HomeMy WebLinkAboutMIS97-0042 Final Demo - MIS Permit / Conditions - 9/8/1997 MASON COUNTY
Mason County Bldg. III 426 W. Cedar
P.O. Box 186 Shelton, Washington 98584
M 1 ;C E L. L— A N FE "11 ►cg, P F= I'l M I I FOR INSPECTIONS CALL 427--9610
MI597•-0042 PARCFI. s22.3315300001 PLAT .-COPLO D i V . BLK : LOT :
JOB AUDRE SS s HE t 1 PINE TREE LN TAIIUYA
APPLICANT ; JACK RIDGE 360-275--3051
OWNER s JACK RID(:s 360 2.T5--3051
LEGAL t 1.01114S I.AKF 14 TRACT 1
PROJECT DESGRIPTIONs
DEMOLITION
PROJECT LOCATIONS
TURN ON PINE TRE:E LANE, LEFT SIDE , F=1 RS T DRIVEWAY CORNEA LOT .
PROJECT NOTES :
•S'3S"Z"�.T.t64::FY..u:+A�Z*i* ..x•1t ARLE....sL':G3.tG�,Y:-.:-^.S.II.^..:.1:'T.76iF}T^:.:
TYPE: AMOUNT BY DATE- RECEIPT
STFt $ 4 . 50 K 01 12 319*7 951
DEMO $ 33 .00 KS 01 /23/97 951
TOTAL : 37 _50 OWNER AENT DATE '
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MIS PINT, rev t 041/1192 COMPLIANCE TO ATTACHED CONDITIONS IS
IIE:61U I RED
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 I
FRAMING Walls FIRE DEPT. I
date by date by date by
PLUMBING OTHER
Groundwork Attic
date b 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
F' F= IAM I T CCONI[-:) I T I C-)NS
Case No . : IAA 1 S87-0042
For . .JACK RIDGE'
Page : 1
1 ) PURSUANT 10 1991 UNIFORM BUILDING CODE , ;EC'TION 305(C ) AND SECTION 513, ALL. SITES MUST
HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY V i S I RLF
AND 1 FG I BLE FROM THE STREFT 01: ROAD FRONTING THE PROPERTY . MASON COUNTY BUILDING
DEPARTMENT RE011114ES THAT T141 S BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS . A
RE I NSPECT I ON FEE , BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODF WILL sE
ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING
INSPECTIONS .
x
1 ) THE DEMOLITION AND DISPOSAL OF DEMOLITION DFBH i S MUST MEET RFGtJ i RFMENTS As PER MASON
COUNTY REGULATIONS .
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,.�• :r .�� Tiet-s` M
MASON COUNTY
DEMOLITION APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 • 427-9670
PLEASE PRINT {� ,��a �
�,h a
#1 Owner �Tae_ ' 1,14g -ce-A `��/1/ Phone #
Site Address ` y .C,- / City
Mail Address-I//e- 1,2e
City _� �,�; 2 St LJ 4 Zip S S 28,
Applicant Phone # 7-- 3,0
T�
Applicant Address
City St Zip
#2 Parcel No. �a3 3 j _ 63
C°`1n �{
Legal Description
#3 How will the debris be disposed of?
#4 Use of building to be demolished?
#5 Indicate by circling the applicable source if any water is on or adjacent to the property:
saltwater marsh lake river pond wetland seasonal runoff other
o
Directions to Site: 3
- A
u4j) 7,S)Can t k Y�0_"
#6 Project Start Date Project Completion Date
'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.
Applicant Signature -e Date:
FOR OFFICIAL USE ONLY: Accepted by: Date:
j
I
Receipt No. Amount Paid
DEPARTMENTAL REVIEW
FOR OFFICIAL USE ONLY
Proposal Proposal
Approved Denied
Planning:
Building:
Fire Marshal:
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