HomeMy WebLinkAboutMIS96-00251 Cancelled Replace Dock - MIS Permit / Conditions - 12/9/1998 MASON COUNTY rt7 � aI
Mason County Bldg. III 426 W. Cedar Lei EXPIRATION
P.O, Box 186 Shelton, Washington 98584 ;
M 1 C1E i_. I . ANFC)tJ.'% PF- 9-ZM 1 T FOR INSPECTIONS CALL 427-9670
MI S96-0251 PARCEL 022335200067 PLAT :MAPLO DI V: ` SLK . LO r s
JOB ADDRESS : F 2.781 "AEON LAKE DR U GRAPEV i f_W
APPI. ICAN7' : RICK BEIGHLEY 275-5029
OWNER : RICK BE 1OIiLEY 275-5029
LEGAL : MADIA68 S1111 8116E ADD 16 TO 67
PROJECT DFSt:R i PT I ON
REPLACE DOCK
i
PROJECT LOCATION :
TAKE "WY 3 TO MASON I AKE TURN OFF DRIVE 1.0 MASON LAKE , TAKF A LEFT CIN MASON LAKE DR 1 VE E e LOOK
FOR 2781 , WATER SIDE .
P"OJECT NOTES :
SE:POO-0096 Issued 4125, comment par I rsd ends 5/ 1 1 /90
TYPE AMOUNT BY DATE= RECEIPT
PRM T $ 62 .nO CPN 05121196 41978
PUCK $ 25 .00 C:PN Ot�/21 /96 41978
STft• $ 4 .50 C.:PI•I 05/21 / 96 41978
ZIL
TOTAL . 92 .00 OWNER OR AGENT DATE
IIIS_PONT, revs 6410iffl COMPLIANCE TO ATTAC"ED CONDITIONS IS
REQUIRED
CONCRETE MECHANICAL MOBILE HOME
Footings-Setback date by Ribbons
date by Gas Piping date b
Foundation Walls date by Set Up
date by INSULATION date by
BG/SLAB Insulation Floors Final
date by date by date by
FRAMING Walls FIRE DEPT.
date by date by date by
PLUMBING OTHER
Groundwork Attic
date by
date b I
D.W.V. WALLBOARD NAILING
date by date by
Water Line FINAL INSPECTION
date by date by date by
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MASON COUNTY
Mason County Bldg. 111 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
r-> F rim I _T C_I (i) ND I 'r- I ON -17-13
Case No . : MIS96-0251
For : PICK BEIGHLEY
Page , I
Approved per site -plan .
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21 Proposed look struoture mu-st maintain a art inimitm cl- 5 ' setbavk, from all prop"rly lines ,
easements,_ isfd-710ht of ways .
X
3 ; The proposed protect must be oonsip-tent with al I appl inable pol icies and other,
provisions of the Shoreline Management Act , its r" Iet:: , utid the Masnn County Shoreline
Master Progr
4 ) A Hydraulic Project Approval from the Washington State Department of Wry ldlite must he
granted prior to construotion . For more information contact Gloria Mit(;Iiel I , Habitat
Biologist , at (29%) 858-7217 .
MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
x
5 ) All approved p i an4► a ,e required to be ort--site for i nGpect i on purposes . I f i nspect i on
is called for and plans are not on site, Approval WILL NOT be granted . In addition , a?r
Re- Inspection tee in the amount of $30 .00 pr•r hour (minimum 1 hour ) will be charged aar;d
►Rust be oo I I ected bye this department prior to tiny further Inspections being perfnrnted or
rapprovs I gr-,�ntesd ,
6) ALL CONSTRUCTION MUST MFE7 OR EXCEED ALL LOCAL. CODES AND USC
REQU I HEMENTS," k\
7 ) Proper d i spot.a 1 of oonstruot i on debris must be on land in s .iob a manner that dchr i s
cannot enter Mason Lake or cause water quality degradation .
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MIS (o-
MASON COUNTY
MISCELLANEOUS PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584.427-9670
PLEASE PRINT
#1 O Phone # � SdZ� Fire District#
Address <�_. a S I M Son axc 0 r, ECity �� rCt,,t1n v�e.i`
it Address U
City St '.:,UCH -Zip
Applicant Phone# �
Applicant Address : Q
City / 'u, St Zip
Directions to Site: `> V ,(�S� ` ��K� U�
Parcel No.
Legal Description Vy_\C1 1r�Q tl 41C)f (11 t'l
f3 Indicate by circling the applicable source if any water is on or adjacent to the property site:
saltwater lake1river creek stream pond wetland seasonal runoff marsh other - p►'�. l�
14 Project Start Date ( •- �+ Project Completion Date
5 Use of Buildiing Describe proposed construction
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"in tA,' IV U DU mi
Liu '..' LZ U U Lg LyJ
`Depending upon the type of permit,a floor plan and plot plan may be required. A P
'This permit is valid for 180 days from the date of issuance. APR R 22 1996
OWNERS AFFIDAVIT CONTRACTORS,&FFIIP�VIIT�
CERTIFY THAT ! AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURARUI1@biRRED CON-
AENTS OF THE CONTRACTORS REGISTRATION LAW TRACTOR IN THE STATE OF WASHINGTON AND I AM
'GW 18.27, AND AM AWARE OF THE MASON COUNTY AWARE OF THE ORDINANCE REQUIREMENTS REGULAT-
3RDINANCE REQUIREMENTS FOR WHICH THIS PERMIT ING THE WORK FOR WHICH,THE PERMIT IS ISSUED AND
ISSUED AND THAT ALL WORK DONE WILL BE IN CON- ALL WORK DONE WILL BE IN CONFORMANCE THERE-
ORMANCE THEREWITH.NO CHANGES SHALL BE MADE WITH. NO CHANGES SHALL BE MADE WITHOUT FIRST
4THOUTFIRSTOBTAINING APPROVALFROMTHE BUILD- OBTAINING APPROVAL FRO 'THE BUILDING DEPART-
'dG DEPARTMENT. MENT.
OWNER X BY ,J
ATE DATE 7 �
Show following on the site plan
Lot Dimensions Flood Zones ;
Existing Structures Fences
Structure Setbacks Wells
Water Lines Shorelines
Drainage Plan Easements
Septic Systems Name of Fronting Street Indicate directional by
Proposed Improvements Name of Flanking Street N, S, E, W etc.
PLOT PLAN AREA
41
E � Z77
atc;Yxf'
4 u .r D.• qi. � v d sr ZA.. .tt;.^
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DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Planning APP COND APP HOLD
lV1
(Building
i
Fire Marshal
Other
Special Conditions 31vi] r.� Fees
Permit Fee $
Plan Check
Other
Other
State Building Fee N
TOTAL DUE $
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