HomeMy WebLinkAboutBLD1987-00442 r. L s
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I. LOCATION: prop•rahic n•nu S W SIDE OF R AD FEET
NE • '�] 1
S W FROM INTERSECTION OF ROAD AND / D ) ROAD
other specific location or landmark: C tqIC ,
LEGAL ESCRIPTION: 1
f� t Block Subdivision
/ ((9 000 6 0Q Tax Number Y.Section Section Township Range
II.TYPE AND COST OF BUILDING- ,
TYPE OF IMPROVEMENT BUILDING TYPE ' MOBILITY •
❑New building 0 Single Family D New County Resident
Addition ❑Multi-Family Is this structure to serve the residential
number of unit or commercial needs of those employed
0 Alteration
❑Hotel,Motel,Dormitory at either the U.S.Navy i Trident or
D Repair,replacement number of units Indian Island Facilities?
D Wrecking 0 Mobile Home
Moving(relocation) 0 Other—Specify D YES ONO
❑Foundation only
(it)00iK: -
OWNERSHIP D Full-time Residence
❑Private(individual,corporation, D Second Home:Recreation Cabin,etc.
nonprofit institution,etc.)
0 Public(Federal,State or local gov't.) UBC OCCUPANCY G$OUP: 0 Second Home:Future conversion to
permanent residence
-
COST (Omit cents) Nonresidential— Describe in detail proposed use of buildings,e_g-,food
• Cost of improvement $ processing plant,machine shop,laundry building at hospital,elementary
To be installed bur not included school,secondary school,college,parochial school,parking garage for
in the above cost department store,rental office building,office building at industrial plant.
a. Electrical If use of existing building is beingJcd
� changed,enternt proposed use_
b. Plumbing ?C>� r `" k [ C U
c_ Heating,air conditioning
d. Other(elevator,etc)
•
• TOTAL COST OF IMPROVEMENT $ s
III.SELECTED CHARACTERISTICS OF BUILDING -
• DIMENSIONS .iiii•
PRINCIPAL TYPE OF FRAME TYPE OF SEWAGE DISPOSAL •Number of Stories
Masonry(wall bearing) D Public or Private •Total square feet of floor area,
D Wood Frame 0 Individual (septic tank,etc.) all floors,based on exterior t
dimensions 1
Structural steel
TYPE OF WATER SUPPLY •Total land area,sq.ft i
D Reinforced concrete
0 Public or private company
0 Other—Specify NUMBER OF OFF-STREET
ID Individual (well,cistern) PARKING SPACES 1
C' F
Enclosed ---
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE
Gas Outdoors
DOil RESIDENTIAL BUILDINGS ONLY
Number of bedrooms i.
0 Electricity
D Coal - TYPE OF MECHANICAL _
Number of Full !!
k.
D Other—Specify bathrooms E
Partial
IV. IDENTIFICATION- -
Name Mailing Address—Number,street,city and State ZIP code TN_No_
i
(1. III 0 "4 4 c_k.cuylaci lin 4-1-4..) ctic4cfr- an -lilt E
L, -"...-SkA..- ...Tr.._ ,( ��4..c e _tense No. 3g� r
.
r I�Tti C pi Y� . 479377
a - 77
Architect '-
The owner of this building and the undersigned agree to conform to all applicable laws.
i Address date
7at f ,27
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT .-.
APPROVED BY -
�'r
JEFF/a:mot �i�— $ - TH DEPARTMENT - I
APPROVED BY PERMIT FEE ISSUE DATE RECEIPT NUMBER
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BUILDING OFFICIAL
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