HomeMy WebLinkAboutBLD1987-00459 .CATION: peoprsphic name •
Fir
S WE
SIDE OF . ROA (Y\ FEET
II
Y \
NE •
N �l/ JP
' .. 44
S W FROM INTERSECTION OF + ROAD AND . u �� ROAD
ocher specific location or landmark: hi1 r' f r F- C1 (if/1 d
(
LEGAL DESCRIPTION: ( ( /( T %r_7- � - 7i2r/
j RI-)(1 l_.__ -1, i Lot Block Subdivision
x )( x O
Tax Number Y.Section Section ownship 1Range
c\J II.TYPEANDCOSTOFBUILDING -
�_
k) TYPE OF IMPROVEMENT BUILDING TYPE MOBILITY • 7/'
0 New building ElSingle Family 0 New County Resident /
0 Addition 0 Multi-Family Is this structure to serve the res:.ential
number of units or commercial needs of those mployed I'
❑Alteration
❑Repair,replacement El Hotel,Motel, Dormitory at either the US.Navy's T'dent or
number of units
Indian Island Facilities? t
❑Wrecking /� ❑Mobile Home t
❑Moving(relocation) Other-Specify 0 YES "NO
�F •
.�v,i ❑Foundation y -�
fA
(.U(DC,o }-.)vi,
USE
OWNS IP
0 "ull-time Residence
Private(individual,corporation, 11 Second Home:Recreation Cabin,etc.
nonprofit institution,etc.)
❑Public(Federal,State or local gov't.) UBC OCCUPANCY GROUP: 3 0 Second Home:Future conversion to
permanent residence '
COS 4 (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 but not i uded school,secondary school,college,parochial school,parking garage for
in the above cost s department store,rental office building,office building at industrial plant. •
a. Electrical y \ If use of existing building is being changed,enter proposed use.
r
b. Plumbing. 1 1U•
g air conditioning XYcJ r— ,ale
. Other(elevator,etc) \ (
•
• TOTAL COST OF IMPROVEMENT $ \ f,
i
1
III.SELECTED CHARACTERISTICS OF BUILDING -
_ I',"
DIMENSIONS �--'•,
PRINCIPALTYPE F FRAME ,!-LTYP OF SE WAr F DISPnS t.
❑Masonry(wall bearing) ❑Public or Private •Number of Stories
•Total square feet of floor area, ..
❑Wood Frame ❑Individual (se. ' tank,etc.) all floors,based on exterior
e dimensions
❑Structural
TYPE OF ER SUPPLY •Total land area,sq.ft.
"' ❑Rei reed concrete r
(". 'ublic or private company [•__ •
"� Other-Specify NUMBER OF OFF-STREET i `
i ❑Individual (well,cistern) PARKING SPACES -
Enclosed
PRINCIPAL TYPE OF HEATING FU TYPE OF FIREPLACE
]*.°w ❑Gas Outdoors _
►
f,-2 ❑Oil RESIDENTIAL BUILDINGS ONLY l"'`-
r Number of bedrooms
‘2 0 Electricity -1
: TYPE OF CHANICAL
❑Coal J Full I'
her-Specify Number of I
bathrooms V
Partial
IV. IDENTIFICATION- .
Name 3Rs- _z S Mailing Address-Number,street,city and Statepp ZIP code Tel.No.
t_ Iv Ptf'wiisCI'_.57: AO bog sr Fars S 'NO A'-% C ith's6j 2 .l1N1 qb5i,1 3P5Y73t)
Per (if fi i✓6MV,. w�9 if��i i63 771k-ft /15. aP/in (ig !2. l' / I 0. O ���j� / 2 al-y7 lWC 7 E '
Contracto ate f770
_re se No. >
3. - . (S r-rs ? e\A' .c.- 3 PS-.k Si.SI.
Architect ` .
r
The owner of this building and the undersigned agree to conform to all applicable laws.
Signatu►yof applicant Address e-y., 2 'l Application date f
.X /4: )-, 4276/71 P .A iZ_Zie,,A-74 X --,A,-/-r
i2/2'L 1�-� 7
1
PLANNING AREA FIRE DISTRICT SCHOOL DISTRICT WATER DISTRICT
APPROVED BY
F
JEFFERSON COUNTY HEALTH DEPARTMENT -
APPROVE BY 5PERMIIT FEE ISSUE • RECEIPT NUMBER i
07 S.
f STD —Amitetora (D. q C( ...
BUILDING OFFICIAL �, � (�
The Pr.,,trry - Po,t To.tnsend
(8 z.)• :
f ` .
•
w j •0
u• of .Oo jsdtwoo'7
0050 U°0 '11
•
sedtro0 Y
•
•
• 3bVld3al3 AbNOSV N G IVONd1S
•
3 . •
. • . ...... : '..:-,„,-.
•
‘• a.
t
..'t''..: ... -
, ' • .
i
i
. t
-q TM
w
(5Z )
•
•
•
•
•
•
•
•
•
•
•/iuo uollxu�suoa Muosotu pi.400ddo p s000p.,u u1 nw.sul
•
L.___
ta •
•
•
•
•
•
•
•
� 9
•
, :'!aOS Itwr1 y ,o x. p
. , ``
xedyoNp a
ul tsgd, y S
+woy»ou,oa r
00,405o11u1 P•uuo'dflw4
i&Z YdIN
v,, NOIlb'2llsnlll3.
•
•
•
•
•
*up uo pru3tuoo A,uosou,p.Aciddo 3o t.00id•Ju u no4ZW
Ib3
I
•
•
•
0 0
v
a9:.5.................................)
•
(du,1011H)taoq ugtuodxj Aniotoyr•O
tN�l wives yo00nS p
•WId 1o0S Y
uoliopoisul laeuuo0 puoilci0
„e„ N.OI1Ylsnh1i
& a.-, .. :_,:°^wpmdi c."#�4'£'Rn�..a.,w+�.w,.,,, 3-,—++ ,...�..
�. � + •,,•,.... .— _` - ,,--Jr,,,,,..—________
( TC )
•
•
•
'puo uoipn+lsuoa Juosotu powoiddo p ssoofd4+Y NflDsul
l�
•
•
. illip : '
•
•
•
•
•
•
••
o
Y
o
egn
r- ioyor3 pow Ix+o roe is l
(dWopf1)sppop uorn.soctx3 kuorcvp•,
rTT1 • ri:;T
/00014(10
•
. . (z£)
•
•
•
•
•
•
•
A./...........1*--- ' ....
•
' 1 '
' ' 111W.OZ .
' •
W
•
Pl MQ{I�Qt+�7
' , g...-,VIVI 2 t...,..r••......r. T . -
R • �� 1-- 4W.0�� xoYV •
}
d
l I .t I. I .
, 0. : .xz$ .. / .
.
• .xoz--+ •
•
•
9usn9W S31 oa of S3DMvW310
• . • ..a„ Noild?ismli
••
t t t
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
1
•
. vz .oc s%a►
I 'u6M •
-
..s . I invi
•
'_ 11114 IT :
.�oho 01 pima ~ • ••
xeltfQ0.9 .:�
;wuvo0 J?e+10 MIuc l e1QU 3
•
; "!
uv1 eIQUIncl i00 '
•
•
•
•
•
•
S31911Sf191MOJ 01 S3OrfY21Y313 e^'
..3„ NOI1d211Sf111l •
T D
Oec.
Loonty E4,70.)6
) 3
Li A Ku_cs-ra,o, 6,-)v.
011A/6 4 c..
CA.) dio 71-b c-4.4
76 7<=,/) 0 972-%%pee -
Cce A)e-•-zw.
- ..e.cr,
Zt."7"•Cl..C.ah, e.%) elf / CC.
51P. BNZT
t4 AA. ..Z:71.11' *OF kat..
d
es-
Vel VI tAS 2CY\ ("" x
I 8 I CZ t
G-S 04"° t ‘'‘' aorluttZt-4,1/4
L