HomeMy WebLinkAboutBLD2024-0143 - BLD Application - 3/21/2025 Permit ND: 0LD202H� U1930
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED
Pelmtt AsslsmrKeunwauIMImmnNry DEC 05 2024
BUILDING PERMIT APPLICATION
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RTY OWNER INFORMATION; CONTRACTOR INFORMATIMS W,AIdeFATRICKMID HEATHER MCGIILNARY NAME:O ` ERGO
G ADD RESS:?22 N SEAGULL WAY MAMING ADDRESS:MMP STATE:WA ZIP: CITY STATE:_ZIP:
02:Na se40e PHONE CELL42: EM`'D"�MMILLNARYZB20MDMNLCOM I.BcI RFAiNEST.//—
RY CONTACT: OWNER❑ CONTRACTOR❑ OTHERxR19NWCl➢ADDRESS2�RW,IwINSDN BLyp aw STE 112 CDTT 'A'm STATE WA ZryeM12 m
PHONE CSLL A n
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PARCEL INFORMATION: L .r
PARCELNUMBER(12Di@t Numbu);541L11ABBA1 ZONING T o
LEGAL DESCIUFDON(Abbmutsd) P^"OF�14°°Pmta°t°eueff tmanra.a�ea}iRE DISTRICT
SITE ADDRESS I22N SEAGULL WAY CDY ULWIAUP
DIRECTIONS TO SITE ADDRESS
MTREPRO]ECF�3Wn OFSIAPE(S)GREATERTHANI<%: YFSO NO® SNOWLOAD:_Psl
m PROPERTY WITH N 200 FT OFTHE FOLLOWING: IChmFall Pia w9hl�
SALTWATER❑ LAKE❑ RIVER/ _ [I PONDO WETLANDO SEASCNI LRUNOFFO STREAM❑
TYPE OF WORK: NEW® ADDITION❑ ALTERAnON❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(AesNee..Gemse.CeeummmNAu&)
ISUSE: PRIMARY® SEASONAL❑ NUMBER OF BEDROOMS2 NUMBER OF BATHROOM42
HEATEDSTRUCURE? YESPli l,m Z YEs rymr(a/9W4v❑ NO[]
DESCRIBE WORK NEW BUILD OF A CABIN Nff NOIaE
SOUARE FOOTAGE:osi�
ISTFLOOR1014211 N.R 2NDFLOOR_W AO.ft 3RDFLOOR aq.ft BASEMENT_s.ft
DECKi01 ,ft. OOVEREDDECK_N-ft STORAGE N-ft. OTHER Nft.
GARAGE_N.R. Avadwd❑ Detached❑ CARPORT eR.ft Anached0 DiwWO
MANUFACTURED HOME INFORMATION: '4 COPIES OF TIRE FLOOR PLAN REQUIRED'
MAKE-MODE[,-YEAR LENGTH
WIDTH BEDROOMS BATHS SERIALNUMd
ENVIRONMENTAL ITEM TIT•
SEWAGEAEWERSOURCE: SEPnC0 SEWER NEW EXISTING❑
PLUMBING IN STRUCTURE? YFS® NO 1/yea,mmch c,,jeted Waur Advg Farm
PERIMETBMPOUNDATION DRAINS PROPOSED? YES❑ NO®/ EMMNGSQ.-FT. .
EXSTING BEDROOMS PROPOSED BEDROOMS 2 TOTALBEDROOMS 2
OWNER euknow dgea I st suEMafan M FennXrew'elim.MmaWetlgemml Nsutliis b/
algnawre Cemw.I tleclan Met I m tlroamer entl I NmwO>Ln Mel l m enhlz]to�eeeXa m6 pendlm]to tla Te wvM es p I Nae
and�
oMalneE pe'mlaGonhwn ell Ue nelzeeay PeNta.mdulna myemanvX MaattPertlas olmbreel yvEln2 Mre pigetl. ixa orma ulepel
repesentul sreormas,Mel Me Y�IemWbn PaMCH leemualeW PeMe anpl%aesNMavn Gv�Ry xeeas In IM eEove tlexn�PIWmtY
.,w 0 conl...n�i*issuseendeI IIXa pNA d IN d., �A8vd0Xwkaeutlnlm]emsEuctlon Isna oanmencM MMM 1�
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTMTY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE OUNTY CODE U E THE APPLICATION (M
N TO BE EXPIRED. ASON
f tcy v rW Dec 2,2024
S iIsu.m a DWNEIR IM wIw aIPMd MtlIa ONRERI Date
DFr.�gTME.. APPJRSIVEDt -PST_ �# ..I) N!ED `DATE TAGSNOF1,S)CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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