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LAMPERT #3 FIRST ADDITION BLK 3 LT 3
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HomeMy WebLinkAboutLAMPERT #3 FIRST ADDITION BLK 3 LT 3
Bloek 3~ Log 3
apanard, glaaks
mee~ ~;he min~num requirements of ~he Ala~aka Daparemen~: of llaalth. !~aker
BDA:sb
FHA Form No. 2573
Form approved,
Budget Bureau No. 63-R296.6.
FEDERAL HOUSING ADMINISTRATION
HEALTH AUTHORITY APPROVAL
INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM
PART I
TO BE COMPLETED BY FHA ONLY
(Serial number)
......................................................... ~ , ~,r :r,~ ~
(Insurillg office) (Morl~agee) (Mortgagor or oponsor)
Property address .rF.,L~ 'aJ~']':>~'~:r
Subdivision name L4 ...... ~ , .~ ~ ~ ~, /md:L'I} ~.OFI
............................................................ Block No. Lot No.
City '~' "~'~ (~e~(:,:~'a;{o) County
............................................................................................................. State ..................................
To~al number: Living unks ...... ~ ..... Bedrooms ......... }.__ Baths ...... ~ .... Basement ~ Yes ~ No
Can attic or odaer area be conver~ed to addk~onal bedrooms? ~ Yes ~ No How many? ....................
Water supply by ~ Public sTstem ~ Communit7 system ~ Individual
Sewage disposal by ~ Public sewer ~ Communk7 sTstem ~ Individual
Sy~'te,~ ~edg~ed/or--Number bedrooms ..... ~ ........ Garbage griuder ~ Y~s ~ 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
[] disapproved by [] State [] County [] Local department of health.
[-']approved
Date ................................................
Signed .....................................................................................
(Title)
(Name of health authorlty)
GPO 9 28089
K^ D}:'^RTM N r: OF
SANITARY INSPECTION
Name of Establishment ;
Name of Manager. Jr' ". J, 'a ~, ~.
Address
_Location 7. '~. ,::'/]~
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 shoukl be corrected.
2. Building
3. Ventilation
4. Heating
7. Rodent Control
13. Hand-washing facilities
14. Equipment
16.
22.21' Storage,Wh°les°menesSDisplay of food and drink
23. Personnel, Cleanliness
25. Labeling
~. Premises Cle~n
has reviewed 6fils inspection ,with me
FHA. Forln
(Revised Dec,, 1918)
~] New installation.
[] Existing installation.
FEDERAL HOUSING ADMINISTRATION
REPORT OF INSPECTION
INDIVIDUAL WATER-SUPPLY SYSTEM
Budget Bm,eau No. 63-R29S.3.
(Sm'iai numbm')
To B~ Headed in by FHA Offic,~
Anchorage, Alaska City National Bank of Anchorage Richard Pfeifer
ZZ04 Fairbanks
Property address ................................................................................
(City) (Co~lnty) (State)
Total number: Living units .... 1__ Bedrooms ..... _:3__ _ Baths___} ...... Basement: [] Yes [] No.
Sewage disposal by: [] Public se~er. [] Community system. [] Individual system on site.
Part I-a.--FOR USE OF INSPECTING OFFICIAL
(Fill in below information applicable to subject installatioa)
INSTRUCTIONS: If new instedlation, inspect for cmnpliance with approved exhibits and record any observed information not
shown on, or ~vhich varies from, the approved exhibits. If existing installation, furnish as much of the information as may be
available.
Distance to nearest public water main ............ feet. Size of main, ............ incims.
Individual wells [] are [] are not customary in neighborhood.
Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water
Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal systems.
Lot size: .................. feet wide ................... feet deep. Dwelling set back from front property line ................ feet.
Individual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well.
Distance of well from:
Building foundation, ........................... feet; nearest lot line at [] front, [] side, [] rear ............................ feet,
cast iron sewer ................ feet; tile sewer, .............. feet; septic tank ........... feet; disposal field, .............. feet;
seepage pit, _ ............ feet; cesspool, _ ................. feet; other sources of possible pollution ........ feet.
Well construction:
Diameter ........ inches. Total depth .......... feet. Type of casing ............... Depth of casing, ........... feet.
Approximate depth to pumping level of water in well, ........... feet. Approximate yield, ............ gallons per minute.
Sealed watertight to depth of ........... feet.
Exterior space around casing sealed with: [] Cement grout. [] Puddled clay. [] Ordinary backfill.
Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No.
Pump: [] Shallow well. [] Deep well. Lengtix of drop pipe, _ .......... feet. Pump capacity .......... gallons per minute.
Located in: [] Basement. [] Pump room off basement. [] Pump house above ground. [] Pump pit.
Pump room properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No.
Type of storage: [] Pressure. [] Gravity. Capacity, _ .......... gallons.
Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date ......................... , 19__ _
Quality of xvater [] is [] is not satisfactory for human consmnption.
Installation [] does [] does not cmnply with approved exhibits, if any.
Inspection made by: [] State. [] County. [] Local Health Authority.
(Signed) ..........................................................................
Date of inspection .................................... ,19
(Title)
Part I-b.--See reverse side
Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT
Based on the information reported hereon and other available information, it is the opinion of the [] State [] County [] Local
Department of Health that this system [] is []is not satisfactory as a domestic water supply for the subject property.
Remarks
(Signed) .................................................................
Date ........................ , 19 ......
(Title)
TO THE CHIEF UNDERWBITI~R; Part IlL--FOR USE OF F. H. A. OFFICE
I have reviewed the foregoing and tl~e pertinent FHA Compliance Inspection Report, and recommend that the individual water-
supply system be considered [] acceptable [] not acceptable.
Remarks:
Date .............. , 19 ......
2217~Individual Water-Supply System
(Signed) ..........-[~-5)i~;/)b'3)[;~¢¥ii' ©-~-;];(*~(/-/o~' 6iii~?-,4;:oiifi;-~t] -
Report of Inspection
FHA Fornx No. 221~/
(Revised Dec~ 1948)
~J New installation.
[] Existing installation.
Budget BiIrcau NO. g3-R296.3.
FEDERAL HOUSING ADMINISTRATION
REPORT OF INSPECTION
INDIVIDUAL WATER-SUPPLY SYSTEM is~,.~,~ ....... b,.,
To B~ H~od~d in by FHA Offic~
Anchorage, Alaska City Nationat Bank o£ Anchorage Richard l~feifer
(Insuring i)fllce) (Mortgagee) (Mortgagor ov sponsor)
2204 Fairbanks
Property address .......................................................
(Cityl (County) (State)
Total number: Living units ~_l_ _ Bedrooms .... .3_ Baths_ g _ Basement: [] Yes ~ No.
Sewage disposal by: [] Public sexger. [] Community system. [] Individual system on site.
Part I-a.--FOR USE OF INSPECTING OFFICIAL
(Fill in below information applicable to subject installation)
INSTRUCTIONS: If new installation, inspect for compliance xvlth approved exbibits and record any observed information not
shown on, or which varies from, the approved exhibits. If existing installation, furnish as much of the information as may be
available.
Distance to nearest public water main ............. feet. Size of main, ............ inches.
Individual wells [] are [] are not customary in neighborhood.
Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water .................................
Properties in neighborhood [] are [] are not being developed with both individual water-supply and sewage-disposal systems.
Lot size: ................. feet wide, .................. feet deep. Dwelling se~; back from front property line ................ feet.
Individual water supply from: [] Drilled well. [] Driven well. [] Dug well. [] Bored well.
Distance of well from:
Building foundation, _ ........................... feet; nearest lot line at [] front, [] side, [] rear, ............................ feet,
cast iron sewer, ............ feet; tile sewer, _ ................ feet; septic tank, ........... feet; disposal field, .............. feet;
seepage pit .................. feet; cesspool, ................. feet; otber sources of possible pollution ................ feet.
Well construction:
Diameter, ............ inches. Total depth, ............ feet. Type of casing, _ .................... Depth of casing ............. feet.
Approximate depth to pumping level of water in well, _ .......... feet. Approximate yield ............. gallons per minute.
Sealed watertight to depth of .......... feet.
Exterior space arouml casing sealed wlth: [] Cement grout. [] Puddled clay. [] Ordinary backfill.
Well cover: [] Concrete. [] Wood. [] Metal. Openings in well cover watertight: [] Yes. [] No.
Pump: [] Shallow well. [] Deep well. Length of drop pipe, _ ........... feet. Pump capacity, ........... gallons per minute.
Located in: [] Basement. [] Pmnp room off basement. [] Pump house above ground. [] Pump pit.
Pump room properly drained: [] Yes. [] No. Pump mounting watertight: [] Yes. [] No.
Type of storage: [] Pressure. [] Gravity. Capacity, ............. gallons.
Has bacteriological examination of water been made? [] Yes. [] No. If answer is "yes," give date ........................ , 19 ......
Quality of water [] is [] is not satisfactory fro' human consumption.
Installation [] does [] does not comply with approved exhiblts, if any.
Inspection made by: [] State. [] County. [] Local Health Authority.
(Signed) .................................................................
Date of inspection .................................. 19 .....
(Title)
Part I-b.--See reverse side
Part II.--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT
Based on the informatlon reported hereon and other available information, it is the oplnlon of the [] State [] County [] Local
Department of Healtb that this system [] is []is not satisfactory as a domestic water supply for the subject property.
Remarks
(Signed) ..........................................................
Date ................................... 19 .....
(Title)
To THE CHIEF UNDERWRITER: Part I[I.--FOR USE OF F. II. A. OFFICE
I have reviewed the foregoing and the pertinent FHA Compliance Inspection Repro't, and recommend that the individual water-
supply system be considered [] acceptable [] not acceptable.
Remarks:
Date ........................... , 19.__
2217--Individual Water-Supply System
(Signed) ................ []
Report of hlspection
~'HA Form No. 2218
(Revised June 1951)
I~ New installation.
[] Existing installation.
FEDERAL HOUSING ADMINISTRATION
REPORT OF INSPECTION
INDIVIDUAL SEWAGE.DISPOSAL SYSTEM
To Be Hec~ded in by FHA O~¢e
Form approved.
Budge~ Bureau No. 63--II297.4.
(Serial nmnber)
(Insuring office) (FiorEgagee) (Mortgagol' or sponsor)
Property address ....... .2...2..0..4_._F_a_i~b__an_k_s, ~pen_a. Ed~,_._A..l_a_s_k_..a.:' ..................................................................................
(City) (County) (b~ate)
Total number: Living units ...... .1_ ........ Bedrooms .....9. ........ Baths ...... .Z. ........ Basement: [] Yes [~ No.
Water supply by: [] Public system. [] Community system. [~ Individual system on site.
Pert I-a.--FOE USE OF INSPECTING OFFICIAL
(Fill in below information applicable to subject installation)
INSTRUCTIONS: If ~eW 4~s~alla.t~o~, inspect for compliance with approved exhibits and record any observed information not
strewn on, or which varies from, the approved exhibits. If ezist~n~ 4ns~allat~o~, furnish as muclt of the information as may be
available.
PRIMARY TREATMENT consists of [] Septic tank. [] Cesspool. Septic Tank:
Distance from well, ......... feet. Material, .......................................................... Number of compartments
Total liquid capacity, ....................................... gallons. Capacity inlet compartment, .................................... gallons.
Inslde length, ............... feet. Inside width, ............... feet. Liquid deptii, ............... feet.
Cessp ool:
Distance from: Well, .............. feet; foundation, ............... feet; nearest lot line at [] front, .~q side, [] rear, ............... feet.
Inside diameter, .......... feet. Depth, .......... feet. Liquid capacity, ............ gallons. Lining' material .........................
SECONDARY TREATMENT consists of [] Distribution box and [] Tile disposal field. '[] Seepage pits. Other ........................... Tile Disposal Field:
Distance from: Well, .............. feet; foundation, ............. feet; nearest tot line at r~ front, [] side, [] rear, ............... feet.
Total length of tile lines, ..................... feet. Number of lines, ..................... Distance between lines, ................... feet.
Total effective absorption area in bottom of trenches, ........................... square feet. Trench width ...................... inches.
Length of each line, ....................................... feet. Depth, top of tile to finish grade, ....................................... inches.
Type of filte~ materiah [] Gravel. [] Broken stone. [] Cinders. Other ........... ~ ............................................................
Depth of filter material beneath tile, ........................ inches. Depth of filter material over tile, .............................. inches.
Seepage Pits:
Number of pits ...... Outside diameter, ............ feet. Depth, ............ feet. Lining material ........................................
Distance from: Well, ............. feet; foundation, ............. ~eet; nearest lot line at [] front, [] side, [] rear, ............... feet.
If Existing Installation, give all the following additional information available:
Distance to nearest: Public sewer, ................. feet. Community system, ............... feet.
Approximate direction of surface drainage of lot, .................................... Approximate slope, ............... feet per 100 feet.
Soil is: [] Loam. [] Sandy loam. [] Clay. :[] Sandy clay. [] Coarse sand or g~ravel. ~ Hardpan. [] Itock. Other .....................
Number of bathrooms, ............ Is there a basement.* ~] Yes. [] No. Basement drains to ................................................
Fixtures in basement: .[] Laundry tray. [] Toilet. [] Bathtub. [] Shower. ~[] None. [] Floor drain. [] Sump pump.
Laundry waste disposal: Direct to [] Seepage pit. Other .................. Through sump pit to: C] Septic tank. [] Seepage pits.
Is footing drain provided? [] Yes. ii-] No. Drains to: [] Surface. [] DW well. [] Sump in basement. Other
Downspouts or areaway drain to: ~[] Surface discharge. [] Dxy well. Other ....................................................................
Depth of house sewer below finish grade at foundation, _ ............... feet.
Inspection made by: [] State. [] County. [] Local Health Authority.
(Signed) ............................................................
Date of inspection ................................ ,19 ....
(Title)
Part I-k--See reverse side
Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT
Based on the information reported hereon and other available infmunation, it is the opinion of tt~e i[] State .r~ County [] Local
Department of Health that this system ~vith proper maintenance:
[] can be expected to function satisfactorily, and is [] cammt be expected to function satisfactorily.
not likely to create an insanitary condition.
l%mavks: ...................................................................... : ...............................................................................................
(Signed) ...........................................................................
Date .......................................,19 ......
(Title)
Part III.--FOR USE OF FHA OFFICE
TO THE CHIEF UNDERWRITER:
I have reviewed tl~c foregoing and the pertinent FHA Compliance Inspcctiou Report, and recommend that the individual
sewage-disposal system be considered [] acceptable [] not acceptable.
Remarks:
Date ....................................,19 .....
2218~Individual Sewage-Disposal System
(Signed) .........................................................................
[] Chief A¢chitect. [] Deputy fo~' Chief A~'ohitec~.
1g 2937s- ~
Report of Inspe~tio~
FHA Form No. 2218
(Reviped June 1.951)
~ New installation.
[] Existing installation.
FEDERAL HOUSING ADMINISTRATION
REPORT OF INSPECTION
INDIVIDUAL SEWAGE-DISPOSAL SYSTEM
To Be Heaclcd in by FHA Offi~
Form approved,
Budget Bureau No, 63-R297,,t.
(Serial number)
(Insuring office) (l~Iortgagee) (Mortgagor or sponsor)
Property address ...... .~_Z...0._4_..~;~_i.r_.b_ank0, .Spenar_~d__.Alaq~;
....................................... ..gm~-~aa~-d.- ............................ ~.--~ ........................................ Ala-zka ........................................
(Oit~) (gounty) (S~a~e)
Total number: Li~ing units ..... .]~ ....... Bedrooms ..... ~ ......... Baths ..... 2, ........ Basemen~: [] Yes [~ No.
Water supply by: [] Public system. [] Community system. [] Individual system on site.
Part I-a.~FOR USE OF INSPECTING OFFICIAL
(Fill in below information applicable to subject installation)
INSTRUCtiONS: If new insiallv, iion, inspect for compliance with approved exhibits and record any observed information not
shown on, or which varies from, the approved exhibits. If ezisii~# inz~allalion, furnish as much of the information as may be
available.
PRIMARY TREATMENT consists of [] Septic tank. [] Cesspool. Septic Tank:
Distance from well~ .: ....... feet. Material, ........................................................ Number of compartments ...............
Total liquid capacity, ....................................... gallons. Capacity inlet compartment, .................................... gallons.
Inside length, ............... fee¢. Inside width, ............... feet. Liquid depti~, ............... feet.
Cesspool:
Distance from: Well ............... f~et; foundation, ............... feet; nearest Io~ line a~ [] £ron~, .[] side, [] rear, ............... feet.
Inside diameter, ........... feet. Depth, .......... feet. Liquid capacity, ............ gallons. Lining material ..........................
SECONDARY TREATMENT consists of [] Distribution box and [] Tile disposal field. '[] Seepage pits. Other ........................... Tile Disposal Field:
Distance from: Well, ........... feet; foundation, ............. feet; nearest lot line at [] front, [] side, [] rear, ............... feet.
Total length of tile lines, ..................... feet. Number of lines, ..................... Distance between lines, .................... feet.
Total effective absorption area in bottom of trenches, ........................... square feet. Trench width, ..................... inches.
Length of each llne, ....................................... fee~. Depth, top of tile to finish grade, ....................................... inches.
Type of filter materiah [] Gravel. [] Broken stone. [] Cinders. Other ........... ~ ............................................................
Depth of filter material beneati~ tile, ........................ inches. Depth of filter material over tile, .............................. inches.
Seepage Pits:
NmnbeF of pits ...... Outside diameter, ............ feet. Depth, ............ feet. Lining material ........................................
Distance from: Well, .............. feet; foundation, ............. feet; nearest lot line at [] front, [] side, [] rear, ............... feet.
If Existing Installation, give all the following additional information available:
Distance to nearest: Public sewer, ................ feet. Community system, ............... feet.
Approximate direction of surface drainage of lot, .................................... Approximate slope, .................. feet per 100 feet.
Soil is: [] Loam. [] Sandy loam. [] C]~y. :[] Sandy clay. [] Coarse sand or gravel. [] Hardpan. [] Rock. Other .....................
Number of bathrooms,. ........... Is there a basement? ~ Yes. [] No. Basement drains to
Fixtures in basement: .[] Laundry tray. [] Toilet. [] Bathtub. [] Shower. ;[] None. [] Floor drain. [] Sump pump.
Laundry waste disposal: Direct to [] Seepage pit. Other .................. Through sump pit to: [] Septic tank. [] Seepage pits.
Is footing drain provided? [] Yes. ff] No. Drains to: '[] Surface. [] Dry well. [J Sump in basement. Other .....................
Downspouts or areaway drain to: [] Surface discharge. [] Dry well. Other
Depth of house sewer below finish grade a~ foundation, ................ feet.
Inspection made by: [] State. [] County. [] Local Health Authority.
(Signed) .............................................................
Date of inspection ................................ , ii) .....
(Title)
Part I-b.--See reverse side
Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT
Based on the infm'mation reported hereon and other available infonuation, it is the opinion of the ,[] State .[] County ~ Local
Department of Health tlmt this system with proper maintenance:
[] can be expected to function satisfactorily, and is [] emmet be expected to function satisfactorily.
not likely to create an insanitary condition.
Remarks:
(Signed) ...........................................................................
Date ......................................., 19....J.
(Title)
Part Ill.--FOR USE OF FHA OFFICE
TO T~E CHII~F UNDERWRITER:
I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the individual
sewage-disposal system be considered [] acceptable [] not acceptable.
Remarks
])ate .................................... ,19 ......
22.18--Individual Selvage-Disposal System
(Signed) ...........................................................................
[] Chief A¢chi~eet. [] De~uty fo~' Chief A~'ohitec~.
Report of Inspection