HomeMy WebLinkAboutBLD2025-00020 - BLD CD Environmental Health Review - 1/9/2024 MASON COUNTY PeermEtm- Ro ° "?c7-,-00020
COMMUNITY DEVELOPMERECEIVED
Permit Assistance Center,Building,Planning
BUILDING PERMIT APPLICATION 1AN 09 2024
PROPERTY OWNERINFORMATION: CONTRACFOR2EQg I/HOBLI Nder Sbim lit
NAME: H Norris NAME:
MAR.IN AD RESS: O MAIMNG ADDRESS:
CITY: STAgTE: ZIP. C=.. STATE: 71P. J
PHONE#1: Z- PHONE: CELL: Q
PHONL:C EMAIL: F-
Eh1AR ! 's C'1' LRI no FXP.
Y CONTA ON Rp( CONTRACTOR OTHER LULU
NAME or EMAIL a .IK - C t1
NAWNG D eY f STATE LP Z Q
PHONE - CELL — Q LL)
PARCEL INFORMATION: r1 w
PARCEL NUt,[BM(12 Digit Number) PL9-75-001U zoN j
IEGAL DESCRR'LioxcAbbreviazd) (1 M 0 1 6 OF NE1�Y a�emEDIISTRIICCT�Or i i�c}
STTEADDRESS CffY ihci t
D1fI T10 I TO Sn ADDRESS MI k�
I Germ k L.FIart on ropr
18THEPROIP.CTWITHINM0 OFSLMS)GREATERT 14%: M13 NOj( SNOWW". '�qy
IH PROPERTY WI'I'®NSBOFT OF THE FOLLOWING: (d.�treu wm�pN w
SALTWATER❑ LAEE D RR�FR/CREIX❑ POND[] WETLAND❑ SEASONAL RUNOFF❑ STREAM D F /a rY j
TYPE OF WORK NEW' ADDITION❑ ALTERwnoN❑ REPAm❑ oTIB3t ❑ C��`•lC Oj1'
USEOFSTRUCTURE(Aausaer,rA,re,�r.a. BW ee) Q#tiAence O
MUM: PRPLIRY� SEASONAL[) M)Iv®EROFBEDROOM 2
HEATED STRUCTUREI YES/wn BkW YE4 Wan()dAW❑ NOD II��������
DESCRIBEWOREK(��a�� �F ACI) MOAUCA060 PRRPI(..
SOUARF FOOTAGE:(POFa.q
t F7e ji! ,A 2ND]MOOR a9 R 3RD FLOOR aq..ft BASIIdENT a,ft
D a,ft COVEREDDF _jjV q.& STORAOE eq.ft OTHEIk
GARAGE_,R AA¢hed❑ D wew❑ CARPORT rq.R.ADaoMd D Den 13
MANUFACTURED HOME INFORMATION: •a COPIES OF THE
nFLA)OR PLAN REQUIRED-
MODEL CPb01 F YEAR ZQAJ LENGm
WIDTf[ 2� BEDROOM4 3 BATHS 7 SETtaer.NUMBER O I CNt
ENVII[ONMENTAL HEALTH:
SEWA(3FISEWER SOURCE: SEPTIC$ SEWER[ / NEW19 EXISTWG�
PLDMBDlGIN STRDCTUREI YEsp( NO❑ ffyn, hcoapleradWaarAdequocPPo,m
PER11,1ETEW71UNDATION_ PROPOSED? VEBD xOT�` E`OSfwG SQ.FTa..�
EXISTDM BEDROOM' PROPOS®BEDROOMS j 'r TOTAL BEDROOMS
ONIERec'kaMedptiN.wdnbian Mlrexureb-nMmaAon mT'resiRin a n_..._.aaMerm PeanR rewsbn.OelalvMaOAnwRcaslM IBM
.ay,oBlau r fty NR r IK ow,p. NMerb nyeMat nt oUe,otorecrS nt ma ra end bEhnreopkm pc0.eM M1ae
aUe'ntl eennbwnM1om ell Me cecassary{e:tieA incl�nB any eesemenl M1older or psdesol in�ere9 re9eMInBMe peRct TM1e vwna m IxIY
Iraraa cture :Hsa%n6 Me1Me Inlumelbn gowe' d Is mcureteeM gan6 e::glorees of Mason counryama¢roMe eWe azalb]grpny
yqWure sh (e)M:eNevud�n. lllsaa:m6/a{�camn�m'na null8 voitl If voMora Wwnsed cauN:Nm s rcl com:renred WM1n 180
,Yyso'tlmrsfidYn mM sasgNN Iwe G:�CK f�Days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTNITY OF THIS
PERMIT APPUI N OF 1 ORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
NTY CODE I#ABA])
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b ER(Hurt a elm:etl H er OWNEm te
DEP VIEW I APPROVED I DATE DEMED DATE TAGSTIOIDWONDITIONS
BUIIDINGDEPAR'I'htERT
PLANNDIGDFPARTMENT
FIREMARSHAL
i] PUBUCHEALTH NUI W/7-5T 1 1604 / M
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