HomeMy WebLinkAboutMIS96-00526 Demo - MIS Permit / Conditions - 6/11/1997 MASON COUNTY
Mason County Bldg. 111 426 W, Cedar
P.O. Box 186 Shelton, Washington 98584
M I E;C. t= t— 1_.- A N IE--- 0 1L) P F� R M 1 '17 FOR INSPECTIONS CALL 427-9670
MIS96—Or26 PARCELt2231950,00042 PLAT ;W(.)PLO DIVt SLK , LOT :
JOB AD1)'RF9St NE 1511 MOON TAIN VIEW DR TAI-11!YA
APPLICANT : KATHI,EFN GETTMAN
OWNER : VATHI-EEN K GETTMAN
I-FGAL : WOOTEN LAKE TRACTS TA 42
PROJECT DESCRIPTIONt
DEMOLITION OF OLD CABIN
PRO-)FCT LOCATIONt
TURN RIGHT ON NE MOUNTAIN VIEW DRIVE . GO TOWARD LAKF CHRISTINU . LOT A2 ON Lt-.rT OF ROAD
PROJFCT NOTES .
TypF AMOUNT R Y DATE pIrCEIP1
DFm() $ 32 .00 NJ 08/06196 42563
1 RTFF $ 4 .50 NJP 08iO6/96 42563
TOTAL : 36 .50 OWNFR OR AGENT DATF
918 191T, rev, 041111192 COMPLIANCE TO ATTACHED CONDITIONS IS
HE601RED
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 by
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, III 426 W. Cedar
P,O, Box 186 Shelton, Washington 98584
N 13 1 i'" I Cl N iE-z
Case No . ; M I S96-0526
For ! KATHLEEN K (:E rTMAN
Page . 1
1 ) PURSUANT TO 1991 UNIFORM BUILDING CODE , SECTION 305(C ) AND SECTION 513 , Alt. SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE
AND LEGIBLE FROM THE STREFT OR 110AD FRONTING THE P11UPERTY . MASON COUNTY BUILDING
DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPFCT I ON FFF , BASED ON RATES IN TABLE 3A Vr- THE 1991 UNIFORM 13011 D I NCB CODE WI IL BF
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
X
2 ) THE DEMOLITION AND DISPOSAL OF DEMOLITION VFBRIS MUST MEET REQUIREMENTS AS PFR MASON
COUNTY REGULATIONS .
3
MIS
MASON COUNTY
DEMOLITION APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 . 427-9670
PLEASE PRINT
3
#1 Owner /� 7�L1 f 2 P h l5 . �f�1/��1 Phone #.D.-d& 9.37,7
Site Addre 4:: c / 2VF V/ P c o O'Py' City7zlh U U a- ,, U-)Q ask
Mail Address 3.-5-0 SQL' `1 L Q CC� Lc— S ]�
City .� Pce St 9�-a Zip
Applicant �`Y4�-�p-��`--.-�Trt� `i C� Phone#
Applicant Address
City St Zip
#2 Parcel No. a �1 - 6121) - el)l� 7 z
Legal Description{ Q W e o fie m / hat cc T Ha q Co Lk Pt f
#3 How will the debris be disposed of?
#4 Use of building to be demolished? SU VO1 qj
#5 Indicate by circling the applicable source if any water is on or adjacent to the property:
saltwater marsh 61a river pond wetland seasonal runoff other
Directions to Site: TLL W k I q k i-- N1 D « a I Vt �r`I W V h
to t;L d d I-es- Kr-- h1 a 7' %� 2, � V\ 1 � � cof
N C O-d
� .
#6 Project Start Date f-a- e S�1�a M b0V oject Completion Date �W/'R/
"Upon completion of demolition, owner must call for final inspection.
*Plot plan on back side of this paper must be completed.
DEMOLITION PERMIT FEES: $25.00 VOLUNTARY DEMOLITION
$40.00 ABATEMENT ORDER
*Make checks/money orders payable to Mason County Treasurer and sumbit to Mason County Building Department for processing.
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.
L.
v A
lam"
Applicant Signature Date: /6
y:FOR OFFICIAL USE:QNLW A00eped b Date.
Receipt No. Amount Paid
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal: