HomeMy WebLinkAboutPermit Building 1973-8-13
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M~BILE'OME ~5E P~MIT
p,ERMIT NO,
ISio,~~ '73
.......-.l";,...'....
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'I!ANE CO...dTY
BUILDING.11il '~
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'PRPPERTY OWNER
BUILDING PERMIT OR
"'MH n
MAILING ADDRESS
1840 HDydel'lBrldge R@ad 'S~rin€lfleld. Oreg0n
MAILING ADDRESS
1569-71
""
BilV+S.. Jmrel
CONTRACTOR
~ "
p."
,:
;",,j ':'V"/-'f:':~
PHONE
747-2387
PHONE
~
I;'
"
,
PROPERTY lOCAT.ION- INCLUDE POST OFFICE
2189'LQrnond<Avenue
PROPERTY LEGAL, DESCRIPTION - METES, BOUNDS
First' Add. to Loch L0mond Terra .Lot
17 03
APPl.
NAME
& I
/'
MAILING
ADDRESS
25,'
II BI0Ck 3
T~OT N+Z--'. CODE
~i' ,,).
..., ~ c) D EXISTING STRUCTURES ON
N0ne
lEGAl.. ACCESS TO PROPERTY ~ :':
. . Lemoriiil Ave.
CENSUS TRACT
TWP
RANGE
SECTION, .
)Li-I4l!A
PROPERTY
PROPERTY SIZE - FT.
WIDTH
DEPTH
AREA
FOR MOBilE HOME PERMITS ONLY
No. of Bedrooms ./
STRUCTURES TO BE BUILT THIS PERMIT
Connect to Ex.isting Sew~ge System .0
TYPE CO,NSTRUCTION SQ. FT. # BDRMS
New Sy.!e,!, D
VALUATION
Dwell ing
Garage att. unc.
1470
447
@ 12 m
@l 3'
17.G40
1.341
18.~1il1
Install Se"'a!le Disposal 'System
II Plumbing Fixtures
I Sewer COAn. & I public watar conn.
SEWAGE DISPOSAL
PUBLIC 0 '.. SEPTIC TANK D
BUILDING 4:.
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
OTHERD
71.00
20.00
3&.50
FEES
PLUMBI~G,tll':lSTALLED BY
OWNER D: ,OTHER: NAME
W~TER'Sl.:'_rP,Lr
PUBLIC . D . i . 0 OTHER
J.
,-'
TOTAL
$
,127.50
COUNTY BUilDING & SANITATION SPECIFICATIONS
DRAIN fIELD REQUIRED
,270 'TRENCH WIDTH fT,
UN. fT
2
OR SQ. FT.
~o
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX: GAL
900
'Roof, drai os to street.
TYPE OF STRUCTURE
5 N
OCCUP.ANCY
'. & J
ZONE
PUBLIC UTll. EASEMENT;
"
I.. BLDG, SETBACKS _ FT. FROM CTR. OF ROAD RIGHT OF.tWAY
o:.:c:J1ona '45 \'" ,r<l. ~ .1 45
FRONT SIDE INT. Ii SIDE EXT.
AUTHORIZED SIGNATURE - DATE
REAR
7
USE CLASS,IFICATION
.....1
Isl;J.E. Blllss by
Harbaugh
,
J~ Cruickshank. R.S.
;DATE
!l~'13~73
BLDG. PERMIT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDIN'G - GREEN
SANITATION -GOLDENROD
Construction to comply with uniform building 'code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied, ' " . ,;.
(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE) ,
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LANE COUNTY. BLDG, & SAN, DIV., ,COURT ,HOUSE, EUGENE, OREGON 97401
FOR'M.:t C55- 13
-
~BUILD~N~ SI:~
. r Building Permit Application No.
() Site Inspect ion
/.,5&''7-7....3
T /7 R CJ S ,25 TAX lOT rrco
~~SUS TRACT '
../~/c.dd."do~d~d
APPLICANT: ..':2/../VL.~
N/\ME~gA~ /"5-.3 -X-//
ADDRESS
EVALUATION
(/~ .
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LANE COUNTY PLANNING DEPARTMENT
NO
'PHONE
DATE eJ- '7 -71.3.
NAME
() Pre-Permit Investigation
I.
Zoning Ordinance Compl iance
, (Zone /W~\ )
Subdivision Ordinance Compl iance
NOT
applicable
() ()
( )
( )
( )
( )
YES
D,iTE
3.
4.
Requ i red Access
( )
( )
( )
( )
(~~A
(~
(~
(~
( )
~-/1?-7"i
2.
Building Site (Area, Width,
Frontage, Setback)
Other (see comments)
5.
COMMENTS:
BUILDING INSPECTION SECTION NOT NO YES NAME
app I ;Cab I e rA,)
6. Plans Subm i tted ( ) ( )
7. So i I Stability (footings) (~ ( ) ( )
8. Flood Plain (jJ ( ) ( ) "i\" .
9. Other (see Comments) (\J ( ) ( )
COMMENTS:
DATE
-,
Z:J 3 "7rJ
-
. SANITATION SECTION NOT NO YES, NAME DATE
appl ;cable t/)
10. Sewage Disposal ( ) ( )
11. Usable Area ( ) ( ) W ~l~/-tI//;~ 2})rr17 ~
I ~
12. Water Supply () ( ) <4.
13. Other (see Comments) ( , ( ) ( )
:.
COMMENTS:
TO APPlI CANT:
,Your Building Permit / Site Inspect.ion: '
-W ' Can be approved. !-I.3- 2Jg -, -
}."J Cai-mot be approved at this time as indicated on item NO, above.
Questions and further informat ion on' items' .I through 5 contact the Lane-
COUNTY PLANNING DEPARTMENT. I Questions and further information on items 6
through IJ contact the Lane Countv Buildinq and Sanitation Division,
() Wil I be held in this office until you can resolve the problems indicated.
() Is being returned, '.
() Your building permit appl ication fee is being returned under separate Cu\/er.
~
LANE COUNTY PLiINN I NG OEPMTMENT
135" SIJ<th Avcn(", [Il.t, Eugene, Qr~9on 97401'
I"HONe: 31J2..131.1 EXI,.231
LANE COUNTY BUILDING & SANITATION DIVISION
fl5' Si;th /'lve-nue East, EU(lene, Olegon 971jOl
j'IlL1NL: "142-11/1 lXI, 4"
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BUILDING PERMIT
MH D
MAILING ADDRESS -'<:~
"
Ull){) nayc/o" 9r 1:490 nQO:l
MAILI~G'ADDBESS
OR MOBIL~~ME
(' . (-) --'-
/. -) (: F - /..:..
ft', .
LANE CCh..~TY
BUILDING 00
USE PERMIT
PERMIT NO. Is69-i'!l
PROPERTY OWNER
9ovlo, Jarol
CONTRACTOR
Spr!n;1f80Id.
PHONE
OrqJcn 7~1-2397
, ,';....irJ't~i:,;, i PHONE
PROPERTY LOCATION - INCLUDE POST OFFICE
21G9 L~ AvonuG
PROPERTY LEGAL DESCRIPTION - METES~ BOUNDS
"'rst Add. to I.oeh LOl:Ond Terra Lot II Dieck 3
TWP
RANGE
SECTION
2$
TAX LOT NO,
(1'1 Do
CODE
CENSUS TRACT
17
03
))!j..I~
EXISTING STRUCTURES ON PROPERTY
tlOlllil
AP.PL
NAME
&
.LEGAL ACCESS TO PROPERTY
Lo;r.:ond AVfa.
PROPERTY SIZE - FT.
MAILING
I ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
wrOTH
DEPTH
AREA
Connect to Existing Sewage System 0
TYPE CONSTRUCTION SQ. FT. :::; BDRMS
New System D
VALUATION
Ot~o 111 1'19
earogo Otto unc.
1470 €Jl12
~l. I\>l ;j
(;I) 17,640
~i
-w;~
Ins~Oll b~O~O UISpn061 ~vOtaB
II PI~lng flxturos
I ~~r ~o.~n. ~ I ~U~IIC ~Oto, conn.
SEWAGE DISPOSAL PLUMBING INSTALLED BY
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAilER
SEPTIC TANK 0
,
OTHERD
II.UU
, <to.Utl
31).50
FEES
OWNER 0 OTHER: NAME
WATER SUPPLY
PUBLIC 0
o orH ER
TOTAL
iZl.)U
COUNTY BUILDING & SANITATION SPECIFICATIONS
-""
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX, GAL'
soo
DRAIN FIELD REQUIRED
270
lIN. FT
TRENCH wrOTH FT.
2
OR SQ. FT.
s~
noov drolns to otroot.
TYPE OF STRUCTURE
5 t4
OCCUPANCY
, & J
ZONE
PUBLIC UTIL. EASEMENT
I _BLDG' SETBACKS, fT. fROM CTR, OF ROAD RIGHT Of'WAY45
1.'U6.;,....t_ 4S ,~.... 1_. -'-.;
FRONT SIDE INT. 5 SIDE EXT.
AUTHORIZED SIGNATURE - DATE
101 J.E.'Goos by H6rbcagh
REAR
7
USE CLASSIFICATION
J. Crulc~9hank. R.S.
DATE
o..13-7:il
BLDG. PERMiT - WHITE
OFFICE COPY - WHITE
COUNTY TAX - PINK
'PLUMBING - CANARY
BUILDING - GREEN
SANITATION - GOLDENROD
Construction to comply with uniform building code and county regulations
covering plumbing and sewage disposal. All buildings require a certificate
of occupancy before being occupied.
'(See Statement on Reverse Side)
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN, DIV., COURT HOUSE, EUGENE, OREGON 97401
F.ORM ::::. C55 - 13
u
-,
:\
-5tSB:"FLOOR
PLUMB ING GROUNO..JORK
~,
ApPROVEO / ~/ DISAPPROVED';---Y
REMARKS
0",1/-;2 f}J? J INSPEC~OR 4./~' ,I
(/
GAS PIPING GROUNDWORK
6e~~
ApPROVED l__ I DISAPPROVED .L1 DATE
REMARK 5
"\'
. ,E.
,T,.,
,ROUGH PLUMB I NG
INSPECTOR
"
ApPROVED ~
REMARKS'
DISAPPROVED / /
DATEll- .19'-/7 INSPECTOR ~-IrI'
.1/
ROUGH GAS PIPING
ApPROVED .L1 OISAPPROVEO o;---y DATE
REMARKS
FINAL PLUMB lNG'
APPROV~D 'l-f7:J
REMARKS
'.L1 'D'ATE9 -2 if /) 1
OISAPPROVED
OJ!
FINAL .GAS PIPING
ApPROVED .C1 DISAPPROVED / I DATE
REMARKS
CERTIFICATE OF OCCUPANCY'
READY TO, ISSUE.." / "/ NOT READY TO ISSUE / / DATE
REMARKS
..
I NS.PECTOR
INSPECTOR ~~
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"I'NS PE C TOR
INSPECTOR
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LANE eNTY
BUILDING @J
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MOBI(E"-HOME USE. PERMIT
,
PERMIT NO.
.,
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PROPERTY OWNER
0",,1.. Jllrf:ll
BUILDING PERMIT OR
MH D
MAILING ADDRESS
1043 Havd.n 8~dJQ R~
1~9-73
Spd ngf '01 d. M Or.;<JM
PHONE
7'r/-23if(
PHONE' "';l
CONTRACTOR
'iPfi~~,:....:,.t' ,:,;.
MAILING ADDRESS
!
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PROPERTY lOCATION - INClUDE POST OFFICE
2169 Lamond AVtlilae
PROPERTY LEGAL DESCRIPTION - METES, BOUNDS
flnt Adcl. to Loci! LOllIOOd Terra Lot" alack 3
() O~J;JI)
11
03
SECTION
"-'I
TAX LOT NO.::"} CODE Y-CENSUS TRACT
qW~o' .~~:;:'.,7_
, ~ EXISTING STRUCTURES ON PROPERTY
nunc
TWP
RANGE
APPl.
NAME
&
. ,
-LEGAL ACCESS TO PROPERTY
Lonond Ava.
MAILING
PROPERTY SIZE - FT.
ADDRESS
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms
STRUCTURES TO BE BUILT THIS PERMIT
~ell'1l9
. w...~. ..... UII""",
\.:."
. .. ... .... a<'-
WIDTH
DEPTH
AREA
~ <:-;;:\,.'\'>
Con nect to Existing Sewage System D New System [j
TYPE CONSTRUCTION SQ. FT 1: BDRMS VALUATION
1470 01 12 m 17,61<0
'f'tl {:J :t t.. 'S'+J
-.....:\ """TlJ.?-tl1
".f~"." oOICilA'-'bP WI'''~~'
II Plumbing FJ~tures
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"1131\.tr".i.
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"WlUl. (If' , 1''''''' 1oJ~'I;H..q;lJ
-;"'VHU.
.
OTtl~RD._
,I.V-Wi
f.:1u.uu
~t.J.';JV
FEES
PLUMBING INSTALLED BY
OWNER 0 OTHER: NAME
WATER SUPPLY
SEWAGE DISPOSAL
PUBLIC 0
BUILDING
WASTE DISPOSAL
PLUMBING
PLAN REVIEW
PARK TRAILER
SEPTIC TANK 0
PUBLIC 0
o OTHER
v
TOTAL
.
fCt/..;.1\;)
~
COUNTY BUILDING & SANITATION SPECIFICATIONS
Roof dr.lns to
\~
~~ \;\ ~~\~~\ , "' ~
S0..\ \ ' ~ A~,.:t-. :~, "',",'
t~. >-\ 'Sl~'t%~'h~~.\~~~1\~~,''';;~~~, ~~,
'; ,- I:.'~' "'(;\ q.'.
DRAIN FIELD REQUIRED
illtJ
UN. FT
TRENCH WIDTH fT.
2..""
OR SQ. FT.
S40
MIN. SEPTIC TANK CAPACITY
WITH DIST. BOX, GAL
TYPE OF STRUCTURE 5 ..
. OCCUPANiY (,I. J
ZONE
PUBLIC UTIL. EASEMENT
td(~BLDG. SETBACKS ~_ FT. FROM CTR. OF R6~D RIGHT OF;-'tI.AY4C:
'+, 5 "
FRONT SIDE INT,"' SIDE EXT.
I I AUTHORIZED SIGNATURE - DATE
B J.E, 8o:os bV HarDauSll1
7
USE CLASSIFICA liON
~
R~AR
\
J. Cr"'~&hank. ~,S.
DATE
11-13-1'3
BLDG. PERMIT - WHITE
OFFICE COpy - WHITE
COUNTY TAX - PINK
PLUMBING - CANARY
BUILDING - GREEN
SANiTATION - GOLDENROD
". "\ <
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.',
Construction to comply with uniform building code and county regul9tions
covering plumbing ..and sewage disposal. All buildings require a ce'rtificate
of occupancy,..before' being occupied.
"-':""~"-- ,..,:.
\ (See State~ent on Reverse
, ,~.
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,
Side)
\
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, ~ .' l<,. '..:. .' ,'\" I " . ... J '.' , '
(POST THIS PERMIT ON MAIN BLDG. AT SITE)
LANE COUNTY, BLDG. & SAN. DIV., COURT HOUSE, EUGENE, OREGON 97401
"",",OM :::: r-cc_"
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SITE" INSPECTION
ApPROVE'O Cl 'DISAPPROVED C1 QATE
REMARKS
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1'..-:o.."\:\. \,Cl,
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FOUNDATION INSP~TION
ApPROVED /.Y I DIS:PPROVED L-/ DATE :?:-2-;;'7]
REMARKS
FRAMING INSPECTION
ApPROVED /V( DIS~PPROV~ 17 DATE
REMARKSr:::tJ;;~ ~ R -2.L.-'7..J
, i
"'!-/:;..:-n
LATH OR SHEETROCK INSPECTION
ApPROVED.L-1 DISAPPROVED /
/ 'pATE
REMARKS
INSPECTOR
u'
INSP~CTOR~
INSPECTOR
~.
rNSPECTOR
."",,'" . "";]:'" I I Om /f}-/O-7J ,"""",Q
REMARKS4.#1f/AW~~9'-/~-'7;J f4
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CERTIFICATE OF OCCUPANCY
READY TO ISSUE 17 NOT R[ADY TO ISSUE 17 DATE
REMARKS
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IJ~tf.7J I/~ :2./f9r~
INSPECTOR ."
:< 0 - a O?J
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, ~1" /)J I]
)1taller's Name' f/
NO:-LiV1iunits IBed~omsIBat/s
septic TanK.
Ft. from well Steel U
Ins~de Ul.ffiens~on5: ,t'ta
Length trr W1dth 01--
~pp11cant
Name
I~IDUAL SEWAGE DISP;SAL SYSTEM ~CORD
I~lIIller Comp~ete ~op part of ft to
s1gnature and return both cop1es to Lane
County BU1ld1ng San1tat1on Department
P~I;lMI"T Nn
I ~hq- 7~
Cruickshank
-- I' Property Address
2189 Lomond Avenue
I Basement I Water Supply
Yes 0 No W Pub11c 0\ Other-L1st
Concrete Ikj
No. Compartments / Gal. Capac1ty /a~e
__ I T1le D1sposal Field:
Depth Lj'rJ D1str1but1on Box:Yes b\ No 0
Other D~str1butJP7- Type
Feet #om _ //(/ I ()
WeUt\J.() ~oundatlOn
Lot L1ne '
tlront S1de 10 Rear 10
ITota~ jll.~Ft,betweenl F111 r ~~i';,5~~r deDthl~~t;~r /epth
ftJ-r-e> 111nes /p Typ ;~ It:lle Y:on t:,,~ It? 1'4
l~} ~L
0\
-
D1ameter
Jarel Davis
M a1l1ng
Address
1840 Havden Bridae Road
SDrin~field, Oreaon
L~9t~of L1nes - Ft. I Trench
l.1~2"/,~3. 4. 5, 6. W1dthd
Sketch (s~ 1nstruct1un~j
)J "[-~
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;:!' ,- r 1111 P In)
r.UG' 1973 f OJ I
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1-
/) ()
S1gnature/rJ V--Y/1>..~
For San1tar1an Use Only: ~ ~ 11')
~APproved: System Installat10n Conforms to Current St~ndards Date ~I'~~ ~
o D1sapproved Does Not Conform to Current Standards
Remarks:
~ ~ /'l-/q 7-?
Date
Lane County BU1ld1ng & San1tat1on
YB41S~::!:!:~(ure
Dept. !
ro;r;.11
LANE COU;:-' 'BUILDIN~ PERMIT O.R MOBILE ~E USE ApPLICATION
PERMIT TYPE .BUILDI~G ~ MOBILE H0NJ).f:J.OSCREG. # PERMIT #
PRO;';"TY OWNER .. _ . . (MAILING ADDRESS - , / i .
/Yt).lf'''~ ~ ),f'"..;J/) #/~././___~~.P' fl.,JJd4~/
CONTRACTOR . d, 'MAIliNG ADORES! .,~./ -t',
--~~
PROPERTY ,lOCATION':" INCLUDE POST OFFICE i
~/r9 Y ~-~./ {ZA"~ _
PROPER,TY LEGAL DES,CRIPTiON/~ // / L- (.?J_ /J (/J " d --I~ II
lOT-:BlOCK-,SUBDIV. --~~~ ~~l I,JI~
TWP RANGE SEC. TAX LOT # CODe CENSUS TRACT
/7 'o.3..~ ~~2> .".;1'-'71- /ijf'-/J-
DESCRIBE EXI.STlNG STRUCTURES ON PROPERTY IF ANY
h~_<'.
LEGAL ACC-eSS. TO PROPERTY..;... ROAD NAME 'OR #
-;;2./~Y' ~~ ~ r
PROPERTY SIZE-WIDTH DEPTH-
,.
/5tOf-7& ,
PHONE
7~::?-~r7
. PHONE .-
~~ETES & BOUNDS
ATTACHeD
DYES
o ,NO
APPLICANT
NAME
AND
a ~ e'e..~
MAILING
AREA
ADDRESS
FOR MOBILE HOME PERMIT ONLY
Number of Bedrooms
S,?)/CTURES TO BE BUll} THIS PERMIT
,/1/,0;,,17 _.///=-' .
~A~,fR..~/?.d- ).,,~~
Connect to Existing
TYPE CONSTRUCTION
Sewage System 0 or New System Req. 0
SQ; FT. .# B~OOMS VALUATlON_
/.-;/ 7' LJ/f) /~..J -5') /"7 h.t70
. , \./"
, .....
'.'
41- 7()J ~
/, "'//: /
( ,- /
If'lfrJ-
/
SEWAGE DISPOSAL
TOTAL
/...2 7.50
PUBLIC WATER
CONNECTION FEE
.j, .!f 0
PLUMBING INSTALLED BY
OWNER 0 OTHER 0 NAME
PLANS ~URNISHED . FACILITY PERMIT
YES,~ NO DYES,M" Nci"tr'
'?~' ~ 'GLlC\~T\ I., DATE
~ .~ I" ) I ~ fL....-'-- ;:>'-9-73-
flE:IRE7~~~~v - &"'-9 ~A;;~
PER.,lr 'It - -
/"c:;/h~ -7 "1
PUBLIC 0
BLDG.
WASTE OIS.
PLUMBING
PLAN REVIEW
PARK TRLR.
SEPTIC TANK 0
$ '7 I ,1'11')
~, #t'J
~,~-O
OTHER 0
FEES. WATER ,SUPPLY
PUBLIC 0 OTHER
, PLUMB!NG :FEES ..y- p' e_ <,,--
-1L- FIXTURES 93, dl!J
CASH 0 SEw6'" '
CHECK ty<ONNECTION FEE .5<. .n:l '
, COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
CJCJV' .
RA)~C;;CUH5 't;o 56--etY;.
DRAIN FielD REQUIRED
L1N. FT. r70 TRENCH WIOTH.FT.
.2
OR SQUARE FEET St.fc)
WITH 01S1. BOX: GAL
/
/
TYPE OF STRUCTURE
BLDG. SETBACKS - FT.
W:>HOIUO
FRONT 4=:5
SANITARIAN
~
., J , ("",
5 U OC~UPAN~--r ZONE REAR YARD
FROM CTR. OF ROAD RIGHT OF WAY. 'USE CLASSIFICATION
2..~t:.b..., '
SIDE INT. .:5 SIDE EXT, 4-::5 REAR 7., ~
~ate PLANNING 'Date BLDG. INSP/'J~ __ ~ A ~ ~
H-.I~_~.n 8-/0-7", .'1'" ~ ~""/~
Directions to Find Property' Y
Date
. ')....
COPY 1 - OFFICE
COPY 2 - JOURNAL
COPY 3 - AUDIT
Form # C55-12