HomeMy WebLinkAboutBLD1987-00409 • N E. -- _SIDE ----� — — - — --_,_-
I. LOCATION: proprspn;cnamt S W OF ROAD FEET
-
NE •
ROAD AND 37b 7'Y1c7YIL( I(n ROAD
S W FROM INTERSECTION OF
other specific location or landmark:
LEGAL DESCRIPTION: Block Subdwislin
. ,..., Lot I D 02 n I (.Q�
C"''', Tax Number Y.Section Section Township Range
'CN,. II.TYPE AND COST OF BUILDING-
TYPE F IMPROVEMENT BUILDING TYPE
PUBLIC WORKS APPROVAL
New building 0 Single Family
❑Addition ❑Multi-Family Road Access Permit No.
number of units
0 Alteration Hotel,Motel,Dormitory
0 Utility Permit No.
k)(2) 0 Repair,replacement number of units
v�•J 0 Wrecking Mobile Home Emergency Services No.
Moving(relocation) ❑Other-Specify Street Width A.
❑Foundation only
B:
. Additional Permits Required:
OWNERSHIP
Private (individual,corporation, ^/�
nonprofit institution,etc.) ,V
0 Public (Federal,State or local go✓t.) UBC OCCUPANCY GROUP:
COST (Omit centsl Nonresidential- Describe in detail proposed use of buildings,e.g.,food
• Cost of improvement S processing plant,machine shop,laundry building at hospital,elementary
To be installed but not included school,secondary school,college,parochial school,perking garage for
in the above cost department store,rental office building,office building at industrial plant.
If use of existing building is being changed,enter proposed use.
a. Electrical l
b. Plumbing (Pea q(o
__ a Heating,air conditioning /Pa J — �)%l�'�L ' ' r n n
c3Y r� !
-4 d. Other(elevator,etc.) e- a. (0
• TOTAL COST OF IMPROVEMENTS A
n
Itt.SELECTED CHARACTERISTICS OF BUILDING /
I
DIMENSIONS
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DI *Number of Stories
0 Masonry(wall bearing) ❑/Public or Privet _�� ` •Total square feet of floor area,
0 Wood Frame '(. Individu�c tseptic )etc.) all floors,based on exterior -
dimensions
0 Structural steel
TYPE OF WATER SUPPLY •Total land area,sq.fL
concrete 0 Public ox..prire a company
pteintorced
ther-Soeojfy n \ NUMBER OF OFF-STREET
nCi�l fC )1 �u ndivids well)cistern/ PARKING SPACES
17J Enclosed
"- PRINCIPAL TYPEbF HEATING FUEL TYPE OF FIREPLACE Outdoors
0 Gas
0Oil • RESIDENTIAL BUILDINGS ONLY C�
Number of bedrooms �
Electricityr±CA TYPE OF MECHANICAL
❑Coal Number of Fut4 j
❑Other-Specify bathrooms Partial I
IV. IDENTIFICATION
Name Mailing Address-Number,street,city and State ZIP Cade Tel.No.
•
cL �1-N I ii (0/a (a [utter (a �( `'f
Owner ,, 000 0 '.47
2. - State License No.
11
Contractor I
•
. 3 i.
Architect •..,
The owner of this building and the undersigned agree to conforrn to all applicable laws.
Address AppMotionrdate
Siurs of applicant 7- 1`7
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPR VED BY cr 'In I APPROVED SY APPROVED BY
C 1� d9 , SHORELINE DEPT. PLANNING DE"T.
APPROVED
B BYY: HEAL DE PE FEE ISSUE DATE RECEIPT NUMBER :
�S2'7 3 , '---16 -7--/0 --W ' 91 c--- ( 9\(P -__-_
BUILDING OFFICIAL X . S b ,
The P,.ntrry - Port To.%ntend L 0 Ft
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APpRovED
Julio
County
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OC-cc..,74 4.
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