HomeMy WebLinkAboutBLD1988-00398 I
ILDIt• ouhfr.0 i Al uye, . i+1 1UN c.4"368 • 335 r310
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n wrtmrnt • Courrlr CrturrftOUle Port To," tt.rs"t !
,Jellrrson Coon?if B.r•sch i
N E 1lEl
�OAC _
S W SIDE Of I
I. LOCATION. prupan�•t n.+te _- (/A I �R ROAD
N [ ROADANO j! vv
S.W if+Orlr ItvlEfaSEC1 ION Of __---- QGkIv�G
Irt Ct U -ern sf2 eel" - �` y� -_______------ ( `•
®Inn spre,l,e tor soon o, ,wnomwrs .,� •Cil r -[��h � So. I Ty��•S-p Yl C
byLT
LEGAL DESCRIPTION• �� W-,ST 7 f. — - Subor,n►,on
') I �/JU-e�-/(� S 1�`j /4 p+�---��__- Township Range
1 I I � Y.Section Section o-E.
Qi 5 •i �1R
la• Number V o l.(V�e-
IL TYPE AND COST OF BUILDING MOBILITY
BUILDING TYPE F
TYPE OF IMPROVEMENT 0 New County Resident Single f amrav 1
New bolding Is this structure to serve the resrdentia ,
0 Mulu•famJy
ii
or eummeraal needs of those employed 0 Addition number of unrrs___---- Naw s Trident or
AlleratiOn rmitory at either the US
0 []Hotel,Motel, Dv
0 Repair,replacement number of un,n
Indian Island fac,1.1.et7
Q W.ecking
1$ 0 Mobile Home
❑YES ' NO
0 Moving IreIoc2`.on) ❑Other -Specify
0 Foundation only
a
----------
------------ — USE
Full-time Residence
OWNERSHIP
OPnvate Lnd.vadual,corporation. _ ` ❑Second Horne. Recreation Cabin,etc.
nonprofit institution,etc..) 0 Second Home: Future conversion to
I t/t,) UBC OCCUPANCY GROUP. permanent e F ture con
❑Pubbc IFederat,Suteor lop 90
�+,� Nonreside fiat- Describe ,n detail proposed use of buildings,e.g.,food
(Omit centsl
\l y COST _ laundry bu ng at hospital,elementary
processing pi machine shop,
S parochial LC hO rk,n0 garage for
• Cost of improvement u school,secondary s I,college. Pa
To be Electrical
but not included dfparlrt'1ent store,rental o building.office building a ndustr,a. plant
in the above coat If use of existing bu•ld•ny.s being chanyrd.Enter proposed use. ����_
ba Plumbing i F• � i F U0�
b. Plumbing _ lv J
Healing,an condit.onmg ___________a_
- ,
d. Other (elevator,etc.) _
\ C
• TOTAL COST OF IMPROVEMENT S O /V �
III.SELECTED CHARACTERISTICS OF BUILDING DIMENSIONS
TYPE OF SEWAGE DISPOSAL •Number of Stories
PRINCIPAL TYPE OF FRAME0 •7oul square Masonry (wall bearing) Public or Private re feel of floor area,
all floors,based on exterior /e/
1Nood Frame gi Individual (septic tank,etc.) dimensions `7`
05'1ruetura'steel TYPE OF WATER SUPPLY •Total land area,sq.ft. lit /��
r]Reinforced concrete kgPublic •
or private company NUMBER OF OFF-STREET
Other-SpeCily 0 Individual (well,cistern) PARKING SPACES I
---- Enclosed /
_ -
PRINCIPAL TYPE OF HEATING FUEL TYPE OF FIREPLACE Outdoors
❑Gas RESIDENTIAL BUILDINGS ONLY
OW Number of bedrooms •
12:J.:Electr,c,tt TYPE OF MECHANICAL Full. . . - •-- /
(f J� Nurrtoer of
❑Coal (ec_T2-\C. Cc.S-�-buc�f2fl bathrooms
[Other- SDf
c.fy Partial
IV. IDENTIFICATION- ZIP code Tel.No.
Maomg Address- Number,street,city and State
Name 37�zay,
t ��/imr / / Lr - 6 S`
111M.�, tate Lroense N y.
' • ' ' /-
(�pntraClO I o e
3. da. :
ArArchitect `>.----
The o er of this building and the undersigned agree to conform to all applicable laws. /
y�JbC�" Apw•c+r,gn dent '
Address /.�{),ry / --)-_7_ , U 6 ere {
f applicant , / / ♦ 6 / /4`c C> LEt7�J I ,
•
/ I.
e liE
�' I TRICT_______-- SCHOOL OISTRICT ;vATE R DISTRICT 1
r PLANNING AREA FIRED S
1 , APPROVED BY D,' rh2 / —
err, c.a*�•ors* PERMIT NUMBER
u . Jr y I ' - Coo ' `'r� MIT f_EE 1 UE ATE t
tl a • • �'� 1
•
i APPROV� '8'- � t
rk t 3i q,7. , .
FEB 1 7 18� S� � C� • ;
1 mitt(D,hdf tfiLA. - 3 5-c,
•
fx w ,
rzlC
4
.
fit'
LOT
23 ' fin/ i/2 LOT 22
, --- so' _____ z s'
h 4,
p;z
�� 10 / / / S�
X3
R E s E
ROE 8
If
11;1-
et
Nr-
8
5 MIn• I28
�O �Q
p 12'
57
.�
V�,
29 ,,^
e
I4AYDE N STREET
Scat.
RECEIVED 1 " = 2,0
FEB 0 9'88
f JEFF. CCt..*
` ` ` " ` HEALTH I
APPROVED
F 1 7
AFFERSON COUNTY
b SLO6 OBIT
I
,44
SiT tia
kc
3 (2,L ss -1 -1-
! e�
/9 rced
3 ! 3n 1
q\r7 BS e _
5;4713 -
1175
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