SERIAL NUMBER
ENVERONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YESY NO❑ If yes,attach completed Water Adequacy Form
PERIlAETER/FOUNDATION DRAINS PROPOSED? YES JO NO❑ EXISTING SQ.FF.
EXISTING BEDROOMS ( PROPOSED BEDROOMS Z— TOTAL BEDROOMS 3
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 I further declare that I am entitled to receive this permit and to do the work as proposed.I havece obtained permission from all the nessary 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 PLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
x /L/L
Signature of OWNER(Must be signed by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No:
MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Kar( L llA)b;n- .Sk"164C k NAME: C -an c�j
MAILING ADDRESS: Zb73E 14,ww, lk, MAILING ADDRESS: Po bax 7b3 �-
CITY:( owe STATE: c y ZIP:R 6 CVA CITY: #11 P-7,�
STATE: LJj4 ZI
1st PHONE: (3� 6 c)l Y73-7 4L y PHONE: CELLr,36y) Q7!B y2
2'PHONE: EMAIL : ,,' ; (,cc
EMAIL: L&I RW kJA3oA&0? ?o DT EXP. .3 /ZS 12AZS-
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): Z2ZZ33-5Z-oao S? Zoning:
LEGAL DESCRIPTION(Abbreviated): S .6
SITE ADDRESS: Zb e CITY:Gi .,,'CAXI,,ka#
DIRECTIONS TO SITE ADDRESS:
IM01— I• 00d C, 51-P s;f� �., r�y ht r 3IY •y,�'/e ke. fw !ems
4i Z6?3
TYPE OF JOB:NEW ADD A ALT REPAIR OTHER USE OF BUILDING f'PSicle xre
LOCATION OF FIXTURESMNITS—1ST FLOOR 2ND FLOOR BASEMENT X GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
lype of Fixture No.of Fixtures Fees Fuel Type:Electric�,._LPG\ Natural Gas Ductless_
Toilets 3 Tine of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs l Heat Pump
Showers 1 ' Spot Vent Fan y
Water Heater 1 Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher 1 Kitchen Exhaust Hood /
Hose bibs Z Dryer Vent
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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,owners legal representative,or contractor. I 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 authorized agent 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 permitlapplication 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
X
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT -L>CG 414,4
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 jBN
MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES
ADV 2-024 - 006'1
Building,Planning,Environmental Health,Community Health r
615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd y-!4— Z�
Phone:(360)427-9670 ext.352♦Fax:(360)427-7798
Fee: $130.00
Request for Administrative Variance for
Reduction in the Required Setbacks
For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot
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: f "\� J Ili Lb��h
Mailing Address: Qjen L. m wxm A L u-, 0e- P,7 .)-
City: State: W _Zip: e)54 co
Telephone:
Email: eA' C &,L - C6(Yl
If this reduction is tied to a building permit,please give permit case number.
BLD ZoZ-4 - no 6 19
Parcel Number(s): �a���7 — 5oZ D�S Zoning '
Site Address: c:�-Loi 9) c m aL �, be-
T-
Requested setback variance:
ft. ❑ Front ❑ Rear XSide r1 o V2 i rc'--
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.
L _
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;
❑ lot size of no more than one-fourth acre;
e) isting improvements of buildings, septic systems, and well areas.
�IDE Y REDUCTION RE UESTS:
ore mg 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;
❑ 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.
Ex 6-CL41 c'
Owner/Agent(please indicate)
Signature ^-`-
Official Use Only + I I
YJ
Approved by: Date
P�6)
Denied by: DatePa
16)lj
Reason for denial: