ALEUTIAN BK 1 LT 3 - Property CardA.
NHer �hFIC.s f 'C-C NI�L� E '1�VRH V LCiFr �O d'M CI �4r O' f� _
]fling Address Ro BIOX ZZ '8Zl ' . Property Address ' oa/a /� 'wc� ✓e 1�r I r r
xoa►a� �� a�cL�s - `
rmitssswu 1$14m 0.Ht Date Built �95�
BP07 -8 7/25/06 RALT $6000. J 1gp07 -18 8/17/06 RADN $29897 - D
1 z
.served Physical Condition
Exterior
Inferior
Foundation
ILDING TYPE AND USE
4. EXTERIOR
b. INTERIOR (Continued)
7. Floors (Continued)
<Single
_Double �
Other J I
%d
# Stories,
-Attic Finish -%
kBasemenf
J[Frame.
_Concrete al «k
_Log
_
Concrete � �Black
�Sheothing Ply
Building Paper
Insulafion 1'ak"3
— Stucco
hiding 9A p'
— Shakes
— Bricktex
—Log
—Log Siding
—Metal
— Plywood.
Kind
'AS
Kind
Slab
Sk/Trim Kind
Grade t4 e _G
FINISH
Wood
Concrete
ar t, �
Both /
Living Room r
Bed R�o�om�
-Ail .' G'fbj"
sea
9. PLUMBING`._ ^�.J.
Floor Number Number
Rooms Baths
Basement
-'3�
1st Floor
--•
2nd Floor
ICI
e. HEAT �J
3rd Floor
—Stove
VOil
Attic
FOUNDATION /'�
Total jC
Furnace
—Coal Stoker
—Hot Water
1�Hof air Forced
— Radiant
-
—Space Heater Kind
Floor mace
'' .-- ..
— 19umiser of Chimneys
—Kind
NUMBER OF FIREPLACES
— Basement ^(z 1/ Q
—1st Floor _Type_
__ '
•!Water Source , 'f
_066f-
Jss!Sewer Source 66f-
.cCo."- PSi Thick
ete _Coot. Block
IGWood Posts -
-Skid.
-Wood Sills
_
Grade of
Floor Plan _P �_G
Ceiling Height
— Bosemedt
_
5. ROOF
10. ELECTRICAL
lst Floor T6"
_2nd Floor s
—Attic
Wired'. M4 —Graf
.s
- 20 Service
—Flat L -Gable
—Other
— Shingle
— Shakes
�,r_Composifion #
_L/Insulaticn
—Tar Paper
----Metal
— guilt -up
—Other was
—Hip
rind
.s�
r$hingle
Kind
Kind
esr
BASEMENT
TOTAL dRADE
_Partial _x_ —S.F.
_Full
_Cribbed
_Concrete %f�
_Outsidj ntr ce
_Rec, Rgam� Size
_Living Area Size
_Fin. Walls Kind
_Fin. Floor rind
_Fin, Ceiling Kind
Grade of /�F`
Kitchen �pJ --A _G
—Oven Built -in
—Range Built -in
—Bath Room Finish
--
11. GARAGE .' C
i
s
_-
9. PLUMBING
__-Attic Stairway
—Attic Unfinished
—Attic Useful %
— Number Dormers
—Shed Type Size
�
— Gabler �
# Tuba_w /shower
Toilets
J_# Basins
J_# Kitchen Sinks -
—# Shower Stalls -
�# Hot Water Tanks
—# Gallons_ —Kind
Gra
�%
12 PORCHES nA
—
6. INTERIOR
— Insulation Board
— Plasterboard
— plaster
— Masonry
—Wood Ponelin
?'Plywood
Finished
_
- _
FRAME /
—Walls ? 41-'I o.c.
—Bracing
V Roof A ' %/'Ul -c-
Floor SlA3 a.c.
W Ceiling
_Other
_
r�
7. FLOORS L�
10. YARD IMPROVEMENTS
lsf Floor _.c.
-Bridged
Post Size J X 4V oA
Beam Size o.c.
2nd Floor o.c.
A4A Pi
—
— Unfinished
—Open Stud
--# Laundry Trays
Total Number Fixtures
Other Buildings
Area
Floor
Roo£
Interior
Heat
Plumb
Unit Cost
Adds & Deducts
Repl, Cost
Age
Condition
Building Cost
BUILDING VALUE CALCULATION
OPERATIONS AND PROCEDURES
BUILDING AREA CALCULATION
'
. Item
" No.
Area or Quantity
Unit
Cosf
Total
Performed By
Date
Square Feet - Ground Area
Inspection
Floor or Part
Width
Length
Area
Classification
r
.y'
a`'R
�
�
Calculation
'
-
•'
Review
-
/
DEPRECIATION AND OBSOLESCENCE
DEPRECIATION
Notes:
a. Effective Age ye
Depreciation '
ADDITIONS AND
DEDUCTIONS
b. Observed Physical
Condition %
/
Perimeter
Scale Y4" - 5 F
C. Total Depreciation %
(a +b)
-3/,.
.��� •. '
I, —• /;(J /
\r�
rl ,
+�L�I
F .
-
ki 6� ;Q4AAl-
G `
d. Net Condition
(100 - c) g'
•
OBSOLESCENCE
e. Overimprovemenf 9e
I. Underim rovement %
g. Other %
I. Net Condition %
(100 - (e +f +g)
I. FINAL NET CONDITION
(dxh)
SUMMARY OF APPRAISED VALUE
Principal Building
Appraisal
Other Principal
Buildings Appraisal
Accessory Buildings
Appraisal
Total Building ^*Y -•
Appraisal
Total
Replacement Coat
Total Land
Aproisal
Cost
Conversion ersion Factor
s Adjusted
Replacement
Cos}
$
TOTAL APPRAISED r -
VALUE $
Other
Size: _E 9,, Area: Gp g
Valuation. Code: S /pp, i„> 2p' Land Use: ( w )
INFLUENCES:
PLUS
MINUS
Depth
REASON
FOR CHANGE
Land
Topography
'
�1cHr1,
Irregular ModificationO
View d
�70G
Drainage
, Ames —
A
Physical Barriers
n95,2
50-
Access
Corner —`
Water
Sewer
wrio
Sidewalk
/ti�, 9a
C.
Curb & Gutter
Other
-
TOTAL
-0
Net + ( —)
Basic Land Value �Ceo,
Plus or (Minus) Factors ";
Net Price of Land rk ,fin
Remarks: RP 7�
LAND VALUE
YEAR
OWNER
11
ASSESSED VALUATION
REASON
FOR CHANGE
Land
Bldgs.
Total
�1cHr1,
A�1.,44,u Wm(', t/)R
�t ?DO
�70G
';965 !
, Ames —
A
1725
n95,2
50-
n A
wrio
95ao
/ti�, 9a
-
-0
!
n ber a MT - s_6db.a
3 9 1v
0
9
/
_ , 7l0
Q
0
7
d
� ,0
077
T6 y0
30-74C
35900
j�
y
'.6,o-
0
OQ
X660
8 13 75
s C'aeo�
So
3.9 Via'
S P
_ !
/sq's`o
bi7aR
5�q /7-
0 0
r9
A 442 e
e(ea
l-
15 /055834 1
dr
L
sc»o
s o
so
1�9a� solo
U
REMARKS:
PICTURE: - - - - -
�qe-
0'G ��✓IVA) 6 /G
PLACE PICTURE HERE
'',D93 90 5731 IV r 2_
/'. c{d1 pQp
(ZBuno��cQ
r
n Cga,c, -im( L`trc P i \ .CIVD.
�
YEAR
I OWNER
ASSESSED
VALUATION
REASON
FOR CHANGE
Land
RItl95.
Total
JfEa L
o O
I�f �WV
_.Y
Aw F. rr
xl 8
RR L"o d- CAROL L
a
5'
9/./co
Lr
r'8$
n SS L
(UELB kv u1SECC %
soo
nLc
/oo
i ib 139/ P130
S -a-ze
1990
rr -�
svv
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>
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a.b
s
JI�I�
Uss�u Q. E�htt>
oao
`l 5 00
71 1a0�
il-2
PYlv1 In Ae-4-
330000
-57,6')OgLr�q�
13 P a -,J4.4
.IgA5
33,000
57,"1)
9al000
91 i`�1�
h rr
33,000
57, W
1O tpQ
M7
9 1 U�1026
1996
OA LOFF M r ,�I eeX
3'�0o0
,loo
lo2.,100
LOD 6 i 3
2��4�
J
n 11
1db
I4? /m
0
It
W,6w
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�tol
h It
3 ary
609
9Q,14:2
'acfaa
lh
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1 wi l oK186,58342
1997 ASSESSMENT
Parcel Number
Street Address
Historical Age
EA / Bd -Ba / L/A
Reviewer / Date
ALEUTIAN BK 1 LT 3
R1040010030
812 HILLSIDE
1951 / 1??
20 / 3 -1 / 1,056
ML 10/14/96
Single Family Residence
Effective Age: 20 years
Cost as of 6/96
Style: one Story
Exterior Wall: Siding
---------------------------------------
Basic Square Foot Cost.........
Including 5 Plumbing Fixtures
Composition Shingle...........
ForcedAir ....................
FloorCover ...................
Wood subfloor .................
Appliance Allowance...........
Plumbing Fixture, Rough- In....
Fireplace Single ..............
Subtotal Basic Structure Cost..
----------------- ---------- ------ - - - - --
Extras:
Enclosed Porch - Solid Wall...
Wood Deck .....................
Subtotal ......................
-------------------------------
Replacement Cost New...........
-------------------------------
Less Depreciation:
Physical and Functional.......
Depreciated Cost ...............
Rounded to nearest $100
Cost data by MARSHALL and SWIFT
Floor Area: 1,056 square feet
Quality: Fair /Average
Condition: Good
Units
---------------------------
Cost
Total
1,056
57.98
61,227
1,056
1.77
1,869
1,056
2.93
3,094
1,056
3.08
3,252
1,056
6.92
7,308
1,056
2.47
2,608
1
389.00
389
1
2860.00
2,860
1,056
---------------------------
78.23
82,607
48
62.71
3,010
360
9.91
3,568
---------------------------
6,578
1,056
---------------------
84.46
89,185
- - -- --
<22.5 %> <20,067>
1,056 65.45 69,118
----------------------------
69,100
MICROSOLVE CAMA SYSTEM 05 -25 -1994
SKETCH OF PROPERTY R1040010030
812 HILLSIDE DRIVE
39—
000D
12] DECK
12
44 36
[1]
ONE STORY
RAHCH
148 1 SOLID WALL
8 131 8 PORCH
`O—
Area 1 : 1056 Area 2 : 360 Area 3 : 64
Parcel Number
Property Owner
Address
City, State, ZIP:
Surveyed by
Date of Survey
S6?
R1040010030 #812 HILLSIDE
WELLBOi4 R & E
PO BOX 634
KODIAK AK 99615
PSC
8/93
Single Family Residence
Effective Age: 26 years
Cost as of 3/93
Style: One Story
Exterior Wall: Siding
Floor Area: 1,056 square feet
Quality: Fair /Average
Condition: Good
Extras:
Enclosed Porch - Solid Wall... 40 62.97 2,519
Wood Deck ..................... 360 9.40 3,384
Subtotal ...................... 5,903
----------------------------------------------------------------------
Replacement Cost New........... 1,056 79.57 84,022
---------------------------------------------------------------- - - - - --
Less Depreciation:
Physical and Functional....... <31.5 %> <26,467>
Depreciated Cost ............... 1,056 54.50 57,555
----------------------------------------------------------------------
Rounded to nearest $100 57,600
Cost data by MARSHALL and SWIFT
NO ENTRY, EXTERIOR REVIEW ONLY.
IRTH
6-1-k ".AA u �
IYW/ (a / 0� ✓&,j
✓ iku� eNiky oeeb3 5 h 00F&vim
Units
Cost
Total
----------------------------------------------------------------------
Basic Square Foot Cost.........
1,056
54.76
57,827
Including 5 Plumbing Fixtures
Composition Shingle...........
1,056
1.68
1,774
Forced Air ....................
1,056
2.78
2,936
Floor Cover ...................
1,056
2.84
2,999
Wood subfloor .................
1,056
6.56
6,927
Appliance Allowance...........
1,056
2.35
2,482
Plumbing Fixture, Rough- In....
1
392.00
392
Fireplace Single ..............
1
2782.00
2,782
Subtotal Basic Structure Cost..
----------------------------------------------------
1,056
73.98
------------
78,119
- - - - --
Extras:
Enclosed Porch - Solid Wall... 40 62.97 2,519
Wood Deck ..................... 360 9.40 3,384
Subtotal ...................... 5,903
----------------------------------------------------------------------
Replacement Cost New........... 1,056 79.57 84,022
---------------------------------------------------------------- - - - - --
Less Depreciation:
Physical and Functional....... <31.5 %> <26,467>
Depreciated Cost ............... 1,056 54.50 57,555
----------------------------------------------------------------------
Rounded to nearest $100 57,600
Cost data by MARSHALL and SWIFT
NO ENTRY, EXTERIOR REVIEW ONLY.
IRTH
6-1-k ".AA u �
IYW/ (a / 0� ✓&,j
✓ iku� eNiky oeeb3 5 h 00F&vim
RESIDENTIAL ASSESSMENT FORM
Legal Description: -?//,/ //
Replacement Cost New of Building:
m x $ rnsf = $
x $ psf = $
x $ psf = $
Extras:
Garage /Carport
x $
Site Improvements:
Total Replacement Cost New:
Less - Accrued Depreciation:
Depreciated Value of Improvements:
Plus - Site Value:
Indicated Assessed Value:
1979 ASSESSMENT
Appraiser
psf =
SD d
$
$ 100 0
/S, DDU
$ S2, Goo
KIBS194940
,appraisal (4ompanq of A[aska
'Mailing Address
Property Address /5" s t• %!, : :�� ..
'
Permits
__ Date Built
4
-2,
Observed Physicol,Condifion
Exterior Interior
Foundation
BUILDING TYPE AND USE
4. EXTERIOR
b. INTERIOR (Continued)
7. Floors (Continued)'
vSingle -
_Double
Other
�+ Stories
attic Finish %
-
'Y4 Basement
- JLFrame
- Concrete Block
—Log
Concrete TBleck
^Sheathing �r y- ind
�s,1 Building Poe T
C.InsulaHonF M M$SKind
Stucco
T
Siding Kind
— Shakes
Brickiex
—Log Slob.
_Log Siding
metal
— Plywood -� L'A l.SI
<7 Kind
Grade G
FINISH
Wood
Concrete
Bash
Living Room G
Bed Room Cav
•.
'
-
Floor
Number
Rooms
Number
Baths
Basement
- F
lsf Floor
--
2nd Floor
-
B.' HEAT
3rd Floor
-
—Stove
�il Furnace
�al Stoker
—Hot Wafer
of air Forced
— Radiant
=Spore Heater -------Kind
Floor ft�Prnace
's s G T^'" -
1Cumber of Chimneys
Y
—Kind
NUMBER OF FIREPLACES
— Basement Jaw d
ad
4-Ist Floor _Type_
1. FOUNDATION
Attic
9. PLUMBING (Continued) -
Total #
__L�Cone ste F4r rs, `Thick
_Cone. Black
JCWood Posh
5kids
—Woad Sills
-
Grade of
Floor Plan _P JCA/�(s•
Ceiling Height -
— Basement
--iffst Floor 7
_pad Floor
e.
uric ___T_
Grade of /
Kitchen __A I/ G
Oven Built -in
Range Built-in
_Bath Room Finish
r1
J� C�D�s�
�}L•_
�M/ater Sourci
Sewer Source r -
_
S. -ROOF
10. ELECTRICAL
�GWired JO cd Gra
-�
X220 Service
= -Gable —HIP
_Other Kind
— Shingle
_Shakes
Composition # � Shingle
_Insulation Kind
—Tar Paper
—Metal Rind
guilt -up
Other
7. BASEMENT +" ;rj)
Partial —x_ S.F. _
_pull
Concrete
1
— Ouhid�. En r n
V
—ReS -R Size
— Living Area Size
_Fin. Wall. rind
_Fin. Floor Rind
—Fin. Ceiling Kind
-
3. FRAME
✓ Walls •?.f r.: ^1'
— e.<.
Bracing
li Roof 19ZI -TPVS .a.
V Floor ;1A 3 ..
-- I- eiling AA ! / a.0.
Other
-
TOTAL GRADE
11. GARAGE C
y
9. PLUMBING
—
---Attic Stairway
—Attic Unfinished
I —Attic Useful '�q°
— Number Dormers
—Shed Type Size
—Gable Size
7. FLOORS
J-# Tubs�w� shower
�# Toilets
-L-# Basins
-L-# Kitchen Sinks
—# Shower Stalls-
«
�r. Hat Water Tanks
—# Gallons__Kind
Gra
12 PORCHES
— -
6. INTERIOR I ry
�-e-�
x
— Insulation Board
— Plasterboard
Plaster
Masonry
_Wood Panelin
YPlywaod r;
Finished
-
13. YARD IMPROVEMENTS
/ 1st Floor ..,c.
Bridged
-" Post Size y Y_o, 0.
Beam Size ••.c.
—
Unfinished
— Open Stud
« Laundry Trays
r
..]Total Number Fixture
and Floor o.c.
Other Buildings
Area
Floor
Roof
Interior
Heat Plumb
Unit Cost,
Adds & Deducts
Rapt. Cost
Age
Condition
Building Cost
BUILDING VALUE CALCULATION
OPERATIONS AND PROCEDURES
BUILDING AREA CALCULATION
Item
No.
Area or Quantity
Unit
Cosf
Total
PerformetBtDote
Square Feet - Ground Area
Inspection
Floor or Part
Width
Length
Area
_
Classification
:a0
st/•
;'.q <
Calculation
-
V
- --
st 4(7 3
Review
DEPRECIATION AND OBSOLESCENCE
DEPRECIATION
a. Effective Age
Depredation
Notes:
Ai/
ADDITIONS AND DEDUCTIONS
b. Observed Physical
Condition
-
_
c. Total Depredation '
(a 4b) %
d. Net Condition
(100 - c)
Perimeter ' [ "•� ' Scale 1/4" — 5— F
%J4
F
q3 D
2c(
�`,
.7
Q 2.7
'
3 we•dk 1 3
'' "- -' " "-'•_� -^�� -• —•
1 - 11A 'Ask 'Ask
f il.
V
t
•d:rl
i
as ,
a {, A D ,
/.
KIBS194942`
—
)�6(a -�
r o0
OBSOLESCENCE
e. Overimprovement - %
L Underim rovement %
g. Other q°
h. Net Condition
(100 - (e +1 +9) %
\
I. FINAL NET CONDITION
SUMMARY OF APPRAISED VALUE
Principal Building
Appraisal
Other Principal
Buildings Appraisal
Accessory Buildings
Appraisal
_
Total Building
Appraisal
Total Replacement Cost
Cost Conversion Factor
$
Total Land �' 'vi;;, °
Adjusted Replacement Cost
$
" a
TOTAL APPRAISED
VALUE $ -_
7 ,6ao
C4- ZONING COMPLIANCE PERMIT(Page I of 3)
Permit #_('.' Z- 20 o4 — rT
Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 99615
PH(907)486 -9362 Fax(907)486 -9396 http: / /www.kib.co.kodiak.ak.us
1. Property
Mailin
2. Legal
I"
Street Address: R /a? AW4 —VAV
3. Description of proposed action: .4 flD A /a2 /;r 8,t 1 y If Alto crow/ 70
}/061 -r U/ ;rA/ A !✓QAP 4R a u vd PP IC [ (.T/ sTa 2Yi
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 E] Solid Waste Removal Requirements
I J9 go
STAFF COMPLIANCE REVIEW Parcel No. R =30
Current Zoning: L " STIVI���\ Required Lot Area: (kdA
2-6' 2-6' ' „ l
Required Setbacks: Front: Side:_ r Rear ----LO O /Building Height: 3 J
(Setbacks other than zoning district standards to be noted on the attached site plan) �/
5. Number & size of parking spaces required: ,3 Wca� oAv- (yj trP S !k /X'
6. Off-street loading requirements:
Plat/subdivision related requirements (e.g. plat no es, eas menu, subdivision conditions, drainage plan review,
etc.) O ( a 24-
Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.
ACMP Policies: Res. PC Bus. ❑ ind. O Other O Consistent with KIB CMP: Y7N Nod Attachment: Yes El Noll
Zoning compliance Permit Fee
Payable in Cashier's office
Room tt 104
Fee Schedule:
(per KB Asandtly Resolution
V
acres $30,00
1.76 1 es . 0
r c s.obt tTeres $90.00
40.(Wucr ss or more $120,01)
V M
v
,
rnn T�m..lnrnf'r~......n,,.,:,,.. r..,....o,,,.,. J....r-6-
Construction msposal Deposit
Payable In Cashier's office
Room M 100
Fee Schedule:
(per KIR Assembly Resolution
Eff. July 1, 2005)
css tha s in a It SISOM
tosoo sgto5o0 sq. n: so0o�o�
501 or greater ss(. ft. $1000.00
(Page 2 or 3)
p ^� THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
"EXPIRATION: A zonine compliance permit will become null and void if the buildine 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.
1. SUM. Case #: A/*_ Plat #: k 4— Bldg Permit #:
2. Driveway Permit (State, Borough, City) by /date: "/&_
3. 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 corner markers in place in the field for
verification of setbacks.
Date: — b (-/a C,
Supporting documents attached (check one): Site Plan: [� As -Built Survey: 0
Other (List):
Title: SQ! ojawuol/Date:4/6
5. Fire Marshal (UFC) by /date: A%l�
6. Septic System Plan Approved by /date: '1/0�
This hermit is ONLY for the Drovosed Droiect as described by the applicant.
If there are any changes to the proposed project, including its intended use,
prior to or during its siting, construction, or operation, contact this office
immediatelv to determine if further review and aDDroval of the revised
rolect Is necess
rnn r...,,.u...ia,...,.,n,.,,;„. r- 3;..» n .7 ,.f I
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APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486 -8070 IF 486 -8072 Fax: 486 -8071 77u /Mill Bay Road, Room 208
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
(OFFICE USE ONLY)
STREET ADDRESS:
Y, id Ai r/ s7. ,97r
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLI TI N:
I lD ( '
C., - ;106-7-
LOT: BLOCK:
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
C �cU-7
DATE ISS
E '
ALTERATION
REPAIR
TYPE
SUBDII�V�ISIO.�NN}}--/ SURVEY:
vc. cd�C.0 ,-�- )'iL�.,1/
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
� C.- �,..
BUILDING PERMIT p FEE:
'q13 � , O
DEPTH IN GRND
O
W
N
E
R
NAME p g
MArY � 1K 1/U 1
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
C �-�.�� �-
REINFORCEMENT
VALUATION: _
PLAN CHECK FEE:_
I L4 I
BOLT SPACING
MAILING ADDRESS:
P 0. Rox r,7,) R "7
CRAWL SPACE HEIGHT INCHES
OCCUPANCYGROUP:
TOTAL FEE:
S
CRAWL SPACE VENT SQ. FEET
CITY & STATE:
%�J7 %l �I 4W
SIZE n y .` HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
y 731- ? '/,? c
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
A
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
R
C
HCITY
E
N
G
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
I
REQUESTED & COMPLETED
PRIOR TO PROCEEDING WITH
ANY FURTHER WORK:
FOR INSPECTION CALL 486 -8070
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
/f .
& STATE:
SEWER: PUBLICI
I PRIVATE I
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
_
TELEPHONE:
FOUNDATION
BEARING WALLS
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
�G)
_
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
SUBMITTED
FOUNDATION / SETBACKS
C
ON
T
R
NAME:
U U AI FP
SHEATHING TYPE & SIZE:
FLOOR
FURNACE TYPE:
FRAMING
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
SUBMITTED F1P.?.
FINAL
CITY & STATE:
ROOF
DATE%C:O[)ISSUED:
A
C
T
O
R
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: p /.. 1 IZLL• {.�i'u./,'
FINAL APPROVAL E: k U 11U:
I0:01.4i
TELEPHONE:
FINISH MATERIAL:
ROOF
LOCAL FIREMARSHAL REVIEW: ' , / ntcy veT oa
SUBMITTED: IT /APPROVED:
STATE LICENSE:
EXTERIOR SIDING
APPROVED - BUI1-DIFIG,OFFICIAL ''L1�JL(/Z��'�
INTERIOR WALLS
NOTES: e _ / b� pa'6 lh' Wl
f Z t• 2 4 = ��5 x /G � `� 1 — � i. � J T• Z IITraa YOU
= s 1 zz 'CT
-- NISI ?Sx(s, - _ c i,q=5
rRINTED IN KDDIAF, ALASKA By rRirvT MASTERS OF KODIAK
fZp-LT
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. USF A RAI I PRINT PFN ANn PRFaA FIRMI vi
(OFFICE USE ONLY)
STREET ADDRESS:
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
LOT: BLOCK:
NEW
DEMOLITION
FOUNDATION
STEM WALL
PIERS
ZONING COMPLIANCE:
% -7
DATE ISSUED:
/��� (�� C"
ALTERATION
(/
REPAIR
TYPE
A (,!✓
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
7 "XG ��
VALUATION BASISBUILDING
PERMIT FEEDEPTH
IN GRND
MFOOTINGS
0
W
N
R
NAME �J
%%L/.�Al� U�!
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION: �1
V
PLAN CHECK FEE.�4ri/l7
"4
BOLT SPACING
MAILING ADDRESS: pp
. U. O d")9 c2
CRAWL SPACE HEIGHT APRoX < F'j INCHES
OCCUPANCYGROUP:
TOTAL FEE:
s l - L` U
CRAWL SPACE VENT C /? PO C= SQL FEET
CITY & STATEN n
XO f71 Al A Aj
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
yR L - -3 q,) L
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
F
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
�"'�� _
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
J J)
& STATE:
-
SEWER: PUBLICI
I PRIVATE I
CEILING JOISTS
_
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
TELEPHONE:
FOUNDATION
BEARING WALLS
2
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
SUBMITTED
FOUNDATION If SETBACKS
C
NMAILI
T
R
NAME:
�q- ^�
.Ill./ '`l'`/1i��`��
SHEATHING TYPE & SIZE:
FLOOR
FURNACE TYPE:
FRAMING
APPROVED
ROUGH ELECTRICAL
G ADDRESS:
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
SUBMITTED
FINAL
CITY & STATE:
ROOF
DATE C.O. ISSUED:
A
C
T
O
R
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
,I/� // _ `,n f
APPLICANT: /' l4 � %1.44 -1V411
FINAL APPROVAL r1• A1• ^° -
7-iitft;;H
^-.--
TELEPHONE:
FINISH MATERIAL:
ROOF
LOCAL FIREMARSHAL REVIEW:-• -'t
WtEYlEW BIdO FarsR
SUBMITTED: / APPROVED:
STATE LICENSE:
EXTERIOR SIDING
r n i aI
L-
- U L �"�i-
INTERIOR WALLS
NOTES: I w"y 7ir fi0!U3N
( /. !•310 11{ 111111
L q1 60
"' YRINTED IN KODIAK, ALASKA BY YRINT MASTERS OF KODIAK.
ZONING COMPLIANCE PERMIT(Pagelot3)
Permit #_ -C Z- 2,QQ - 9
Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 99615
PH(907)486-9362 Fax(907)486-9396 http: / /www.kib.co.kodiak.ak.us
Required Applicant Information: t
1. Property Owner /Applicant: /I%/ XTY T ,4WRICA I/LO %`
Mailing Address: f 0, )5 6 X 0"862 Phone: '1U'3 ya/G
2. Legal Description: /4LEUr// _ 5COCAI / .0 o T 3
Street Address: 8 /q2 / -1/LL S /DE
3. Description of proposed action: kwr 144e.(Ar &AIP A,4CC- TWG 7EO
AA/Q e.2z1e,4r-Tar LA&,yhjFr1oily,
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 fX71 Parking Requirements Solid Waste Removal Requirements
STAFF COMPLIANCE REVIEW Parcel No. R d 010030
Current Zoning: i°(� — st�r� Required Lot Area: S
Required Setbacks: Front: 215�- , Side: 57"' Rear 10 t' Building Height: 3 Sf
(Setbacks other than zonine district standards to be noted on the attached site plan)
5. Number & size of parking spaces required: 3 yj P_ 9 x /
6. Off - street loading requirements: W �--
Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc.) N/A:::
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc. AIAL
ACMP Policies: Res. ¢Q Bus. ❑ Ind. D Other D Consistent with KIB CMP: YesKNo❑ Attachment: YesO N^�
Construction Disposal Deposit
Payable in Cashier's office
Room It 104
Fee Schedule:
(per KIR Assembly Resolution
Err. July 1, 2005)
Less than 250 sq. ft. $250.00
S 400 sq. It. 16500 00
IZZ701 or greater .A. R. $100-0
FICASH
89:24:32
PAID
1,888.08
+ +* Paid in Full + ++
Kodiak Island Boroug
Kodiak AK 99615
(987) 486 -9324
Pnn Tmmn1n4 dP rmc"—innr'mmnlinn— ennli --inn P-1 nrt
Zoning Compliance Permit Fee
Payable in Cashier's Office
Room 0 104
_fee schedule:
Resolution
1111VAstembly
' L . Judy 1, 2005)
S
c
1.75 arm $30.110
m
v u.500 acres
..5.01 to 4040 acres $00.00
;•
4001 ocrQjlr more $120.01)
Construction Disposal Deposit
Payable in Cashier's office
Room It 104
Fee Schedule:
(per KIR Assembly Resolution
Err. July 1, 2005)
Less than 250 sq. ft. $250.00
S 400 sq. It. 16500 00
IZZ701 or greater .A. R. $100-0
FICASH
89:24:32
PAID
1,888.08
+ +* Paid in Full + ++
Kodiak Island Boroug
Kodiak AK 99615
(987) 486 -9324
Pnn Tmmn1n4 dP rmc"—innr'mmnlinn— ennli --inn P-1 nrt
(Page 2 or J)
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
000 `l 7S.t:T880L0
I. Sub(CQ#V a #: 9W011= Plat #: Al d= Bldg Permit #:
It nll 3MOU
2. Driveway Permit (State, Borough, City) by /date: Alk
3. Applicant Certification: 1 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 corner markers in place in the field for
verification of setbacks.
3
Supporting documents attached
Other (List): -,--N OW K--
Title: 6UA6fz
IMAV
5. Fire Marshal (UFC) by /date:
6. Septic System Plan Approved by /date: Ale—
This Dermit is ONLY for the Droaosed Droiect as described by the aDDlicant.
If there are any hanges to the proposed project, including its intended use,
prior to or during its siting, construction, or operation, contact this office
immediately to determine if further review and aDDroval of the revised
roiect is necess
rnn n.,.,..r,,.,,. e,,.r.,r,... o„n „ f a