Loading...
HomeMy WebLinkAboutBLD97-0113 Final SFR, Deck and Garage - BLD Permit / Conditions - 9/19/1997 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 13L097--01 13 PARCEL -2233{'JEi000?32 PLAT iHAf"LO D I V : BLK : I,_OT ._14E3 ADORFSS e HE 1761 TAH1JYA BLACKSMITH RD 'TA"11YA OWN17-P a DOOG SIMMQMLIS JR VC)NTRACTOR , PARADISE BUILDERS INC . 731•- 1399 ;?Ffi_-2401 LeGAL , HAVEN LAKE TR. 232 6,'ASS}rC ' -4014K . . -NEW BFDRR i 3 .BATH : :? ifYPE AMOURT BY itATf RECEIPT TYPE AM0001 BY DATE Rf0I?1j TYPE OF 118E . .. . . i SSF S f O!' I E S . . . . a ' f 7 �:�a:asan�sac:r-+ sx�r_srat:+e:--,��:r.-sar:K�a�r�vszga+C-r_-s:s� nfi�^.raze .s,�r�axamr^r�ror�+sss�cc,�a»rc.?^�^as:.rxe�.:x:a tea- O CUP . GROUP . . . :7 B L DG . HE I GHT . . a O .Oft ADDII S 5103 Y" 031 i 101 4060 I f 1 R? $ 31.08 K• 03111191 4060 � TYPE. OF CONST . . a7 F I RFPLACE S . . . . . 0 1,0811 $ `y67.00 KS 03111197 4060 ISTFE f 4.50 KS 031111SI 4060 0000P . LOAD — . , 0 WOODSTPVES . . . . : 0 Lo", 368155 14S 03111i9l 4166 JEHCP t 71 .O0 XS 03111191 4060 DWELL .UNITS . . . . 0 PARK I NCO; SPACES : 0 53,68 KS 03111197 4460 INSPECTION AREA : 1 SH0RFL Ill 7 . . . . ;N 50.50 KS 4301197 400 110Ah 110;. 15 VAIULATION: 1611,999 e.4 :,�za�s:.n .. .��a:.�•.=;...�c�z�e'a.;sear.:S:�ararss.�m:mzrc�.sossc:acmesrr::s.— SETBACKS- T 0 1 LETS , ® . . . : FUEL TYPES--- ___._ Rol t— RF/COMP- - _ •- MOBILE 140ME-- FRONT . . .F 100 .Oft BATH BASINS . . . . . . : 3 s 0-3 Hp ' : 0 REAR . . . .W 150 .Oft BATH TUBS . . . . , . . . c 1 3-15 HP . , 0 MODEL : SIDEt1 ? .N 16- Oft SH(-)WFRS . . . . . . . s 2 FURN - 100K BTU : 0 15- 30 HP . , 0 SIDC (2 ) .S 113 .0ft WATER HEATERS. . , . : 1 FORN >-tO?fK STU : 0 30- 0 HP . • 0 SIif1L I NE . 010ft CI-O T'HES WASHERS . 1 TORN _ FLOOR . . , „ 1 50°I° HP . : 0 _ YEAR--_ AREA -_._____,_.w.._ _ _ _.._ __ KITCI E'N SINKS . , . . : 0 HEAT PUMP .. . . . , . : 0 LOT SIZE - - FLOOR DRAINS — . . . , 0 VENT SYSTI=MS . . , : 0 EV.AP COOLERS : 0 I FNGTH s 0 r $U ILD I NG . , . c 1931 gf DRINKING FOUNT . . . : 0 VENT, FANS . . . . . . : 4 HOODS . . . , „ , , : 0 WIDTH . - 0 BASEMF,NT . . . : 0sf E.AUNVP Y TRAYS . 0 DOMES . I NC I N i O SI R I AL#- ---- DECKS . > . . . . s 300sf DISHWASHERS . . . . , . 1 AIR HANDLING UNITS--- COMML. .. I NC I N :0 GAR/CA:RP :G 728sf BARB DISPOSALS . , 0 10000 ofm T 0 REIOC/REPAIR , 0 AT/DT' . :A UnINALS . . , . . a , . . . 0 10000 ofm . : 0 OTHER UNITS . : 0 M11SC PL M F I XTORES : 0 GAS OUTI, FT! . : 0 sx^.sa-.a'�,:rrr,Sag'bCrar,:...�x:s.�:r:_:..-�:ztt:..a:cT.:Rr[:.s:Rr-�u.:z:-;�lnc!a,+r.�..`:!^•T+,�gyFyc- �::.�:'avfs•'r'..C.zraiY;, ::.�^: .11^�A'kt`R135:+.zaa::ZstTx$::.:....,�sxsa;::ic9T.zams3?mLk.S-�a.'ii .W�"' ":.*C�2:rxa•SSi,-o.,.i:.M;+.�::,Tvx:sn.L��:'S.v`:±1"F!R.�^Pev:•cs8r..:x,'�zn:.S�'�trxti9:.usrs:: PROJECT D€SCRIPTIOrirLESiOENf,F, DECK AN1, 09k6 PROJECT 10011ION:00110. MORTNSNORE RIS111 ON AEIFAIR TAHOYA 00 60 10 HAVEN WAY MAKE LEFT 60 TO HAVEN MA DRIVE MAKE LETT RD TORNS 1116111 AND LQT IS 01 !if I. THIS PERMIT BECOMES A01.1 AHO VOID if WORK OR COA-STi00164 AUTHORilfD IS NOT COMMENCER WITHIN till GAYS OR if CONSTRUCTION OR 1011k IS SU5PIROEO FOR A PERIOIT Of 180 HAYS AT ANY TIWI Af [FR WORK IS CO101100, €VIDEHCF Of CONTIROA11011 Of WORK IS A PROGRESS IH�P€I I0N T111H10 TITt 180 DAY PERIOD. fINAI 1118PfC110 MUST BI APPROVED BEFORE BUiL01HC CAN 8f OCC011IE0, OWHr R OR Ell Q PRIT, 031811.81 COMPL_ I ANCI= TO AT' ACtIFD CONDITIONS IS REQUIRED �, CONCRETE,-, A^, ECHANICAL MOBILE HOME Footings-Setback ✓��` �"``— date by Ribbons date y-/1-I—7 7 by C ✓ Gas Piping date b Foundation Walls date by Set Up date t-/-%F-� by INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. date by date by Attic PLUMBING dateaw by OTHER Groundwork date _ 17 b Eta date by D.W.V. WALLBOARD NAILING date by IL- date —( 8— by Water Line FINAL INSPECTION date by date 9 _19- by date by "f C'T 40-14, 125 es i,14Z deLO 2� a/! e / L o to `2't f CSC le-- e . // In P &,0,— r7rde,.. ;� I L Buildirg Permit # 61/ 3 MASON COUNTY �0u.(- Si1yt«2n�, BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICEE Job Location cf` �c• a This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: n. <<*- -(v k 4 " f 1 e- r, 1 Items listed below must be corrected to gain code compliance ?w JLJ fly (ss�' �fQc.1�c�� T Lest •n SS. n cz_� /L�-s �, clef )1' l- Ism Ge t M�.s�-v �,� 4 h rn:.�s/ %. — 4- -p, You are hereby notified that the above corrections shall be made BEFORE P oAO�CEED� �ING WITH ANY FURTHE� WORK r r% c }r/I�_J"( r a S C',rr QL r'C1/t. r- /t�'� b /c:-j �' 3A e 0 it- - " /(�'�'�b/^y' rlT' G G,� �i -I`e, altfor re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection /l. Cbr r c�-� ,w• 2vc,-Y. ♦ �.,-1 ❑ OK to r Depa m ne t suers, Date Inspector ■ ion NO T � MOV T 1 _ T w , Building Permit # MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 ' (360) 427-9670 CORRECTION NOTICE Job Location 1 7G This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: / Items listed below must be corrected to gain code compliance i7 P?-60 ;JC 12 5. 0-S.6. 6 Q.C. GN, G �1A + p.C-. - cSSS j n e_' S 1jc e You aWherey n tified that the ak�ove corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK /y. .mil i ��[�-- O cs �zc..� ,'• G f 4....� 2 ❑ Call for re-inspection vAen corrWctions are made before continuing ❑ Make corrections, items will be checked on next inspection f�! �`�� n�;/� =r G T fir, o� (,• (T,f, ja bK to i Department Date Inspector ■ ioo s NovT vi MovV THI TALOW Page N6. 2 CASE HISTORY FOR CASE NO.: BLD97-0113 DOUG SIMMONDS JR NE1761 TAHUYA BLACKSMITH RD TAHUYA 07/10/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -- - --------------------------------------- ---- --- -------- --- BLDC140 Fr/P1/Mc/Pen Inspection 07/07/97 07/08/97 07/08/97 NOT ALL OF THE CORRECTIONS WERE DONE FAIL LW 07/10/97 LAW FROM THE LAST LIST. CORRE # (�,9�,13, AND 14 IN CRAWL STILL NEED TO BE COMPLETED. THE CONTRACTOR WANTED TO KNOW IF HE COULD SHEETROCK, I OK'ED EXCEPT OVER 1THE D�WV. pp /Ti 7�Y 0^� �dL- 4-� w -e— - e� �� l Page No. 1 CASE HISTORY FOR CASE NO.: BLD97-0113 DOUG SIMMONDS JR NE1761 TAHUYA BLACKSMITH RD TAHUYA 07/10/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 02/13/97 02/13/97 KW BLDA015 Waiver in File / / / / 02/13/97 DONE KW 02/13/97 KW BLDA100 Approved For Issuance / / / / 03/11/97 DONE KS 03/11/97 KS BLDA500 (F) Issue building permit / / / / 03/11/97 DONE KS 03/11/97 KS BLDB110 Structural Plan Review 03/05/97 / / 03/10/97 DONE MJB 03/11/97 DLC BLDB120 WSEC Compliance Review 03/11/97 / / 03/11/97 hp, option 5 DONE DC 03/11/97 DLC BLDB130 Planning Review 02/24/97 / / 03/05/97 DONE AHB 03/05/97 AHB BLDB134 RLC Review / / / / 03/05/97 N/A AHB 03/05/97 AHB BLDB135 Addressing 02/21/97 / / 02/24/97 DONE GMM 02/24/97 GMM BLDB138 Planning Pre-Review 02/24/97 / / 02/24/97 DONE MMS 02/24/97 MMS BLDB200 Environmental Health Review 02/13/97 / / 02/21/97 plot plans agree...number of bedrooms DONE CAJ 02/21/97 CAJ agree BLDB210 Water Adequacy 02/21/97 / / 02/21/97 TURNED IN AND ADDED TO THE TIN BIN. HOLD CAJ 03/10/97 NJP BLDB210 Water Adequacy 03/11/97 / / 03/11/97 per well log and satisfactory total DONE CAJ 03/11/97 CAJ coliform BLDC110 Footing inspection 04/11/97 04/14/97 04/14/97 REMOVE LOSSE SOIL FROM STEPS IN DONE LW 04/14/97 LAW FOOTINGS. BLDC115 Foundation wall inspection 04/17/97 04/18/97 04/18/97 DONE LW 04/21/97 LAW BLDC140 Fr/P1/Mc/Pen Inspection 06/25/97 06/26/97 06/26/97 CORRECTIONS: FAIL LW 07/03/97 LAW 1. SEAL ALL EXTERIOR PENETRATIONS. 2. PUT A TEST ON THE PLUMBING. 3. STRAP ALL DOUBLE TOP PLATES THAT DO NOT LAP. 4. INSTALL H CLIPS ON PORCH RAFTERS. 5. BLOCK AT BOTH ENDS OF THE 2X12 RAFTERS. 6. THE FURNACE NEEDS TO BE CONVERTED TO LPG AND LABLED. WHAT SIZE OF WATER TANK WILL BE USED, INPUT RATING. 7. PROVIDE A DOUBLE STUD UNDER DOUBLE 2X12 RAFTERS. 8. INSTALL BIRD BLOCKS IN DORMERS. 9. SEAL ALL DUCT JOISTS. 10. NAIL OSB 6 INCHES O.C. ON ALL EDGES AND 12 INCHES O.0 IN THE FIELD WITH 8d NAILS. 11. STRAP DOUBLE TOP PLATES TO SILL IN THE CRAWL. 12. SOLID BLOCK OVER BEAM IN CRAWL. 13. FINISH INSTALLING HANGERS ON DWV, 2 NOT DONE. 14. 3-8d NAILS PER GPI TO SILL AND DOUBLE TOP PLATES. • MASON COUNTY Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 Case No . BLD9 f 01 1 o Fort DOUG SIMMONDS JP Panel I 1 ) 'the undersignod property owner is aware of the uncertainty reg arding Mason Count development- rexulations created by the Growth l4anagment Hearings- Board 's Order of October ?, 199 , And In oonsideration of Mason County 's willingness to proceed with ,processing of applications which might tie affected by the Order , the undersigned roperty owner he)rehy agrees to waive any lawsult , aotic.in , or claiin for damaqe{., against anon Cotwty which may arise out of Mason County ' s actions in acceptance, processing andlor issoanoe of rtsch permits or approvals ( hereinafter "perm ittinq aotlon�-5 " ) , which damages are attributable to the County 's decision to take permitting' acticans despite the risk that changes to the Courlty ' !i development regulations might later make the County 's permjA to actions invalid . X 2 ) Th i s app I i oat ton I o sub leot to Suffer and t andscap I ng requirements as estab I i stled under Mason County .,Ordinance 1 .03 .036 . X 3 ) The lisp. , handling and storage of hazardous mAterials or flasomable and combustible liquids in excesf; of '10 gal lonti is not ai lowed without the approval of the Mason County Fire Marshal . X 4 ) Proposed strtteture or an,v portion 'thereof greater than 30" Ill height From grade I ! no. must maintain a minimum of 5. � setback from all property lineo , easements and 10 ' from a I I county. and;, State Road r Ight of ways X Temporary eras lorl contro -', measures roucA be implemented to prevent water quality de()l adq o a waters aters or wetlands . f- 6) Approved par d lmeiits I onis and ietback s oil E;ubm I teed 4 1 to p I all X- • MASON COUNTY Mason County Bldg, III 426 W. Cedar ' P,O, Box 186 SAgItpn, Washingtgp 9r�§84 7 ) All approved plant It inspection is called for anl PV0 . idlkIon, s lr1;6i be coIlooteu oy 0+ 1 ., -Jz:pal sip+sft1 I:a i �.,i to a n v fhi t��r iis:=l.,rrs.:l, ia)ic... r kuttrj J.)er"FOrmed Of approval gr ant 0 . 8 ) PURSUANT TO 1994 UNIFORM BUILDING COOP � SECTION 305 (C) AND SECTION 513, ALL, SITES MUST HAVE APPROVED NliMF3FR5 OR ADDRESSF` PRUV I DF h I N SUCH A POSITION i T I ON AS TO BF Pt . I NL Y V F S!F{t F AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY . MASON COUNTY BUIIDiNG DEPARTMENT RE00111ES TIIAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPEC''I' IONS A RE1NSPECTION FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNEF/CONTRA(;TOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING I INSPECT I ON$- � X 9) ALL CONSLF1 MUST' MEET OR EXCEED ALL LOCAL CODF=c� AND UBC REQUIREMENTS . 10) Proposed structure or port ! %ins thereof with art projection over 30" In height tr+:)m tirade line, must maintain a 5 ' separeti 7 -' dieq nee between adjacent structures, and that furthest projection . X .I 11 ) Changes to approved bui ldinq Plans that effeot c.vmpl canoe t+a the 1991 Washington State Energy Mode', 1991 Ventilation and Indoor Air oua I i t y Code , the Uniform Building Code and/or, Mason Countyy Requ l a t '. ,.riikJs�t be approved by Mason County prior to nonstruc,tIon?(._.._._a_ _ 12 ) ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES . IF ANY QUESTIONS, PLEASE CALL ,0f '1 r..E BEFORE CONSTRUCTION . X � >� 1 3 ) CONSTRUCTION PROCESS TO BE FIELD COFIRFC:TED AS Uy�{�� PER MASON COUNTY BUILDING DFPART14ENT AND UNIFORM BUILDING CODE . x srArFo GARY YANDO,DIRECTOR s u° DEPARTMENT OF COMMUNITY DEVELOPMENT N Y ci PLANNING -SOLID WASTE - UTILITIES of 0 BLDG. I • 411 N. 51 ST. e P.O. BOX 578 1864 SHELTON, WA 98584 • (360) 427-9670 DISCLADIAEER/WAIVER OF COUNTY LIABILITY: PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS, SHORELINE PERMITS, VARIANCES, AND SPECIAL USE PERAUTS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearings Board's Order of September 6, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by that Order, the undersigned property ,owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter"permitting actions"), which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. A� ;=o1=S,;y=tU (Parcel No. or Legal Description) re(Notarized) pt the signature of the owner's authorized agent upon proper proof of authorization) ACKNOWLEDGEMENT CERTIFICATE (INDIVIDUAL) STATE OF COUNTY OF On this_day of , in the year , before me Notary Public, personally appeared personally known to me to be the person whose name is subscribed to this instrument, and acknowledged that he/she executed it. WITNESS my hand and official seal. -For County use only- Reviewed by applicant on Notary's signature (Date) My Commission Expires: Staff Initial: PcC w September 18 , 1997 I , Ed Collins owner of Collins Plumbing put a test on waste , vents and copper water pipe for Paradise Builders on said home at E1761 Blacksmith Rd. Tahuya, Haven Lake job . Test stayed for approximatley 1 week until septic tank man cut out test disc to hook up to septic . We will back no leaks on said house . Ed Collins Owner (:2cj BELFAIR GLASS & RADIATOR ' P.O. Box 872 2096 BELFAIR, WASHINGTON 98528 DUNE DATE CF Ot OER (206) 275-5572 a— " Br cus 0 so NUMBER . WORK � �DAY WORK '^CONTRACT `EXTRA TO —. :09 NAME NUMBER ..OB wcAnoN AB PHONE STAFMNG DATE ims7l OTY. MATERIAL PRICE AMOUNT DESCRIPTION OF WORK > { 97 - v tA OTHER CHARGES L) ply /fv+ TOTAL OTHER LABOR HRS.,RATE AMOUNT TOTAL LABOR DArE co•aP�Ereo TOTAL MATERIALS TOTAL MATERIALS TOTAL OTHER Work ordered by TAX Signature —" TOTAL I dereoV•lcknowwage ime sal4stactory completion of me above Ce6Cnoeo work. aor;pM,T;,yr a—vw 01/11 n..'. .;nrx jA Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton,WA 98584 427-9670/1-800-562-5628 PLEASE PRINT #1 ner Gr /: Phone# ite A Dress n E 17 LV 4 LJ Fire District# City Ziahuo a— L(. o-- St Zip *�5i��e8 Directions to Job Site I����a/ 4 P4z)f S ,- Q,`d 47`0 4.) )3ali 2 Tit kowt x p r0 /!?A c //r. �T Owner Mailing Address City St Zip Lien/Title Holder Address Clty St Zip #2 Contractor me a ' ' z� �' Contractor Reg#k Addres / > Expiration Date _/ _/ City St Zip Phone# #3 If septic is located on project site, include records. Connect to Septic?_,g _Public Water Supply Well Connect to Sewer System? Name of System (If residential, proof of potable water is required) reel No. 9,93 3 d - .�o - QD 232 ,c Legal Description Aa" Grikc r 3 0— #5 Building Square Footage: (existing/proposed) 1st FI_��a / 2nd FI $// / 3rd FI / Loft / MBasement / Deck y0 / 300 #bedrooms / #bathrooms ; / Garage Carport / (Circle(Attached r Detached?) Other sq. ft. / #6 Use of building 4-5 Ad Vc-e- Describe work N 2 #7 Type of Job: New t; Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. # Bedrooms #Bathrooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other Show following on the site plan s Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Indicate Directional by (N, S, E, W) Name of Flanking Street Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW 3©0 e- — l�b A APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($3.35 each) Fee Mechanical Fixtures ($6.75 each No. Toilets 6,10 CIRCLE FUEL TYPE: Gas, Electric, .Bath Basins �0­06� Heatpump, Other LBath Tubs No. Units Fees Showers 4 L-- Fur BTU ! -19 Hot Water Htr �5 _ Heatpumps Laundry Washer _ Vent Systems _Sinks' Spot Vent Fans 6� Floor Drains No. Boilers/Compressors Laundry Basins _ HP Dishwasher ;!'�S No. Air Handling Units __Disposal _ cfm# Urinals No. Fire Protection Systems Other _ Auto. Fire Alarm Sys 50.00 Fixed Fire Supp. Sys 50.00 Permit Basic Fee 16.75 _ Auto Fire Sprink Sys 35.00 TOTAL PLUMBING $ ,1�� No. Other Gas Outlets Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 16.75 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. DEPARTMEN . X OWNER X BY DATE DATE FOR OFFICIAL USE ONLY: Accepted by: Date: I DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: Environmental Health: Building Plan Review "7s<97 Aleed_5 6,-1pR� � �/� 'cy 116 ,4sc f f caae<� Occupancy Group: Type of Const: Fire Marshal: Other: Special Conditions: FEES Building Permit Plan Check O , S S Plumbing Fee Mechanical Fee Wood/Gas/Pellet Stove 6,5 JITe c_ DD Radon Monitor Violation Fee Site Inspection Building State Fee Other dd re�� 5,00 OthereN V. I Lam}- (p 0 Q Building Valuation: TOTAL FEE �� -1