HomeMy WebLinkAboutBLD1986-00236>L
!c
ciol-
oa.
I\
E
e.
&F
Ul LDI NG,itE R tttlf APPL ICATION
Jel ler ton Count Y 8,t' I d rng Departmenl . CountY Courlhouse ' Port To
NE
S VY SIDE OF
I
I LOCAfION srogtrohtc nad'?
NT ROAD
LEGAL DESCRIPTION: tS T Z ?___t'TL't-F
Bloct
S W FROM INIE RSECIION OF --- AOAO AND
7/b b,-xt-
othct tacc,lrc lxelton ot lrnttmatk
Lol
S-,*^..,
Subdr vrlton
I ,-l ZSl za)
Secl,on Townghr
a r N umber rOn
SCHOOL DISTRIgT_.-_-WATER DTSTRICT -DISTRlCTFIPLANNING AREA .--.+1fl*.rru- oK - -O;ytosar,{
'rr k 2r..,>[ut>Jns^
HE L.H PERMlT NUMBEB]SSUE DATE
L-ll-au
APPB
zul
66J1
rCF L
II. TYPE AND COST OF BUILDING
MOBILITY
E t'1"* County R?tident
13 rhrs tltucluia to 3?tl't thc
, rdent ot
DrvoD
ret
ved
ral
or commer ctal needr ol t
al erlhet rhe US
lndran lsland F
TYPE OF IMPROVEMENT
X{,.* build'ns
E Add,rion
D Alteration
f) Bepair. replacemenl
! Wrecking
! Moving (relocatronl
! Foundaron onlY
BUILDING TYPE
[--l Srngle FamilY
E Mutti-FamilY
num*, ol unia
t OrY
V^aoo,," xorrt
6-o,n", - Soecitv
! Horel. Motel, Dormi
numbet ol unrts
Second Horrre: Futurc conwrsion
p€rrnanent tesidencl
D
usE
D Frtlrit*
Recreation Cabrn. erc
UBC OCCUPA|TICY GROUP: 'E ^a
OLYNE BSHI P
! Privale (rndrvidual
er c.)
C ral, Srare or local goy't-l
nonproftl
(Omtt centsl
(
Nonresidential-Describelndelailproposeduseotbuildingp,c.g.,lood
O.oorrt"g planr, ruchine shop, laundry buildtng at hosprtal' elemenlary
school, secondarY school, college' parochial ichool' parkrng garage lor
;;r;;t;.t stots, rental o{f rce turldrng' ot{rce buildrng al rndusrrral plant
iilt" "t existrng buildrng is being changed' enter proposeC use'
x4.su'Dpu O roE nAa,'t?, t t-
Cost of imPtorcrnent-. -. - - -''
To h installed but not included
ia the abote cosl
a- Elecrrical.
b. Plunbing.
c. Healing,arr condirroning -.. "'
d. Orher (elevalot, erc.l- - -
TOTAL COST OF TMPROVEMENT
cosT
a
a
III. SELECTED CHARACTERISTICS OF BUlLDING -!x t
ndividual tsePtrc tank, elc-l
E DISPOSALTYPE OF
lic or Privale
.zL$
o Nunber ol Stortes
. Tolal square leer o, lloo, atea,
all lloors, based on exlerrol
dirnensions.
oToral land area, sq.ft- -.. . "
DIMENSION
-e-
TYPE OF WATEB SUPPLY
$tro,,. or Private companY
l---l Individual lwell. cistern]
PRINCIPAL TYPE OF FRANTE
D
tr
tr
D
Oher - SPeciIY
MasonrY lwall bearing).
Wood Fram
Struct
ced conctele
r{UrraBfn OF OFF'STBE
PARKING SPACES
Enclosed..-.-.
ET
Outdoors
?-
TYPE OF FIBEPLACE
/'TY F ull
gatdr:=
Nurrber of
bal htoom
MECHANICAL
PRINCIPAL TYPE OF HEATING F
Orher - SPecifY
D G"t
D oit
D Et"at
IV- IDENTIFICATION.Tzl No-Zl? codeleSraandsl reet cityNumberAddressMailn9Name sr-63
G'Lft-sOrrynar
.srne- ->
ate tente2.
Contra
3.
ArchrreCt
laurs.eicabllormalloapplconltoundersa9reeirandrh,ignedbudtofn9thisThe
t/
dat?
Addrers
1)
PERMIT FEE
YD /L*n< Acpt
y'to o*,n.,,*
716lt< --
t 75.9
I
t-
BESTDENTIAL BUI LOINGS ONLY
Nurrber ol bedrooms
I
owner
o
RECEIV E,D
JEFFERSON COUNl'I
JUt.3 0 19Br
PLANNING DEPARTMENT
o
rt)
P--Tz
,
r re]T -/:
\) -.,
Wc-\\
D
6
{
o7
I .*, 11 i I ;e,a' I I. u,tr ,.t\.
r-,
:I
t-* o.\
f Y':
:
t
Me,k,,lt t\
Tielo
c(
CAA
u n'i f.,>
t,
I
(
t
E.\-l
'
-i"c..l' ";) (
t 4 - _,ii ''
(r'r rl t,i (;,t',-.ti1 ['it.l i:] '' i'.',.itl u{-
(q si rn" 7',r{ .itr{ Sh
0,];n.t c,{ -lt'*r1. c4 ih(
) i,., Fr. .. i; H, 4
{ , il.$,'or G l"^ k" Po
Iqa
e
r'd Att '
Hn*, a//to't o1 ,V"/'- ltr f"tt''
p7z6-?€ r,dl*/. Jror
E, //o t/q q l/* t 4 qYaa{
I
I
I
I
I
I
I
I
I
i
iIt-
I
{--------#, I7r^r*,il-*s..
;
I
@,:0,0
Adjaccnt tfater BodY- d""L-W
Based on the inf orma-i on '- the most riat erward si de
bact at Ieast 'feet ftom thc high'uater mark
fu6'e feet from the edge of the bluf
not'able to be determined without
eltl I ;5 Sllr,{l:, F[3-r I tc :!{l s
Arldrt:ss Z/ Po Ot
/1v t TtrJ
(u'orl: )
() egal de-scriPti on) SJYJ zf N R 2l*,rA
{o 2/9 Z o/t
f or bank
additi onal information
of the proposed st'ucture must be set
,./ r
Applic:tnlrs lirnre
Plronc (horne)-
Building Location
-?arc e I Nurnber
sttA
4s{-?z-tj
")
Additional comments:
ou* 3 / /r?,,
Jef erson CountY re1 1 nes
I ature,
Adru
erson CountY
in i strat or
Planning 6 Building DePt'
Jeff
Corm
Port
385-
ty Courthouse
98 368Tor+n send, h'A
1427
------::-----------,/: Bluff or Bank height
:r;tesidential structures r+ithin 300 feet ? - yes --lo x 'r'4
If yes, existing setback of adjacent homes:
,1o^" *2=
T o'" fl: foot setback irom bank
E,":;,'."","';;;,";',ic,a;1c=^.3,"n*,'.p.:...:."-.::;"'',:::.':,::-,:,,j.":..^.
Much of the above information is suppli"d'; fi" +'iiiaht'
-it'ourd any informatron
inaccurat"' tr'it-'etback t"o'l'll':;{';;;-be' changed'
U.zJ744LG BIuff stabi 1 itY
propertl
be'- -. 'l
'-:-- ---
fA A
:�4`R YtYi