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HomeMy WebLinkAboutBLD2025-00746 - BLD CD Environmental Health Review - 6/23/2025 MASON COUNTY COMMUNITY SERVICES U nra 5..tV 7`4� • '' PERM RASSISTANCE CENTER Permit No: 1pA C .WtDI M..PIANNmG.PI.ebC HEALTH.FIRE MARSW Cels W.AmShS.St1.WAN:l PIvi.Spar:(3NN22Re70 eat 352.Fax:(3d0N2T->!0B Plne LW, SMBT.R a Ts-IW2sxB JUN 1 8 2025 BUILDING PERMIT APPLICATION 615 W. Alder SYEtet m PRQPER�TY OWNER INFORMATION: I CONTRACTOR INFORMATION Z NAME: ,/rvAn ffn/cry NAME: C MAILING ADDRESS: / // MAILING ADDRESS: CITY: . / '.r / STAT W ZIP: CITY: STATE: ZIP: PHONE NI: 30 V YG ✓OG PHONE: CELL: m 0 PHONE R2: EMAIL: > Z EMAIL: fT i/es.p c Pt-AG% r (Nell LAI REG N EXP._/_/ r- 3 �(� OWNERS: CONTRACTOR 0 OTHER❑ , = m NAME /e fie+ /e/( EMAIL S�v/,_(/Ti-.� C� ' C( 't"1 Z MAILING ADDRESS 7n7S /ilz_i,6l PKDf CITY /( s% / STATEWA ZIP /Yf �l PHONE CELL 3LC y/L�/ aP PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) /) ?6 f'- fi -CC(.2 9 ZONING g ? T c- LEGAL DESCRIPTION(Abbrcviated) FIRE DISTRICT N:hl, Maltn 131i% SITE ADDRESSAk T//eY L✓A / /; CITY 99./fj l CI DIRECTIONS TO SITE ADDRESS 1! S' IS THE PROJECT wrrnIN TOO FT OF SLOPEIM GREATER THAN 14%; YESD NOS\ (3 BEN hived:7vcra IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: dmvigi um'mad SALTWATER 0 LAKE�RIVER:CREEK 0 POND WETLAND SEASONAL RUNOFF 0 STREAM „ TYPE OF WORK: NEW❑ ADDITION[] ALTERATIONN ] REPAIR❑ OTHER ig ✓li ee+ia c / USE OF STRUCTURE(Pnn*rnn.Game,Cemete tel BLit Me ilJW FVkR • IS USE: PRIMARY SEASONAL NUMBER OF BEDROOMS 7 NUMBER OF BATHROOMS 1 HEATED STR YES:Wagelau . IFS r eLgyp I NO 0 DESCRIBE W'ORKKTU (.GP.Rd -{X� 1 () Y SOUARE FOOTAGE'ra(1.er+aw.x) 1ST FLOOR sq.ft. 2ND FLOOR sq.ft 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK 9;C Eft. COVERED DECK sq.R STORAGE sq.ft OTHER day.ft. GARAGE sq.ft. Attached l] Detached 0 CARPORT sq.ft Attached U Detached MANUFACTURED HOME INFORMATION: M COPIES OF THE FLOOR PLAN REQUIRED' MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC[ SLAVER / NEW 0 EXISTIN $ PLUMBING IN STRUCTURE? YES 0_ NO !(yet attach completed Water Adeq-Pacifbret PERIMETER/FOUNDATION DRAMS PROPOSED? YES❑ /NOD EXISTING SQ.FT EXISTING BEDROOMS _„_ PROPOSED BEDROOMS y / TOTAL BEDROOMS _ I OWNER saboMedw+Pd ewm.rm S emr abet navy result In BMW*ear Of will mar:loe.MBLpledpmi.rt d such le W 1. yyyme.&M.I.etlse that I na the tons ea I turns ale M I m sYW to rt¢M N gem*aid to de the Will ae pmaeN.I here I o'Ae,M aemWbn ,an 0 the neap pales.IWYV aM.mmna I !St a PSIS M SwF A0009 ds fBgect The cat:.MWl rmmmeue.re(*mete that the informally,(*paleda.&date and womb*employees of Meson Canty.peen the cool.&opted prepay end n nIre(s)Ia review end impaction.T8 wnWepyedbr became'nm6 raid I wet or mthafad coneeuction le N cep Band sine 180 days or if amertlar work Y suspended a.pond S 1m days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF/M DAYS OF MORE WILL CAUSE THE APPL2CATIO I TO BE COVED.(MASON COUNTY CODE 14.011.421 X SORW»e S OWNER Ghat Malawi by U.OWMER) Deb DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL �I— /� /!— eyT PUBLIC HEALTH On t4g2 cola. QQL/N(L..A Eo z o+ yN 7u. _ )/ ® 1J - ` l . im2 a :__ . \ Z d\ - \• jj - an Au Ili a 2 § - \• \� off \ »c(29 - % ~ - / \ ` Er )- \ _ , , /i «} � '\/ w $ 0 / \ § ' - / EL) ' ' t" - \ `° ° ) d \ - ®^ « : - -- � \ % :iS \ / ® ^/ : \ » : ° ! ( © « � ( ; , o \� d ^ ° ~^^ , ‘0.0), �`3 « } ^"vd -© ^^^^^ \ 0 ` mow 2 \ \} \\\ ` \may a \t26 : � ^® Jr, \! \2\ � ayp\; : :2 2� « _ § d ` «\22. |lri |; , \ I