HomeMy WebLinkAboutBLD2025-00097 - BLD CD Environmental Health Review - 1/27/2025 MASON COUNTY Permit Nn: BL•D2025 -000911'7
COMMUNITY DEVELOPMENIRECEIVED
Permit Assistance Center, Building,Planning JAN 27 2025
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTR�AnADDPESS:Po
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NAMe�TKTfu- Kl�t�a' Ill Li I LI't NAME:MAILING ADDRESS: D MAILINGIIObCITY:1))w101Y( STATE�ZIR-lI CITYVLI 4 : ZIP9F50�PHONE#II PHONE: L.'�Le 'ISr9-/PHONE#2: EMAIL: fT .
EMAIL: L&I PEG#e L.i. EXP. I I/Ar f�
7�NTALT: OWNER[ CONTRAROR OTR¢Rll
NAME rw SV1Ihh PT ¢ Vr114O.of //fA1vL'�r arnal•ra
C ESS P AM 11'1 O CITY STATE' 7wi
PHONE CELL
PARCEL INFORMATION: 'n
PARCEL NUMBER Q2 Digit N.berprcZ607-51-0004e ZDNINc
LEGAL DESCRIPTION(Abbrevisholl. @. Ir FIRE DISTRICT
SITEADDRESS Al S 1)ai.ab clrrSh�AFm
DIRECTIONS TO SITE ADDRESS c
ISTHEPROJ WITHINMPTOFSLOPE(S)GREATERTHANI4%: YESQ NO SNOW LOA6y�.psf
IS PROPERTY WITHIN HIS FT OF THEFOLLOWING: (brcfollm.owt :
SALTWATER❑ LAKE[ RIVER/CREEK❑ POND[ WETLAND❑ SEASONALRUHKI STREAM❑
TYPE OF WORK: NEWV ADDITION[] ALTERATION[ REPAIR[ OTHER [
USEOFSTRUMM(MdN ,.Oa ..Cwae ILHR¢a.) 1<e kti C.(_
ISUSE PRIMARY SEASONAL❑ NUMBEROFBEDROOMS 3 NLIMBF_ROFRATHRDOMSI,19
HEATEDSTRUCDIRE? YES(oWvsMl YEShcm,/yauy❑ NO[
DESCRIBE WORK
S011ARE FOOTAGE,moan w8
IST FLOORS m.R 2ND FLOOR ai 3RD FLOOR se,ft BASEMENT p.ft
DECK_5f2__p.ft COVEREDDECK ry.ft STORAGE III R. OTHER hi
GARAGE K.R. Anwhed[ De(acAed❑ CARPORT Hq.ft Avached[ Dwell[]
MANUFACTUREDl�11�� HOME INFORMATION: w4 COPIES OF THE FLOOR PLANED•REQUIR
MAKET KtoI-I.']♦ MODEL YEARan.75 LENGTH
WIDTtL? II BEDROOMS_ BATHS .A SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER[ / NEW EXISTING
PLUMBING IN STRUCTURE? YES X NO❑ If eh arch FA(d ftw Adegmay Parm
PERIMETEIVFOUNDATION DRAMS PROPOSED? YES D NO[ EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER asses!dues Ined cub lsmn M Inooder a Intermated may Raull In aorp mrx enter or permX revacrew,PGMrq'e1MyrMM M WM es or
sludidure tore reclere inM am IM1e owrgr ana Tanner Declare Ina; amenlHbE rorB[9AH INa perTlleM Io ba Vp vKKx99 pNpWN.I—
OLIaIME penniaevM town ad Ina de-ol partly.Incleder,any Basement holder or wnlM W tre KM reyends,the proNct TM wTer ar IBy
repreNMel,represent mal Ms IMpmaM1on Moved,is accurate and grata innatenessW Moon(oudq access to the al deserted prepM
C aINCINe(a)IwreNeware iressdbn. Tnu pBrmNBppllcatlOn llaeerrRa null fl vOlp X waM w aNnorizBE CORWCXon¢rot N'nmBrcOd vtltM1ln lm
by or H ron9truvtlon woM a empBMetl ror a perbE a1 t00 bayf.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTII OF THIS
PERMIT APPLICATION OF ISO DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(NU BON
(I `' COUNTY CODE 14.08.42)
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Signature of OWNER(Mod,bealimed by abe OWNER) Dab
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
RR5 STANDARD SETBACKS'
PLN Approved pp Front:25' NOT AN APPROVED SEPTIC DESIGN
01/30/2025 Sides:20' Must use SWG 2024-00445 for septic installation
Mason County Community Development Rear: 20'
Gavin Scouten
All Changes Subject to Approval "unless otherwise stated on the site plan
"all setbacks measured from the farthest
Mason County doeas noltreequire surveys for projection of the building
building.As a result,site plans may not reflect "subject to EH setbacks EH APPROVED
accurate data. It is the applicants responsibility - Res rreian(zooms
to comply with setback requirements.
FRONT EH Setbacks
A 1 DralnGewReeene reeulm Io'xm.mom looa�enw^nations
B)Splk uN{41 KyuWa 5'aeWxM Irvin all Ixtinonaumallans
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. WUl aanXl¢)IB�eaurlM1an SM1 aN awe<5 mgree4l
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