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HomeMy WebLinkAboutBLD2025-00112 - BLD CD Environmental Health Review Permit No:0jfW 0LF 5-oo jl a MASON COUNTY COMMUNITY DEVELOPMENT RECEIVED P KAssisbnm Cello.Buftnp Planning BUILDING PERMIT APPLICATION JAN 29 2025 PROPERTY OWNER INFORMATION: CONTRACTOR yftfi MAidef tre <F NAME: dQMLeS rklCKtlL NAME' Sdsll� F� dp MAR.DJG AD �I 7 MARING ADDIjESS: 2 (it r CITY: ✓#I STATE. ZIP: 49b CITY:r.1L#C 1t STATE:1_ZIP: Q �l L �O PHONE#l:_ 2p(P 1!'A39 PHONE: 747CELL: ttQ PHONE#2: EMAIL: '(dCL Mn d� EMAR.: .La L&I REGG "._/_/_ PRIMARY CONTACT: OWNER❑ CONTRACTOR[I OTHERS NAMfi EMAIL MAILINCADDRESS CITY-STATE-ZIP PHONE CELL EINAAR MENTAL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) Zdchp00 lI/' ZONING Q HEA TH LEGAL DESCRIPTION(Abbreviiatp) FIDE DISTRICT SITEADDRESS zL0 tIIgN Iflo yzg- CITY DIRECTIONS TO SITED A M THE PROJECT W ITRIN"FT OF SLOPE(S)GREATER THAN 1#%: YES NO Q SNOW LOAD:_psf ISPROPERTYWITTIM2100 FTOFT 'FOLLOWING: rt'BCBm�axrPpyj-. SALTWATER() LAKE RIVE REEK[] POND❑ WETLAND SEASONALRUNOFFC] STREAM() TYPE OF WORK: NEW V ADDITION❑ ALTERATION REPAIR[I OTHER ❑ USE OF STRUCTURE(AesM .Cwuge.Cme blB*t ) p6w zt IS USE: PRIMARY SEASONAL D NUMBEROFBEED,R/OOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES IPxIeOW C] YES(v fqfBUBI�■ NO❑ DESCRIBE WORK �an "ll �I"" SQUARE F gmjr L_ ;.le ND F DECK COVEREODECK sq Ju JRD FyWt — q. 1 BASEMENT sq.ft _IN4'/R{• STO�'Y1 sq.ft OTHER � sq.R 3 IENVIRONMENTAL GARAGE ft ARaehed❑ Demrhed❑ CARPORT aqft AACMed❑ Detached❑MANUFACTURED HOME INFORMATION: •/COPIES OF THE FLOOR PLAN REQUERED• MAKE MODEL YEAR LENGTHWIDTH BEDROOMS BATHS SERIALNUMBER HEALTH: ,.,��,/P SEWAGFISEWERSOURCE: SEPTIC SEWER / NEW EXISTING❑ PLUMBING IN STRUCTURE? YES NO❑ if sxxhco Teed WaerAGquacy Fmm PERU/ETER/FOUNDATION DRAINS PROPOSEW YES 0—F/ NOD EXISTING SQ.FT. EXISTINGBEDROOMS__j PROPOSEDBEDRCOMS-3_ TOTALBEDRGOMS--j— LWNERe nMwwsNelsuonbslmaina=mn inrorm mwmsu inestcpwaM1aec mJlrewselbn.MYroMeOpemantWwMWW g.n. iio . eeaore Ill om me onne,oneImnnereaaare uai omemineem.mein¢mis pennil eoab aounwnnp¢Ws00. i"I oe:unee Pemvsvan Ewn n ma naCesmry patio:,na�aim wy oaumam naee<«ponies a mi«en reparane laic Pope. mo mnPor aoai �I repreaemeo.., .ar.nm.mam.inmm�m,on Pm.+eea is aulrne a,e arems empiaynsamason county aorea rome aeon auneea Prewm am waaarelsl mr re.<a.m inspm:eon. mia mm�ivamiimaon mmmn nwiamie n.on,or wmon:ea mnuwcomN rotmmmemea wain tin nays a gcanznnm.ort�wspe.,aea ro<a penoa a lm nays. PROOF OF CONTINUATION OF ORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF DAYS OF MORE WALL CAUSE THE APPLICATION TO BE EXPIRED.IMASON COUNTY CODE I4.08A2)�� X Bipna o NER(M(M t y ItW,Ian (PWNfN(j ER) Date DEPARTME ALREVIEW APPROVED DATE DENIED DATE TAGSMOTESICONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 5 TM.S �■! # !;� ° � 2f� k3 & Ql�k / �� • \{# | -3 ƒ : i ] | ! 2 \. \ . 12-!! 1 Q 4! - !� i !!:k a a |!! � I K1 ! !B . - e 2 � \ -4-d I © }, . \ !M a 0- /77 / \g -6 CD ( CD io /\ { ` - - g � / 9� � * k2 \q ! ° r ■ o CD § ` k(h 9 ( \ q � � \ � (