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BELLS FLATS BK 6 LT 3B - Property Card00 r M —� r — Single _Concrete Block _Trim Kind FINISH Owner - uC'r' _1�, ' .r ".�_ ' - ai sheathing rind Grade _P _A // //�� Wood Mailing Address �`i � 34;,,C Properly Address Z n��a C� le ^e._ V — Building Paper d cn RWR�R� yk� Concrete s issin Permits 91 H r ri55 #aw - '%s �ro o RAAFJ aD -L DOF;b ezio RWo % —Stuuo D Floor BP07 -75 05/09/07 RRPR $9,0� Number Baths living Room Cn Cn Observed Physical Condition Exterior Interior Foundation BUILDING TYPE AND USE 4. EXTERIOR 6. INTERIOR (Continued) 7. Floors (Continued) Bad Room — Single _Concrete Block _Trim Kind FINISH _Double sheathing rind Grade _P _A _G Wood _Other — Building Paper Concrete _,V Stories — Insulation . Kind Bath �HK Finish % —Stuuo Floor Number Reams Number Baths living Room — l — Siding Kind Basement Bad Room _Frame. From.. — _Shako list Floor _Concrete Block — Bricktee - Ind Floor L 8. HEAT —log —Log Slab Ord Floor , e _Log Siding Attic —Stove Furnace 9. PLUMBING (Continued) 1. FOUNDATION —Metal Total # —Oil —Concrete Thick PI ood � Grade of Coal Stoker —Cant. Black — Floor Plan -_P A _G —Hot Water _Water Source —Wood Poses _ Ceiling Height —Hat air Forced _Sewer Source —Skids 5. ROOF � — Basement -- — Rodiant — 10. ELECTRICAL _Wood Sills - _1st Floor _ - -Space Heater — Kind _Wired T_Grade —Flat Gable —Hip _2nd Floor _ —Floor Furnace —S20 Service —Other Kind Attic — Number of Chimneys 1 BASEMENT — Shingle _Kind TOTAL GRADE _Partial —x— S.F. _Shokm G,ode of NUMBER OF FIREPLACES 11. GARAGE _Full — _— Composition # _Shingle Kitchen _ P _A _G — Basement _C,ibbed _Insulation Kind Oven Built -in —1st Floor —Type- -Concrete _Tar Paper —Range Built in _Outside Entrance — — Metol Kind Roam Finish _R.,. Room Size — Built�up _Bath _ 9. PLUMBING — Living Area _ Size _Other _Attic Stairway Grade 12 PORCHES —Fin. Walls Kind _U Tubs— w /shower —Attic Unfinished —Fin. floor Kind Useful % # Toilets —Fin. Ceiling Kind 6. INTERIOR —Attic —# Bmim _Number Dormers _ _ Insulation Board —# Kitchen Sinks_ —Shed Type _ _Size FRAME — — Plasterboard —# Shower Stalk— _Gable Siza -Walls' oc — Plaster # Hot Water Tanks _ 1O YARD IMPROVEMENTS _Bracing —.Masonry 7. FLOORS —# Gallons —Kind Roof o.c. —Wood Paneling ,1st Floor _o.c. _Floor ,,,c, — Plywood .Bridged _ ceiling o.c. — Finished _ Past Size o.c. _Other — Unfinished Beam Size - - -o.c. —# Laundry Trays _ _Open Stud 2nd Floor — c —Total Number Fixtures _ Other Buddin , Area Floor Roof Inferior Heal Plumb Unit Cost Adds & Deducts Repl. Cost Aga Condition Building Cost BUILDING VALUE CALCULATION em Unit No Arao or Ouant iy Cost ADDITIONS AND DEDUCTIONS I Total Replacement Cost Cost Conversion Factor Adjusted Replacement Cost I $ Review DEPRECIATION AND DEPRECIA a. Effective Age Depreciation b. Observed cPhysical Condition c. Total Depreciation (.46) d. Net Condition (100 -c) I. Underimprovement g. Other h. Net Condition (1DO - (e +1i i. FINAL NET CONDI (d x h) Date VALUE or Part Notes: % Perimeter Scale '/4" - Ft. % ■ 1 0 G3 % % VALUE r : . . . . . .I, KIBS275106 APPRAISED Other Size: LY /Y r 1?-), 13+ 16-2-3) f o 3 31 F Area: /6 f✓ d-G Ng,- .4 7J Use Zone: Valuation Code: our r7 w yy,4y >< �pp.•Y Land Use: Unit, Pricerr •pod INFLUENCES: PLUS MINUS Depth Topography Irregular Modification MIMI View Drainage Physical Barriers r- Access Corner n�r Water Sewer Sidewalk Paving Curb & Gutter Other WAM"Affla-169M.1761YE Net Year of Valuation: Basic Land Value C>%, dy Plus or (Minus) Factors Remarks: Net Price of Land LAND VALUE OWNER MIMI , r- n�r WAM"Affla-169M.1761YE mob, r / I I , .. w M �� .. �• rat 'r REMARKS: PICTURE: PLACE PICTURE HERE YEAR ~ OWNER LAND IMPS TOTAL EX -MOATE 403 lAkle4le.; r aU II&I'm P55AP 611tw u „ ,11 1; Standard Report Estimate ID: Parcel Description: Address: City: State/Province: ZIP/Postal Code: Surveyed By: Survey Date: Date of Construction: Bedroom/Bath Count Single - family Residence Effective Age: Cost as of: Style: Exterior Wall: Plumbing Fixtures: 15 June,2001 Two Story Frame, Siding, Vinyl 100% 9 89003060031 Lot 3B, Block 6, Bells Flats 10882 Lake Orbin Drivee Kodiak Alaska 99615 MCR 3/20/2002 1983 / with updates 4/2 Floor Area: 1,784 Square Feet Quality: 3.25 Average /Good Condition: 4 Good Plumbing Rough -ins Appliance Allowance Basic Structure Total Cost Units Cost Total Base Cost 1,784 57.62 102,794 Plumbing Fixtures 9 1,319.62 11,877 Composition Shingle 1,784 1.08 1,927 Raised Subfloor 1,784 8.38 14,950 Floor Cover Allowance 1,784 4.29 7,653 Forced Air Furnace 1,784 3.61 6,440 Plumbing Rough -ins Appliance Allowance Basic Structure Total Cost 1 1 1,784 469.79 3,958.88 84.12 470 3,959 150.070 Detached Garage 864 25.72 22,222 Subtotal Garage 22,222 Enclosed Porch, Solid Walls 180 39.52 7,114 Wood Stove 1 1,500.00 1,500 Metal Storage Container 1 1,500.00 1,500 Subtotal Extras 10.114 Physical + Functional Depreciation 15.0% 27,359 Total S 155 047 Cost data by Marshall & Swift, L.P. Remarks d5 No Entry - Review From Exterior & File Contents. Arctic Entry new'01. Revisit when deck is finished. Marshall & Swift, L.P. Residential Estimator 7 - Standard Estimate: 120 Date Printed: 3/20/2002 Page I of 1 1998 ASSESSMENT : BELLS FLATS BK 6 LT 3B n ~ Parcel Number : R9003060031 Street Address : 10882 LAKE ORBIN DR Historical Age : 1983 / EA / Bd-Ba / L/A : 15 / 4 -2 / 1,784 Reviewer / Date : ML 10/27/97 SFR - MHR Floor Area: 920 square feet Effective Age: 15 years Quality: Fair /Average Cost as of 3/97 Condition: Average Style: One Story Exterior Wall: Hardboard Sheets ------------------------------- Basic Square Foot Cost......... Including 8 Plumbing Fixtures Composition Shingle........... Forced Air .................... Floor Cover ................... Wood subfloor ................. Appliance Allowance........... Plumbing Fixture, Rough- In.... Subtotal Basic Structure Cost.. ------------------------------- Basement: Total Basement Area........... Basement Partitioned Finish... Subtotal Basement Cost........ --------------- ---------- - - - - -- Garage: Detached Garage ............... Extras: Wood Deck ..................... WOODSTOVE ..................... Subtotal ....................... ------------------------------- Replacement Cost New........... ------------------------------- Less Depreciation: Physical and Functional....... Depreciated Cost ............... ------------------------------- Rounded to nearest $100 Cost data by MARSHALL and SWIFT Units Cost Total ------------------------------------ 920 60.33 55,504 920 1.78 1,638 920 3.04 2,797 920 3.06 2,815 920 7.11 6,541 920 3.11 2,861 1 408.00 408 920 ------------------------------------ 78.87 72,564 864 16.87 14,576 864 22.28 19,250 864 ------ ------------------------ 39.15 33,826 -- - --- 864 96 920 21.60 18,662 16.22 138.83 1,557 1,118 2,675 127,727 <17.0 %> <21,714> 920 115.23 106,013 --- ------------------- - - - - -- 106,000 C V Jf em+o 0o vw I I LIVING AREA a]6 sq a I C jico),-- r � V IYn't fa' IaP3 Iola • WIRY oIw r Il aoo am wRaRw� 1 A"y 8 R cueaiemRaal � 7A P MLY R0 X386 RMfl 3868 MBB �pp�I BATH IALNaRY 6 p s6vnuc RCOM�� LLB em+o 0o vw I I LIVING AREA a]6 sq a I C jico),-- r � V 1 36' I SeGCn� r 12'10 -'}:i6 811 13'3 5'6 T4 171'9°44'8"4 -2'11 " \ \ 1 51 361 37 f50 W oW ENTRY n I I = I I I I I I I I 8032 \ / LIP I \ I I u I � I I Io I I Q CD °° LIVINGROOM i m I I I t MASTER BEDROOM a m I o I I I pjj --------- -- -------- ---- - --- -- m --------------------- 1 N m I� O I N j? I 196 —166 BATH o i m I�� op N i •- ® I I I 00 I DININGROOM KITCHEN ]o �— 6068 32140) Od�O0�o I �- - - - - -- -- - --ii� - - - - - - -- ---- - - -- -' '7 \51__ i 57 11 '6 36' pou+N DECK GAD LC-yr- LIVING AREA \ l 1063 sq ft 1'�uf�l 1,,jj mo> 2 3n94 I = ', 9/1 C;Irr CA a hl N\xv whop 1' e *km kvyy;) 1-17 *4v r 5 jpv tr 47— Ice CL -5:; 2 r -ire �o aria 1993 SURVEY Parcel Number Street Address Historical Age No. Bdrms /Pa (s) Property Owner Address . City, State, ZIP: Reviewer /Date R9003060031 010882 LAKE ORBIN Cir^ 1983 "4 / LaFOLLETTE, G & N PO BX 2366 KDDIAK, AK 99615 ML 6/22/93 Single Family Residence Effective Age: 10 years Cost as of 3/93 Floor Area: 920 square feet Quality: Fair /Average Condition: Badly Worn /Average Style: One Story Exterior Wall: Hardboard Sheets -------------------------------------------------------- Units Cost Total Basic Square Foot Cast......... 920 55.58 51,134 Including 8 Plumbing Fixtures Composition Shi.ngle........... 920 1.68 1,546 Forced Air .................... 920 2.78 2,558 Flocs Cover ................... 920 2.84 2,613 Wood subfloor ................. 920 6.56 6,035 Appliance Allowance........... 920 2.70 2,484 Plumbing Fixture, Rough- In.... 1 392.00 392 Subtotal Basic Structure Cast.. 920 72.57 66,762 Basement: Total Basement Area........... 664 16.58 14,325 Basement Partitioned Finish... 864 20.06 17,332 Subtotal Basement Cost........ 864 36.64 31,657 Garage: -- - - - --- - - - - -- - - - - -- Detached Garage ............... 864 19.88 17,176 Extras: - - -- - - - -'--- -- -- --- Wood Deck ..................... 96 14.41 1,383 WOODSTOVE ..................... 1,185 Subtotal ...................... 2,568 Replacement Cost New........... 920 -- 128.44 ---- - 118,163 Less Depreciation: Physical and Functional ....... <11.8%) <13, 943> Depreciated Cost ............... 920 113.28 - 104,220 Rounded to nearest $100 104,200 Cost data by MARSHALL and SWIFT' NO ENTRY, EXTERIOR REVIEW ONLY; NO RECORD OF PRMT FOR GDT; VANS CONSIDERED P.P.. X98 -107 (Y ✓ ,UD(l° N °e°d at AR/Nf 1 11300 3L71r2ro2 iErtNS9FcThry '` S t 3 f1 7Y� c 4� �j/44AI vr,-r* ✓ SQUARE FOOT APPRAISAL FORM p�.� £ � Ar use with the RESIDENTIAL COST HANDBOOK Appraisalf/or -k/C Dr&< j�-A 0 &AbOW Property owner 6450Z.A b%-AJE >T/e` hA Addrece kh.r .� lP, )2Vr'lclr (�_ I i. .0 L Qom' 1! TYPE Single Family Multiple Town House Row House Mfg. House FLOOR AREA 1st S?(. 2nd `/ 'o 3rd Total 7 Q7C Date R -2-3 -Sn I QUALITY STYLE - EXTERIOR WALLS GAiAGE TYPE Low No. Stories Hardboard Detached Fair Bi -level Stucco Attached Average Split Level Siding or Shingle Built -In Good 1' 12 story - Fin. Masonry Veneer Subterranean Very Good Ph story - Unf. Common Brick Carport Excellent End Row Face Brick or Stone Garage Area BASEMENT AREA Inside Row Concrete Block 6. Heating-Cooling- Unf. NUMBER OF MULTIPLE MFG. HOUSING BALCONY AREA SE 7. Insulation Alum., Ribbed Fin. UNITS Alum. Lap Siding POOCH AREA MBE OF yl(R PLUMBING (a) Fixtures Rough-in�_ Hardboard (b) 26. SUBTOTAL GARAGE COST: Line 22 plus or minus Lines 23 -25 27. SUBTOTAL OF ALL BUILDING IMPROVEMENTS: Sum of Lines 21 and 26 28. Current Cost Multiplier/. 03 x Local Multiplier/ s b x Line 27 A 6,66'? 29. Depreciation: Age #NJS-� Conditioner_ Deduction 'J % of Line 28 -30. Depreciated cost of building improvements: Line 28 less Line 29 -31. Yard improvements cost: List. total, apply local multiplier and depreciate on reverse side 32. Londsc; ping cost: List and compute on reverse side 33. Lot or land value 34. TOTAL !NDICATED VALUE: Total of Lines 30 -33 FORM 1007 y3f tjo sec back of poet fur sketch and contpulations 1. KIBS2751O4 ?A Quan. Cost Extension 1. COMPUTE RESIDENCE BASIC COST: Floor area x selected sq. ft. cost 11 wy .� 2. Basic residence cost adjustments Lines 3 -13. Describe and indicate plus or minus 3. Roofing O-Sr Tr + Ianti 4. Flooring 1 at floor C 4 Z 5. Flooring upper floors 6S3 6. Heating-Cooling- SE 7. Insulation B. Interior Finish 9. Plumbing' 'US 10. Built -in appliances ,,. ti@ 0,51k 5 12. Fireplace 13. Miscellaneous !!' /_ I gnm <1 14. SUBTOTAL ADJ. RESIDENCE COST: Line 1 plus or minus Lines 3 -13 2 15. BASEMENT, UNFINISHED 16. Add for basement garage: Single El Double a 17. Add for basement outside entrance 18. Add for basement interior finish 19. Porches or balconies, describe 20. 21. SUBTOTAL RESIDENCE COST: Total of Lines 14 -20 I 1 + 22. GARAGE OR CARPORT - sq. ft. area x selected sq. ft. cost 23. Attached garage - deduct for common wall - 24. Garage roofing adjustment 25. Garaon miscellaneous 26. SUBTOTAL GARAGE COST: Line 22 plus or minus Lines 23 -25 27. SUBTOTAL OF ALL BUILDING IMPROVEMENTS: Sum of Lines 21 and 26 28. Current Cost Multiplier/. 03 x Local Multiplier/ s b x Line 27 A 6,66'? 29. Depreciation: Age #NJS-� Conditioner_ Deduction 'J % of Line 28 -30. Depreciated cost of building improvements: Line 28 less Line 29 -31. Yard improvements cost: List. total, apply local multiplier and depreciate on reverse side 32. Londsc; ping cost: List and compute on reverse side 33. Lot or land value 34. TOTAL !NDICATED VALUE: Total of Lines 30 -33 FORM 1007 y3f tjo sec back of poet fur sketch and contpulations 1. KIBS2751O4 ?A NOTES AND COMPUTATIONS yIBS275105 619st —Copies of this fo,m,nay tm purchased f,ramMARSHALLard SWI;T PUBLICATION COMPANY. - ORM 1007 1617 bev,,i, BWr,_. P.O. Bo. 26307, Los Angeles, California 90026 for $3.00 per W. of 50- Cali fornia Subscribers add sales ut+. PRINTED IN U.S.A. 54 MW MERE A nEni --- MUMS SEEM �m� EXIME SEEN a �E INSHISMAR MISSION ME ROME 1111111 m� SUMMER ---- SEEMS K MEMNEW O RM MMIKIII nowwEEnE EX lion�mi EVER! mm■Em Mummu �Mlfflll IN MR ml Emmummumm r MEMORIES MUMMIXERNEEM IN i on omm� on�m� N�MMMMEM commum wmum MMMMM IMMEN MEMEMMEMEM rm=uum MENEM M■■OM■NEE Hu�011MISME= COMM[SH MEREMENEEM �=Mmmm""=N� MEMEKEEM=Emm�m mammmmmm"n�� Emmmmmumm MR11111, mmmmmmm� =�m"u"mmm=mgw= IN W00=1EM11.10111111111.1111111111111111M. NOTES AND COMPUTATIONS yIBS275105 619st —Copies of this fo,m,nay tm purchased f,ramMARSHALLard SWI;T PUBLICATION COMPANY. - ORM 1007 1617 bev,,i, BWr,_. P.O. Bo. 26307, Los Angeles, California 90026 for $3.00 per W. of 50- Cali fornia Subscribers add sales ut+. PRINTED IN U.S.A. 54 1 � I r\ > I y_ �N 0 I APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 • 486 -8072 Fax: 486 -8600 710 Mill Bay Road, Room 2008' Q /.y/� (APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRFSS FIRMLY /\ .) )eP — (OFFICE USE ONLY) STREET ADDRESS: /d Lat - 6k a,/ Im CL6,$S AND SCOPE OF WORK: KG - SN:!_.17 SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: fl/S- 1 ,-07 - 7 s LOT: BLOCK: 15 �+ NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: 62 - z06 / - S '5– DATE )ISSUED: -7 ALTERATION REPAIR TYPE - SUBID S(ISIO ;/ SU�JY�'. /� L 4J ADDITION MOVE VALUA T N BASIS: BUILDING ERMIT FEE: .1> /D $ - I�z) DEPTH GRND 0 W N E R NAME: aC.�L USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION' /L�� l�� PLAN CHECK FEE: ' BOLT SPACING MAILIN_ ADDRESZZS/:: 2WX aJY CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: A B E F H I M® S U - DIV. 1 2 3 4 5 6 J TYPE OF CONSTRUCTION I II 111 IV N 1 -HR— FR H.T. TOTAL FEE: {� co CRAWL SPACE VENT SQ. FEET CITY & STATE: 0� A' K ,` ,L SIZE HEIGHT STRUCTURAL SPECIES &GRADE SIZE SPACING SPAN NO. OF ROOMS STORIES RECEIPT NO: TELEPHONE: Wx -a;) NO. OF FAMILIES GIRDERS TYPE OF BUSINESS GIRDERS EACH OF THE FOLLOWING STAGES OF CONSTRUCTION REQUIRES INSPECTION BE REQUESTED & COMPLETED PRIOR TO PROCEEDING WITH ANY FURTHER WORK: FOR INSPECTION CALL 486.8070 A R C HCITY E N G NAME: NO. OF BLDGS NOW ON LOT JOISTS 1ST FLOOR USE OF EXISTING BLDGS JOISTS 1ST FLOOR MAILING ADDRESS: SIZE OF LOT JOISTS 2ND FLOOR WATER: PUBLICI PRIVATE JOISTS 2ND FLOOR & STATE: SEWER: PUBLICI I PRIVATE I CEILING JOISTS INSULATION TYPE & THICKNESS: FOUNDATION EXTERIOR WALLS TELEPHONE: BEARING WALLS INTERIOR WALLS EXCAVATION STATE LICENSE: WALLS ROOF RAFTERS UNDERGROUND UTILITIES ROOF / CEILING TRUSSES DRIVEWAY PERMIT: SUBMITTED FOUNDATION / SETBACKS C NMAILING T R A C T 0 R NA E:_ /J !� � (�iils�, �Noc SHEATHING TYPE & SIZE: FLOOR FLOOR FURNACE TYPE: FRAMING APPROVED ROUGH ELECTRICAL ADDRESS: �x 0123 3 WOOD HEATER YES NO TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: SUBMITTED FINAL APPROVAL FINAL CITY & STATE: KJ, i A'K AE ROOF DATE C.O. ISSUED: I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT IS CORRECT AND THAT I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION ' // APPLICANT. ^,( % -G.% /_! / Y�� /� /J�r� TELEPHONE: FINISH MATERIAL: ROOF l-- (�/r%'�S -� ALASKA FIREMARSHAL REVIEW.' F1us lI SUBMITTED: +j0v1!giA PPROV' " " 95 ED:" STATE LICENSE: 6.6 SIDING 6J�-- \j �JJ APPROVED'- BUILDIN OFFICIAL: ,INTERIOR WALLS NOTES: 001 Paid, IF, Full tau k�FOdiOP Av, 9 %,5uqh PRINTED IN KDDIAK, ALASKA By PRINT MASTERS aF KooiAK 6�4 ZONING COMPLIANCE PERMIT(Pagelof3) Permit #_A—Z- ` 7— i�6 Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 99615 PH(907)486 -9362 Fax( 907) 486 -9396 httr): / /www.kib,co.kodiak.ak.us Reouired Applicant Information: 1. Property Owner /Applicant: —.! E� Mailing ddress: P. D g3E;tK ,�3G1� .�Oa.:99� .ff Phone: -�% -ZZS'L 2. Legal Description: .467T 3 13 /tX tE (v�rLi S lyrr Street Address: I O5 S Z lake- or hi in bri t i? 3. Description of proposed action: i ?iod 4. Site Plan (page 3 of 3 of this application): to include: Lot boundaries & existing easements, proposed location of all buildings, access points &vehicular parking areas. STAFF WILL PROVIDE YOU WITH A COPY OF THE APPLICABLE CODE SECTIONS THAT APPLIES TO YOUR DEVELOPMENT ACTIVITY Zoning District [] Parking Requirements ❑ Solid Waste Removal Requirements ❑ STAFF COMPLIANCE REVIEW Parcel No. R C?Cp3() (,M31 Current Zoning: &.Z Required Lot Area: Required Setbacks: Front: 2S • Side: 1,T' Rear 20 ` Building Height: _39 5. Number & size of parking spaces required: 6. Off - street loading requirements: I I Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review, Other Requirements (e.g. zero lot lino, additional setbacks, projections into yards, screening, etc. ACMP Policies: Res. Bus. ❑ Ind. ❑ Other ❑ Consistent with KIB CMP: YesLy'1 cO Arachment: Yes❑ No❑ 7,.In0 Compliance Permit Fee Payahl P"hi CssI" . )trice Rnuni = IiU Fee Schedule: (per KIB Assembla8esomIon F.1'L .l u(,• 1. *g Less Than 1.75 arrv� 1.761un.00 arrfj °' 6i 0 5:w p10.00 aws 590.00 �g r�jllgjr rtwre St*.00 �y Conn- actioal!ilrosal Deposit e 00c i'l Co 11,117'r1% Sre ''yttlA`` � d„mirl iibi (per Fe<Schedule: Rla AsseodJv Resnlnlion A13 Las tlnn :51! eq rl`• :51 to >01) :y. It. :51,0,110 501 or Frcatcr sq. ft, 51000.00 RIG oe�SU * Paid in Full •a* '021,6 diak i;:and 1 Kcdiak iH 591515 IN I ) 4d6- 9'.,c4' a..•...: p ... I oft (Pogo 3 or 3) THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED * *EXPIRATION' A zoning compliance Permit will become null and void if the building or use authorized by such permit is not commenced within 180 days from the date of issuance or if the building construction or use is abandoned at any time, after the work is commenced, for a period of 180 days. Before such work can be recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration, 1997 UBC) per KIBC 17.03.060. Subd. Case #: Plat #: 2. Driveway Permit (State, Borough, City) by /date: Bldg Permit #: Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that I have the authority to certify this as the property owner, or as a representative of the property owner. I agree to have identifiable comer markers in place in the field for Supporting documents attached (check one): Site Plan: ❑ Other (List): jee_ As -Built Survey: ❑ 4. Co nity De ment Department ` o By: Title: /f T ' Date S '1 5. Fire Marshal (UFC) by /date: 6. Septic System Plan Approved This permit is ONLY for the rp opos_ecl_proiect as d scribed by the anolicant. If there are any changes to the proposed proiect. including its Intended use, rr;c prior t0 0I' dUl "II?2 Its Sltli ?r?, COI ?Sii UC i(�;1. Qi" Opei ":'11011. CGI ?i,a,t this O:i:. t IIIII'nediate ':' i0 dCI-- rn?ii:.; Ir ii'r.,' L: 1 I i i'1 It I_ 1 project is necessary. rni; i ......... ,i..,,4....... 17 .... :.... r..... n.,.. 1