HomeMy WebLinkAboutBLD2025-00187 - BLD Application Permit No:�TLV E D -00I Fe 7
MASON COUNTY :t I v
COMMUNITY DEVELOPMENT FEB 18 2025
Permit AUlstance Center,gumming,manning
BUILDING PERMIT APPLICATION '" Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: /C�6 HO 6'S LL L NAME:O�/YE roils%G2t/CPIo RI Iye
MAILINGADDRESS: OZ a INGADDRES S. O di / e
CITY: J'e /f STATE: ZIP: / CITY: /c STATE:�,.ay.+Q-ZIP:
PHONE#1: LO - -1 6 PHONE: !QC(4?!/65 CELL:r/n-f -4 d
PHONE#2: - 'a.- - t 6 EMAIL:N/yLfoa� yC?roy/aG ~e
EMM&IMee04M41ti/ol✓io� J,Ve L&I REGkOLII/ECZ XP.7-141 S
PRIMARY CONTACT: OWNERy- CONTRACTOR OTHER❑
NAME EMAIL
MAIINIENG DD ESS _ L /i a CELL ZIPS CITY lft STATE E NTAL
PHOPARCEL INFORMATION: /�Gn n
PARCEL NUMBER(12 Digit Numbar) - OT-ST6VI2V ZONING
LEGAL DESCRIPTION(Ablann mWd) FIRE ISTRICT_
SITE ADDRF55/o7- /L.P D Oh Z
DIRECTIONS TO SITE ADDRESS
I ZQ?C
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN u%: YES❑ No SNOWLOAD td'�cf NFO
M PROPERTY WITHIN 200 FT OF THE FOLLO G: (O:atl:tllNma,Py):
SALTWATER❑ LAKE❑ RIVE REEK OND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPEOFWORK: NF.Wf ADDITION❑ ALTERATION❑ -llk ❑ OTHER
USE OF STRUCTURE�(Ruldmre.Ga.aae,fammeraal MGj,ts) RGS/ C•vC �+.
IS USE: PRIMARY a SEASONAL❑ NUMBER OF BEDROOMS NUMBEROFBATHROOMS •.�
HEATED STRUCTURE? YES(09We RMy YESO n(aj fR ❑ 'VQP
DESCRBEWORK ne 4:10.16%f C-C&/oy
SQUARE FOOTAGE:(P.,.aE)
1ST FLO'O,R'Z�sq.ft. SC�I{1 aOOA / sq.R 3RD FLOOR- ,,h. BASEMENT49sq.h.
DECK sq.h. COVEAEULf1 O .R. STORAGE _ sq.h. 07HER s4 ft
GARAGE aq.fr. Attached e"Debched❑ CARPORT�aq.h. Attached❑ Detached❑
MANUFACTURED HO NFORMATION: ed COPIES OF THE FLOOR PLAN REQUIRED'
MAIM MODEL YEAR-LENGTH
WI BEDROOMS BATHSi SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPDC SEWER / NEW EXISTING❑
PLUMBING IN STRUCTURE? YES C NO❑ If,,attach comptnwd WmerAde ,Form
PERIMETEIt/FOUNDATION DRAINS PROPOSED? YES NO[] EXISTINGSQ.FT.
EXISTINGBEDROOMS _ PROPOSEDBEDROOMS TOTAL BEDROOMS
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omalmN peMLvbn fiom all Ne rerPgrylcnks,iMWi:qan/easeinert tpger orpmEes of ntere9raperEi:q tMa pmjeR Theoxmrorkgal
represemo e,mpresems Net Ne InbmNbn MVMe bKWamandgmmsempbyeesaf Mamn Caumyaaz to tlro strove tleSMben pmperry
a:d sNnure(a)br reul¢wanX Nspeclion. This peMNapplbalon temmes null g vdd Xxamar euNoveE mnwuNon a notmmmemeX wMln 1M
Z.ff. xlbnualkm en&dfcwawswof1w&ys.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPUCOMON OF IR0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPI ED.(MASON
C E10.0BA2)
X
' retire mOIVNER(Muat ba slaved by the OMER) I Deb
D ARTMENTAL REVIEW APPROVED DATE DENIED I DATE I TAGS/NOTES:CONDIRONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
Zit f b 8' /Y
'NOT AN APPROVED rhIC DESIGNEH APPROVED
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OAudio-Visual Alarm
O2 Cleanout
Q500 Gallon Pre-Trash Tank
8 4 NuWater 13NR-500 Pretreatment Tank
1,000 Gallon Single Compartment
Pump ChamUer/Clarifier Tank
6Lo as a5- co 187 O6 OSCAR Mound Drainfield