AIRPARK 1ST BK 1 LT 36 - Property Card)wner-
Aailing
0
y „_
J
Property Addr,
C. .
k.
Observed Physical Condition
I Exterior
Interior
I Foundation
BUILDING TYPE AND USE
4. EXTERIOR O
6. INTERIOR (Continued)
7. Floors (Continued)
— _Single
�oubl
— Concrete Black
Sh th' Ki d
—Trim Kind
Gad P e G
FINISH
W d
e
—Other
_# Stories __
attic Finish _�
_Basement
_Frame.
_Concrete Block
ea mg a
— Building Paper
— insulation . Kind
— Stucco
Siding Kind
_Shakes
— Bricktex -
I e
ao
Concrete _
Bath
Living Room
Bed Room
Floor Number Number
Rooms Baths
Basement
1st Floor
Attic
2nd Floor
_
—Oil Oil Furnace
ok
—Coal Ster
—Hot Water
—Hot air Forced
— Radiant
- -Space Heater KInd
—Floor Furnace
— Number of Chimneys _
_ —Kind
NUMBER OF FIREPLACES
— Basement
—1st Floor _Type_
9. PLUMBING jContinued)
1. FOUNDATION
D_ r
X
N
4
TW
—_Log
_log Slab
._Log Siding
—Plywood
3rd Floor
8. HEAT I I
Stove
Attic
_
—Oil Oil Furnace
ok
—Coal Ster
—Hot Water
—Hot air Forced
— Radiant
- -Space Heater KInd
—Floor Furnace
— Number of Chimneys _
_ —Kind
NUMBER OF FIREPLACES
— Basement
—1st Floor _Type_
9. PLUMBING jContinued)
1. FOUNDATION
Total #I
—Water Source
—Sewer Sosl+ce '
— Concrete Thick
Co”. Block
_Wood Posts
_Skids
—Wood Sills
Grade of
Floor Plan —P —_A —G
Coiling Height
— Basement
—1st Floor
—2nd Floor
�4Hic
Grade of
Kitchen _ P —A —G
—Oven Built -in
—Range Built -in
—Both Room Finish
_
-----Attic Stairway
__Attic Unfinished
—Attic Useful 90
— Number Dormers
—Shed T ype Size
—Gable Size
S. ROOF E=
10. ELECTRICAL + "�
— !Mired Grade
—220 Service
I �
TOTAL GRADE
—Flat _Gable — Hip
—Other Kind
— Shingle
2. BASEMENT
— Partial _x_ —S.F.
—Full
_Cribbed
— Concrete
- Outside Entrance
—Rec. Room Size
_Living Area Size
-�Fin. Walla Mod
_Fin. Floor Kind
—Fin. Ceiling Kind
—
— Shakes
_Composition # — Shingle
_Insulation rind
_Tar Paper P
—Metal Kind
Built -up
—Other
11. GARAGE
-
9. PLUMBING
--
—jp Tubs_w /shower
Toilets
Grad -
-.
12 PORCHES
6. INTERIOR
—#
Basins
— Insulation Board
— Plasterboard
— Plaster
- -Masonry
—Wood Paneling
— Plywood
Finished
— Unfinished
_Open Stud
—#
—# Kitchen Sinks _
—# Shower Stalls_
—# Hot Water Tanks
—# Gallons —Kind
3. FRAME
_Walls G.C.
gracing
7. FLOORS
13. YARD IMPROVEMENTS
Roof o.t.
Floor ^,c,
_Ceiling ^,c,
-Other
1st Floor
Bridged
—
Past Size
Boom Size ^.c.
-
—# Laundry Trays —
—Total Number Fixture
find Floor ^.c.
Other Buildings
Area
Floor
Roof
Interior
Heat
Plumb
Unit Cosh
Adds 6 Deducts
Repl. Cost
Age
Condition
Building Cost
BUILDING VALUE CALCULATION
OPERATIONS AND PROCEDURES
BUILDING AREA CALCULATION_
Item
No.
Area or Quantity
Unit
Cost
Total
Performed By
Date
Square Feet — Ground Area
Inspection
Floor or Part
Width
Length
Area
Classification
Calculation
Review
ADDITIONS AND DEDUCTIONS
Total Replacement Cost $
Cost Conversion Factor
Adjusted Replarement Cost E
DEPRECIATION
a. Effective Age
Depreciation
Is. Observed Physical
Condition
c. Total Depreciation
(a 4 b)
d. Net Condition
(100 - c)
OBSOLESCENCE
e. Overimprovement
f. Underimprovement
g. Other
It. Net Condition
(100 - (e +f +g)
I. FINAL NET CONDITION
(d "x h)
SUMMARY OF APPRAISE
VALUE $
Notes!
S1 I
R
Perimeter Scale l/e" Ft.
Kids X 71 �A -
-
IS
Kids X 71 �A -
Other
INFLUENCES:
PLUS
MINUS
Depth
Topography
L
Irregular Modification
9009 110
view
Drainage
Physical Barriers
Access
Comer
Water
Sewer
Sidewalk
Paving
-
Gmtr– & Gmler Lr, o
l
Other
TOTAL
Net + I —)
Use:
.LAND VALUE
-PLACE PICTURE HERE
49f4PS6l00 y7-=
5,90 1000009
17 02 75$853
Da��f�oaankCGma��
ASSESSED VALUATION
REASON
FOR CHANGE
L
9009 110
m��-
7
e n
I �• X17 ��! /!
„I,Jl1:L'J
�lctcL
. 1.
• •
• a •
•.
r
-PLACE PICTURE HERE
49f4PS6l00 y7-=
5,90 1000009
17 02 75$853
Da��f�oaankCGma��
J
IN
2
j
G
REASON
..
'r. / t. J ' '
FYI
� II
/ •
�
i1_�
/ X11
••
//
rim. �. • J .
III
I/
is �/ r
5/4/2000
Estimate Number
Parcel Number
Legal Description
Property Address
d.b.a.
Zip Code
Surveyed By
Date
Section 1
Occupancy
100% Lt. Commercial Utility Build.
Total Area
Number of Stories (Section)
Perimeter
Components
Walls: Stud - Hardboard Sheet
HVAC (Heating): Space Heater
Costasof 10/1997
Basic Structure
Base Cost
Exterior Walls
Heating & Cooling
Basic Structure Cost
Rounded to Nearest
Assessor Summary
Summary Report
134
81030010331
Airpark 1st B 1 L 22A
1411 Mill Bay Rd
99615
KIB Assessor "s Dept / ML
05/04/2000
Class Height
Wood or steel framed exterior wa 12.00
2,560
1.00
224
Units /% Other
100%
100% Climate
Units/'/o
Cost
2,560
7.16
2,560
8.94
2,560
2.33
2,560
18.43
100
Page: 1
Rank
1.0
Total
18,330
22,886
5, 965
47,181
47,200
Assessed Value 100.08 47, 181
Rounded to Nearest 100 47,200
Cost Data by Marshall & Swift
2/16Q006
Summary Report Pagc: I
Total
Estimate Number
0
Parcel Number
R1030010360
Property Owner
Bass, Brett & Sarah ,
Property Address
1317 Mill Bay Road
Property City
Kodiak
State/Province
AK
ZIP/Postal Code
99615
Section 1
Occupancy
100% Dental Office/Clinic
Total Area
Number of Stories (Section)
Perimeter
Components
Land and Site:
Site Value
Cost as of 07/2005
Basic Structure
Base Cost
Exterior Walls
Heating & Cooling
Basic Structure Cost
Less Depreciation
Physical & Functional
Depreciated Cost
Miscellaneous
Site Value
Total Cost
Class
Wood or steel framed exterior
2,283
1.00
210
89,500
Height Rank
8.00 3.0
Other
Units/%
Cost
Total
2,283
138.50
316,196
2,283
26.19
59,792
2,283
25.10
57,303
2,283
189.79
433,291
1.090
4,333
2,283
187.89
428,958
89,500
2,283
227.10
518,458
Cost Data by Marshall & Swift
3/18/2005 Summary Report 4Page: 1
Estimate Number 217
Parcel Number R1030010360
Legal Description Lot 36, Bk, 1, Airpark Subd. 1st Add
Property Address 1317 Mill Bay Rd.
d.b.a. Dr. Bass Dentist
Zip Code 99615
Section l
Occupancy
100% Dental Office/Clinic
Total Area
Number of Stories (Section)
Perimeter
Components
HVAC (Heating):
Hot Water
Exterior Walls:
Stud - Hardboard Siding
Cost as of 07/2004
Class
Fireproof structural steel frame
2,283
1.00
202
Units /%
100%
100`
Height Rank
14.00 2.0
Other
Miscellaneous
Cst'm cabinetry, ceramic entry
Units/%
Cost
Total
Basic Structure
305,578
Rounded to Nearest
100
Base Cost
2,283
136.12
310,762
Exterior Walls
2,283
16.94
38,674
Heating & Cooling
2,283
22.51
51,390
Basic Structure Cost
2,283
175.57
400,826
Less Depreciation
Physical & Functional
30.0%
120,248
Depreciated Cost
2,283
122.90
280,578
Miscellaneous
Cst'm cabinetry, ceramic entry
25,000
Total Cost
2,283 133.85
305,578
Rounded to Nearest
100
305,600
Assessor Summary
Assessed Value
100.0%
305,578
Rounded to Nearest
100
305,600
Remarks for Section 1:
New construction, approx. 70'x, complete at year end, 2004 (30% depreciation applied).
Cost Data by Marshall & Swift
M
Lotj*Airpark Subd. 1st Add. 1317 Mill Bay Rd.
Lot 26, Airpark Subd. 1 st Add. 1317 Mill Bay Rd.
aft
4wft"ftwft
Lot 26, Airpark Subd. 1 st Add. 1317 Mill Bay Rd.
Lot 15A, LISS 3098 1950 Mill Bay Rd.
Lot 26, Airpark Subd. 1st Add. 1317 Mill Bay Rd.
Kodiak Island, Alaska REQUESTED BY: ASAPPR RUN 02/10/05 11:15 AM 81030010360
AIRPARK 1ST BK 1 LT 36 BASS, BRETT 6 SARAN PAGE 1 OF 1
1222 MADSEN AVE 1317 MILL BAY RD
KODIAK, AR 99615 KODIAK 99615
LAND VALUE 83,000
51 MISC VALUE 0
BLDG VALUE 0
CANA VALUE 0
11 11 TOTAL VALUE 83,000
VALUE BY OVERRIDE
PV 83,000
BAS(2283)
2� 2TI 4
RPO(30)
41 9 13
— iKAPT72)-
9 -1
BAS( R5ID17R3D24L13KWP( D8L9USR9 )L41RPO(USL6DSR6)UEL6U20
R6U16)
AREA GR AREA PCT AJ AREA
HAS 2283 100 2283
KWP 72 0 0
RPO 30 0 0
PROPERTY NOTES
APPRAISER
APPR DATE
PROP USE Bus
MILL GROUP O1
NERD CITY
L100 M100 B100
EPP AREA
RCN
DEPR
OBSOL
BUILDING
BOOK PAGE DATE QS SALE PRC
2004 491 0304 /0 1
188 804 0302 /1 75900
159 526 0998 /2 180000
PERMIT NO TYPE DATE AMOUNT
OS -9 NRTL 0804 253516
200318 CALT O802 2000
REC
BLDG
CODE DESC
LENGTH WIDTH UNITS
ADJ PRICE
EYB DT PCT ADJUSTIMTT
VALUE
MISC TOTAL
0
AEC
LUSE
DESC
ZONING FRONTAGE DEPTH UNITS
TP ACRES
PRICE AJ PRICE
VALUE
1
9999
Converted
BUS .00 .00 18941.00
S .43
.00 .00
0
LAND TOTAL
0
100%
Parcel ID #: 10 ()3 t.0
Legal Description: - 1 -,,7— rr" ik l V A).;
fec.31�
Name of Property Owner
Owner's Signature: Date:
Percentage Complete Check List
Cumulative
%
1.
PLANS, PERMITS & SURVEYING
2
2.
EXCAV, FORMS, WATER /SEWAGE HOOK -UP
CJ
6
3.
CONCRETE
0�8;
14
4.
ROUGH FRAMING
C2)
35
5.
WINDOWS & EXTERIOR DOORS
2�
37
6.
ROOF COVER
3
40
7,
ROUGH -IN PLUMBING
04
44
S.
INSULATION
45
9.
ROUGH -IN ELEC & MECHANICAL
C
10.
EXTERIOR COVER
11-
INTERIOR DRYWALL & CEILING FINISH
12.
BUILT -IN CABINETS, INTERIOR DOORS, TRIM, ETC,
13
83
13.
PLUMBING FIXTURES
5
88
14.
FLOOR COVERS
3
91
15.
BUILT -IN APPLIANCES
3
94
16.
LIGHT FIX & FINISH HARDWARE
2
96
17.
PAINTING & DECORATING
4
100
100%
Parcel ID #: 10 ()3 t.0
Legal Description: - 1 -,,7— rr" ik l V A).;
fec.31�
Name of Property Owner
Owner's Signature: Date:
5/4/2000
Estimate Number
Parcel Number
Legal Description
Property Address
d.b.a.
Zip Code
Surveyed By
Date
Section 1
Occupancy
100% Equipment Shed
Total Area
Number of Stories (Section)
Shape
Components
Walls: Stud - Hardboard Sheet
Costasof 10/1997
Basic Structure
Base Cost
Exterior Walls
Basic Structure Cost
Rounded to Nearest
Assessor Summary
Assessed Value
Rounded to Nearest
Summary Report
Page: 1
137
R1030010360
Airpark 1st B 1 L 36
1317 Mill Bay Rd
99615
KIB Assessor "s Dept / ML
05/04/2000
Class
Wood or steel framed
1,360
1.00/2.0
Units/%
1008
Units/%
1,360
1,360
1,360
100
100.08
100
10'�o
Cost Data by Marshall & Swift
Height Rank
wa 9.00 1.0
Other
Cost
9.39
7.98
17.37
Total
12,770
10,853
23,623
23,600
23,623
23, 600
Parcel Number R1030010360
Street address .: #1317 MILL BAY RD
Historical Age 1970
Property Owner KRUEGER, ROBT & Ih.
Address 1013 12th St NE
City, State, Zip: EAST WENA- rCHEE, WA 98802
Reviewer, Date ML 2/10/92
Occupancy: Warehouse, Storage
Floor Area: 1,360 square feet
Class: Frame
Cost rank: Very Low
cost as of: 10/91
Number of stories: 1.0
Average story height: 9.0 feet
Effective age: 22 years
Heating and Cooling:
Space Heater.................. 100%
►1�,5i -e // -x'437
KIBS194714
Units
Cost
Total
Base Cost.,... ..............
-- - - - -
1,360
- -- - - -
22.0229,947
- - --
Heating & Cooling_ .............
1,360
3.96
5,386
Basic structure cost............
1,360
---- --------------------
25.98
35,333
Less Depreciation:
-- - - --
Physical and Functional.......
(45.0%)
(15,899)
Depreciated Cost ...............
- - - --- ---
19,433
- - - - --
Rounded. to nearest $100
-- --
19,400
Cost data by MARSHALL and SWIFT
►1�,5i -e // -x'437
KIBS194714
ri
MARSHALL AND SWIFT COMMERCIAL ESTIMATOR
FOR ASSESSORS
GI
1 Parcel Number
GI
2 Property Owner
GI
3 Address f
GI
4 City, State, ZIP
GI
5 Surveyed by
GI
6 Date of Survey
CO
111"�
CO
2
CO 3
CO 4
CO 5
CO 6
CO 7
CO a
CO 9
C010
C011
C012
AD1
AD2
AD3
AD4
AD5
AD6
LAN
SIT
PHY
FUN
LOC
Description
RE1
RE2
SAVE >rv5
FORM A- 2100.3
Occupancy Number (See Back of Form)
Class
A Fireproof structural steel frame
B . Reinforced concrete frame
C Masonry bearing walls
D Wood or steel frame exterior walls
S Metal frame walls
Zip Code
Rank 1 Low 3
Above average
12
Warmed and Cooled Air
2 Average 4
High
14
Heat Pump
Total Floor Area
Floor Furnace
Perimeter or Shape 1
2
1
2
3
4
5
Electric
Electric Wall
Forced Air Unit
Hot Water
Hot Water, Radiant
Approximately
.Slightly
LAN
SIT
PHY
FUN
LOC
Description
RE1
RE2
SAVE >rv5
FORM A- 2100.3
Occupancy Number (See Back of Form)
Class
A Fireproof structural steel frame
B . Reinforced concrete frame
C Masonry bearing walls
D Wood or steel frame exterior walls
S Metal frame walls
Zip Code
Rank 1 Low 3
Above average
12
Warmed and Cooled Air
2 Average 4
High
14
Heat Pump
Total Floor Area
Floor Furnace
Perimeter or Shape 1
2
3
4
Approximately
.Slightly
Irregular
Very
Square
Irregular
Irregular
art
Number of Stories
Story Height
Effective Age
Heating and Cooling
6 Space Heater
7 Steam
8 Steam, Without Boiler
9 Ventilation
10 Wall Furnace
Elevator(s) Yes /No or area served
Sprinklers Yes /No or area served
MISCELLANEOUS ITEMS
GENERAL
Land
Site Improvements
Physical Depreciation
Functional Depreciation
Locational Depreciation
FBA
UBA
MEZ
BAL
11
Package Unit
12
Warmed and Cooled Air
13
Hot and Chilled Water
14
Heat Pump
15
Floor Furnace
BUILDING %Q
S.F. Finished Basem t
I
V
ADDITIONS AND REMARKS
Cost
S
S
S
S
S
S
Options
KIBS194715
Printed in U.S.A.
S.F.
Unfinished Basement
S.F.
Mezzanine
S.F.
Balcony
ADDITIONS AND REMARKS
Cost
S
S
S
S
S
S
Options
KIBS194715
Printed in U.S.A.
IMPROVEMENTS DESCRIPTION
PRESE17 USE: 4- INTERIOR W1,S':
OCCUPIED BY: CEILING:
NO. STORIES: FLOOR COVERING: ii
TYPE OF OMSTRUCTION: o oc) 1) rA Q. HEAT:
FOUNDATION: SPRIN KLERED: HBO
Woo Qoa_
ROOF: b", PLLFBING/RESTROOMS:
EXTERIOR WALLS: CONDITIONS/REMARKS:
HEIGHT: I D
�11
m�r I r'
7
7,
-4--L4 -
I
447
it
p p
A. . .... .... .
- - - - ---------
. .. ........... . .. .........
.......
....
_J --------
. ..... --- -
-----
KIBS194717
1.
2•
9
.,.
CALCULATOR COST FORM
t•'nr svh.vrribrr•.v
may the MARSHALL VALUATION SERVICE Calculafar Cosl Afrth.•d -
SQUARE FOOT COSTS /
Subscriber making survey K % 3 � ie d� Date of survey
Name of building LvT 3 4o RLK ( Owner �pnJ
Located at A r Ake s U
4. occupancy ............... .
5. Building class and quality ..... .
6. Exterior wall ...............
7. No. of stories & height per story . .
8. Average floor area ...........
9. Average perimeter... ..... .
10. Age and condition........ .
SECTION 1
SECTION II
SECTION 111
SECTION 14 �1
Wh.
OFFIC E:.
Cl, 0 0oal. Lou)
a, D oval Lew
Ch-O.W.-ch_0
ql. i
w ooQr�
No. 1 NI. 10
No. 'IHI. ,+
No. H:.
No. H.,
bo
LIDO
179
go
yoo
Aqe LS Cond. �1)01
Aq` t O Cond
I
Age_Cond.
Age_Cond.
11. Base Square Foot Cost ....................... ........
SQUARE FOOT REFINEMENT O)IIam, 12. Heating, cooling, ventilation ...............
13. Elevator deduction .................. .... . .
14. Miscellaneous ........... .... .... ... .......... .
15 . ... . ................. . .. ...... of lines 11 through 14
HEIGHT A S REFINEME S
16. Number of stories- multiplier ... .
17. Height per story - multiplier (see Line 7) .......................... .
18. Floor area - perimeter multiplier (see Lines 8 and 9) ....................
19 ................. Combined height and size multiplier (Lines 16 x 17 x 18)
FINAL CALCULATIONS
20. Refined square foot cost (Line 15 x Line 19) .....
21. Current cost multiplier (Sect. 99 p. 3)......... .
22. Local multiplier (Sect. 99 p. 5 and 6) ......... .
23. Final sq. ft. cost (Line 20 x Line 21 x Line 22) .. .
24. Area (Back of this form) ...................
25. Line 23 x Line 24 .......................
26. Lump sums (Line 32) .....................
27. Replacement Cost (Line 25 +Line 26)....... .
28. Depreciation % (Sect. 97) ..................
29. Depreciation amount (Line 27 x Line 28)....... .
30. Depreciated Cost (Line 27— Line 29) ........
31. Replacement cost
SECTION
1
SECTION
11
SECTION
III
SECTION
IV
yoo
O Q
SECTION I
SECTION It
SECTION III
SECTION IV
yoo
O Q
900
a
o�
Ob
['01060
TOTAL OF ALL SECTIONS
Depreciated cost
KIBS194718
Insurable value
See back of this form for drawings and area and insurable value calculations.
FORM 7003 (Calc. Cost) Copyright 1967- Afarshall and Stevens Publication Company- Printed in U.S.A. 47
FILE 0 3196
®2004 - 000491 -0
Recording Dist: 303 - Kodiak
A 3/2/2004 2:31 PM Pages: l of 1
A
K III�IUI�III�InII�UIIII�IIIIIIIIO�IIIIYI�IIl011�InBII�IOn
A
STATUTORY WARRANTY DEED
THE GRANTOR(S), MICHAEL W ANDERSON, whose address is P.O. BOX 2310 KODIAK,
ALASKA 99615, for and in consideration of the sum of Ten Dollars and other good and valuable
consideration in hand paid, convey and warrants to GRANTEE(S), BRETT A BASS and SARAH B
BASS, husband and wife, whose address is 1222 MADSEN. AVENUE KODIAK, ALASKA 99615,
the following described real estate, situated in the State of Alaska:
LOT THIRTY -SIX (36), BLOCK ONE (1), AIRPARK SUBDIVISION FIRST ADDITION,
according to Plat 71 -12, located in the Kodiak Recording District, Third Judicial District,
State of Alaska.
Subject to covenants, conditions, restrictions, easements and rights of way of record, if any.
Dated this— day of MARCH, 2004. -
MICHAEL. W ANDERSON
STATE, OF ALASKA
aa.
THIRD JUDICIAL. DISTRICT )
THIS IS TO CERTIFY that on this day of MARCH, 2004 , before me, the
undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn, personally
appeared MICHAEL W ANDERSON tome (mown to be the person(s) described in and who executed
the above and foregoing instrument, and acknowledged to me that HE signed the same freely and
voluntarily for the uses and purposes therein mentioned.
WITNESS
My Commission expires:
AFTER RECORDING RETURN TO:
Brett A Bass
Sarah B Bass
1222 Madsen Avenue
Kodiak, Alaska 99615
p 1 of 1 (w.,..my me ))
the day and
No 71
i
r` ANDERSON CONSTRUCTION CO.
1311 Mill Bay Road
P.O. Box 2310
KODIAK, ALASKA 99615
(907) 486 -5551
FAY tan71 A4C_GGn7
JOBLV�3b r lrpatk SUbA- C�1s��
SHEET NO. OF
CALCULATED BY DATE
CHECKED BY DATE /y�� - �/ 14- 02. r
If
1.3; y3
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486 -8070 •486 -8072 Fax: 486 -8071 710 Mill Bay Road, Room 208
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.I
(OFFICE USE ONLY)
STREET ADDRESS:
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUIL ING PERMIT N BER-
DATE OF APPLICATION:
LOT:: BLOCK:
�-�W
IDEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
ZO NIN MP IANC cE,:,
CZ'
DATE IS D'
ALTERATION
REPAIR
TYPE
SUBDIVISION / UURV�EY,:,�
12
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
J I -L
BUILDI PE M'IT FEE!
I ( 7G, a I
DEPTH IN GRND
0
W
E
R/
NAME:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
I
REINFORCEMENT
VALUATION: �j� O�
LJ
l PAN CHECK E
c-
BOLT SPACING
MAILING ADDRESS'.
(2,2 Z y��S��
CRAWL SPACE HEIGHT INCHES
OCCUPANCYGR UP-
(�
J
TOTAL FEE:
I ' - .
CRAWL SPACE VENT SQ. FEET
CITY � &--STATE: h
SIZE '[,.2.35 HEIGHT Z2
STRUCTURAL
G.
SPECIES & ADE
SIZE
SPACING
SPAN
NO. OF OOMS STORIES (
RECEIPT NO:
TELEPHON
I -73
NO. OF FAMILIES e-'
GIRDERS
TYPE OF BUSINESS Ekj {
GIRDERS
v
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
PRIOR TO PROCEEDING WITH
ANY FURTHER WORK:
FOR INSPECTION CA LL 4868070
A
R
C
H
N
G��
N'A`M_E` I'
NO. OF BLDGS NOW ON LOT Q6
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS 04D .
JOISTS 1 ST FLOOR
TYPE OF CONSTRUCTION
MAI ING ADD`q /FpSS: /
V4� JO
SIZE OF LOT (
JOISTS 2ND FLOOR
ATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
CITY & STATE: ` /��
^-�COD -!� 1 �, 66G 71
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
TE EPH NE: ' 7
30p
FOUNDATION
BEARING WALL
INTERIOR WA S
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFT S
UNDERGROUND UTILITIES
�_—
ROOF If CEILING
TRUSSES
DRIVEWAY PERMIT:
SUBMITTED
FOUNDATION I SETBACKS
C
NMAILING
T
R
NAME:
6.d:'
"ADDRESS:
SHEATHING TYP ZE:
FLOOR
FURNAC_TYPE:
FRAMING .
APPROVED
ROUGH ELECTRICAL
("O, 3j
WOOD HEATER YES � NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
SUBMITTED
FINAL
CITY & STATE:
ROOF;
DATE C.O. ISSUED:
A
C
TO
R
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION,
THAT IT IS CORRECT AND THAT I AGREE IL COMPLY WITH ALL
ORDINANCES AN AWS RcGU ATING UILDING CONSTRUCTION
, A�'
APPLICANT' VYI�
FINAL APPROVAL
TELHONE:
�� Q�
F ISH MATERIAL:
OOF
LOCAL FIREMARSHAL REVIEW'
SUBMITTED: APPROVED:
STATE.7LLI��CENS
C/J $10
EXTERIOR SIDING
INTERIOR WALLS
NOTES:
7
a z to ,
CDT I5 3 51(,o s' loco =- 15.31'5 537, 31 _
Rev. 1 -97 D ; 7 L' PAINTED IN KODIAK, ALASKA RY PRIM I TEIIS DR�K`DUn
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