HomeMy WebLinkAboutBLD2025-00152 - BRN Application - 2/19/2025 - MASON
COUNTY Permit lzEtIptib_ O0t
'' COMMUNITY DEVELOPME T
fB 0 6 2025
.- „ Permit Assistance Center, Building,Planning
BUILDING PERMIT APPLICATION 615 W.Alder Streo
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: <
NAME:3 eE C\ �� ��I NAME: 1
MAILING ADDRESS: P.J. j?,c 7 at MAILING ADDRESS: ,p,� J.
CITY: 13e\Ire ( STATE:y,4 ZIP:Cio5 213 CITY: STATE: ZIP: -'C` 9?
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PHONE#1:3(oc>- ok-3 b33 PHONE: CELL:
PHONE#2: g EMAIL: CFtO ?s
EMAIL: ,eslAworoke,11 t aj'Ww:\.C51en L&I REG# EXP. / /_
PRIMARY CONTACT: OWNER 0, CONTRACTOR 0 OTHER 0
NAME :Y ShUc. Wet;it EMAIL e5t.We A)4 .\•CCW
MAILING ADDRESS 1,O. t OS CITYBat ;�C STATE V/VA ZIP�f)Sa
.Is PHONEO-8O4- 3Zj
PARCEL INFORMATION: t
PARCEL NUMBER(12 Digit Number) 2221'3- 77 -OC.)tj -c) T07 6ONING . S ZOS
LEGAL DESCRIPTION(Abbreviated)"�Q C-� d£ LLS #gS-c SAF b s RE DISTRICT,/f/py►R /�/'1 m
SITE ADDRESS 2 Ri E JQ c* liz.. J`54. p C CITY Zelca;t" A co 5
DIRECTIONS TO SITE ADDRESS )
cD 21
m t-'
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESO NO SNOW LOAD: psf 0
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): S
SALTWATER 0 LAKE 0 RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF 0 STREAM 0
TYPE OF WORK: NEW a ADDITION❑ ALTERATION 0 REPAIR 0 OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) V,eS i_C�aWC r�
IS USE: PRIMARY SEASONAL 0 NUMBER OF BEDROOMS l NUMBER OF BATHROOMS �C
HEATED STRUCTU (Whole Bldg)(�( YES(Pants)of Bldg)0 NO 0
DESCRIBE WORK -�! �--• 7`
SQUARE FOOTAGE:(proposed)
1ST FLOORr q87 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK J bA sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached 0 CARPORT sq.ft. Attached 0 Detached 0
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC Id SEWER❑ / NEWct/ EXISTING❑
PLUMBING IN STRUCTURE? YES IX NO❑ If yes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES(i + NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS I. TOTAL BEDROOMS 1
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and 1 further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structures)for review and inspection. This permit/application becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PE IT APPLICATION OF 180 DAY -;i MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
p COUNTY CODE 14.08.42)
X. e c �N�/ t 1 2,a'- av�.`1 •
Signature of OW ER(M a .. bvthe OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL PUBLIC HEALTH W 1 64/'c.( c.U''.��, hAS 6-4114e.A
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