HomeMy WebLinkAboutBLD1984-00131ia rr,.o'
Jellerson County Euilding Departmcn
t A.r5,
g* o 9, "
p i, r rr.-" !E4lI9-
NE
SW FBOM INTERSECTION OF
I.o,:;?,Y : " :: : "':: l:,; ",)*;,L!'ash
ROAD
.385-t3t0
NE
s w sloE oF
FEET
BOAD
I. LOCATION
other rp*ilic letlion or landmark
LEGAL DESCBIPTION
ROAD AND
Lor Block Subdrvt
2Ll_24
RanSectronTaxumberron
II, TYPE AND COST OF BUILDING
E r.te* dounry Residenr
ls thrs sl,Pclure lo serve the tesidentisl
or commjrcial needs ol rhose employed
at errher the U,S. NavY'r Trident or
tnaian lsUnd Faciliries?
E ves Etuo
MOBI LITY
TYPE OF IMPROVEMENT
[""* building
2,t[::::.
D Repair, rePlacemenl
! Wrecting
! Moving (relocarion)
! Foundation only
BIALDING TYPE
l4;.ete Famitv
/[--] Mutrr,Family
number of uhits
[--l Hotet, Motel. Dormi
number of un its .
I Mobite Horrr
D Otne, - SPecilY
FE
lorY
UBC OCCUPANCY GROUP:
Privare {individual, corporation'
nonprofit inst ilution, etc'l
Public (Federal. State or local gov'l'l
xOWNEHSHIP
lOmit cents)- Describe in detail proposed upe of buildings' e-9" lood
lzo
USE
ri
pr
Nonresidential g at hospital, elementaryocessing plant, rrEchine shop, laundry
parking garage lorsecondary school, cotlege, parochialschool building at industrial Planlrent store, rental olfice burlding. otf idepart er proposed useof existing building is being changed,ll use
' la.la
*t rrunenl residen@
F ull-t ms figerdence
D Home: Future conversion to
Home: Recrealion Cabin, elc.
@
Cosl of imProwment- - .' - -. "
To b instatled but nol included
in the above cost
a. Electrical-
b. Plunbing.
c. Heating, air conditioning . . " "
.l- Olher (elewlor, etc-1. - -
TOTAL COST OF IMPROVEMENT
cosT
a
a
III. SELECTED CHARACTEBISTICS OF BUI LDING -
6tual (septic ta
SEWAGE DISPOSA
Tl public
OIMENSIONS
. Number of Stor
. Total square feet of floor area,
all lloors, based
drmensions- . -.
. Total land area,
exterior
WATEB SUPPLY
lndivi
D
!
PRINCIPAL TYPE OF FBAME
f] MasonrY (wall bearing)
frw"oo r'"t'*
! Structural steel
! Reinlorced concrete
E Otnet - SPeci{Y NUMBER OF OFF.S
PARKING SPACES
Enclosed
EET
OutdoorsEPLACE
OINGS ONLY
m5
F ull
B ENTIAL BUI
ot
MECHANICA
PRINCIPAL TYPE OF HEATING FUEL
- SPecifY
ricity
DG"t
E oit
D Et"a
DCoal
IV. lDENTIFICATION.Tel. No.ZIP codetclaStatendNmberree tstr eSsAddailMngName
I
orryner Irfo
rlterce ng2.
Conrra
3.
Archrtecl
cablti avvs.f,allo aoconorm ppedreeagUirdnndersignthebudithisownerThengof Applralron dals
n-23- A4Addresl
lztlo t-rxrqec. Lo*rc.=.c.Signat ure ot aPPli€nl
!
loL
oq.
I
e
c
a.
a
e
WATER DISTBTCT---
/ -!/r.aJ,;J\l\
PLANNING AREA FIRE DISTRICT-=._-SCHOOL DISTRICT==_-
rls4APPROVED BY
C@ffi
Uriltfl)nq
PERMIT NUMBERISSUE DATE
\otq10
\f- p5g1911 pP6
Ga7\
bYBUILDING OFFICIAL
APPA
-L1
E
(_,,w
I
SecolaD
ft.
Nurrber ol
I
0
U
D
i
rI
OrJ
N
Cf
T
.i. _ • tr
MAO
or
1
t
A
�
t
r
1
�I
4
r
I
.i. _ • tr
MAO
or