HomeMy WebLinkAboutNEW MCRAE Block 1 Lot 3
FHA Form No. 4573 ~. ~/ '~_ ,,~ Form approved.
Budget Bureau No. $3-R296.$.
FEDERAL HOUSING ADMINISTRATION
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I
TO BE COMPLETED BY FHA ONLY
(Serial number)
FIRST NATIONAL
_ _4!~.C_H_0_ ~.O!!;L .~._~ ~A .................... BA~...o.~_.~t_'_/O~ _o___~_. _6.~ ............... Z!_~Ug,_..~a~tdmm ..............
(Insflring office) (Mortgagee) (Mortgagor or sponsor)
Property address .............. _2_.6_06___33rcl _Ave~e ...................................................................... i ..............................
Subdivision name ............ l~.q.l~olt~ ............................ Block No ....... fl ................. Eot No ........... _~ .............
City .............. : .................... A~{fiItGR~O~ County .................................................... State ........ .t~A _~.& ............
Total mlmbe~: Living units .......].._ Bedrooms ...... 2 .......Baths __ :L ..... Basement ~Yes [] No
Can attic or other area be converted to additional bedrooms? [] Yes ~: No How many? ....................
Water supply by [] Public system [] Community system [] Individual
Sewage disposal by [] Public sewer [] Cotnmunity system [] Individual
System desig, ed for--Number.bedrooms ......... 2 ....Garbage grinder [] Yes [] No
Automatic washing machine [] Yes [] No
PART II
TO BE COMPLETED BY THE HEALTH AUTHORITY
The individual [] water supply [] sewage disposal system installed at the above address is [] approved
[] disapproved by [] State [] County [] Local department of' health.
Date_ .28 OC£o_her__1958__L
Signed
Sanitarian I
........ Great esr__ ~cho~: age--HeaLth-- Dis tr-£ c C ........
(Title) ~
Regional t)ii~fl&~e }[~tllt~l(~0£ £ice ~ '
GPO 928089
SANITARY INSPECTION
Name of Establishment ~ -- ~ ~' ~ '°~,,~' ? Address /7~ ,/
Name of Manager~...~-J~-~ "~'*~ .~'J~.. ~ Location ,~ ~ ~ g
Sir: An inspection of your plant has this day been made, and you are notified of the defects marked below with a cross
(X) in column marked with (U). The defects noted should be corrected.
$ U C OIg~iEN~$ ON CONDITIONS
2. Building [] []
3. Ventilation [] []
4. Heating [] []
5. Lighting [] []
6. Plant Layout [] []
7. Rodent Control [] []
8. Insect Control [] []
9. Water Supply [] []
10. Waste Disposal [] []
H. Refuse Disposal ~ ~ ~ /'/~'~;'i~ )
12. Toilet Facilities [] []
13. Hand-washing facilities [] []
14. Equipment [] [] f
15. Construction [] []
16. Cleansing [] []
17. Sterilization [] []
18. Storage [] []
19. Handling ' [] []
26. Refrigeration [] []
21. Wholesomeness of food and drink [] []
22. Storage, Display [] []
23. Personnel, Cleanliness [] []
2'4. Communicable disease control [] []
25. Labeling [] []
26. Adulteration [] [] t
27. Misbranding [] []
28. Premises Clean [] []
has reviewed this inspection with me
~ANAGEMENT
SANITARY INSPECTION
Type ,. '~'~' '~(,~' Date
~me--o~,Esvab148t~enr ~, 0 <:. ;-~' , _~ .-.' ~' Address
Name of Manager./&o ~-,~'. '~.-5 .z.-m,* q .4.,?,,~- Location
S~r: An mspecuon of your plant ~as tlns day been madgand you are nonfied o~ the defects ma~ea'~elow w~th a cross
(X) in column marked with (U). The deEects noted should be corrected.
S U C OI~II~iENTS ON CONDITIONS
2. Building [] []
3. Ventilation [] []
4. Heatihg [] []
5. Lighting [] []i
6. Plant Layout [] []
7. Rodent Control [] []
8. Insect Control [] []
9. Water Supply [] [] -Z? ,-, ~-~ <- ~ ~'~,),' )
11. Refuse Disposal
12. Toilet Facilities
13. Hand-washing facil'ties
14. Equipment
15. Construction ~ ~ ~2 %'~ "~
20. Refrigeration
21. Wholesomeness of food and drink ~
22. Storage, Display
23. Personnel, Cleanliness
24. Communicable disease control
25. Labeling
26. Adulteration
27. Misbranding
28. Premises Clean
REMARKS:
has reviewed this inspection with me
POSTMARK
FOIl IWf[RN~TION~L U~IL
(See other ~ide)
return receipt requested
~ · SENDER: Complete items 1, 2, anti ~,. '
oTM Add your address in the "RETURN TO" space on
~ I. The following service is requested (check one).
~ [] Show to whom and date delivered ............ 15¢
~, [] Show to whom, date, & address of delivery.. 35¢
~ [] RESTRICTED DELIVERY.
Show to whom and date delivered ............. 65~t
[] RESTRICTED DELIVERY.
Show to whom, date, and address of d~4iver~i'85¢
JK/lj~ Sewer and,Wate~
o 2, ARTICLE ADDRESSED TO:
~ Lester Black
2706 West 33rd AVenue
,: Anchorage, Alaska 99503
3, ARTICLE DESCRIPTION:
REGISTEREO NO' / CERTIFIED NO.I INSURED NO.
102333
__ (Always obtain signature of addreslee or agent)
I have received the article d~s~ribed above.
~ SI~UATU"~ '¢ [~//Add,ressee [31 A~t hqdze~l..~gen t
6. UNABLE TO DELIVER BECAUSE: CLERK'S
INITIALS
Septer~%ber ~ ~ 1977
Lester Black
2706 West 33rd Avenue
Anchorage, Alaska 99503
Subject: Lot 4 Block 1 New Mc Rae Subdivision
I% has been brought to our attention that public sewer is available
to the above subject property°
According to ~e Municipal Code of Ordinances "Sewa~$e Disposal Practices
Chapter 15~ Article 15.65~ Section 15.65.030: Septic tank seepage syste~
disposal facil_t~es shall not be used or installed where sanitary sewers
are available, o ." "o o . sanitary sewers are available to a parcel.
when that parcel borders a right of way or easement ~ontaining a n%unic~pal
sewer main and when the main ex. tends at least ten feet inside a per~
pendicular line drawn from the set. er main to any corner of the parcel
which touches the right of way or easement°"
The Municipality of~chorage Department of Public Works has ~hecked
their records a~d they indicate that your structrue(s) is not connected
to the sanitary sewer. Would you please check your records to verify
that the structure(s) is or is not connected and notify us immediately
if your records indicate that a connection has beer made.
if we do not hear from you within seven (7) days, we will assume that
our records are correct. We, therefore, request you connect any and
all structures located on the subject property to public sewer, by the
end of the 1977 construction season°
You must apply for a connection permit fro~% the permit officer.for
the ~4%micipalityof Anchorage, 3500 East Tu¢~or Road. ~f you have
any q~estions r~garding the above, please do not hesitate to con,act
the permit office at 279~656, extension 259 or the Department of
~ealth and Environmental Protection at 264-4720.
S~%cerely~
Jo~% Kennedy
Principal Code Enforc~aent 0~icer
JK/ljh
. MUNICIPALI': ANCHORAGE
DYETEST
TAX CODE:
OWNER:
DATE:
MAILING ADDRESS:
USER/TENANT:
PROPERTY ADDRESS:
SUBDIVISION: BLOCK I LOT
I
DYE TEST:
[] POSITIVE
[] NEGATIVE
ADDITIONAL INFORMATION:
OFFICE:
FIELD:
ADMINISTERED BY:
31-026 (9~76)