ALEUTIAN BK 6 LT 1 - Property Card9 Address p O BLN, �C, 9 Property Address ° s� I
Fes
i
M
fs n ba PJ'.Q er�i�t Lt. Date Built
- -88 lyasa: ., F
Z
H, 02.3/
l
sd Physical Condition
'Exterior Inferior
Foundation
VG TYPE AND USE ..
�,
a. EXTERIOR u
6. INTERIOR (Continued)
7. Floors (Continued)
W
f
V,
'
,_.___ - -}
ngle
Concrete Black
L/iLsheathing P/_� —Kind
Building Paper
_1's Insalation/YAefei145SKind
—stucco _ r
hiding A sr' Kind
— Shakes
— Brickiex -
—Log slob
—Log Siding
—Metal
— Plywood
SWTiinn ' Kind
Grade !!�P A _G
FINISH
Wood
Concrete .�.r J
Both _ r //-C
Living Room /I
Bed Room
Aq 4;le G►li 6, :Ad Q
ouble
ther
Stories
ttic Finish _`%
ssement _.
ame.
Floor Number Number
Rooms Baths
Basement
1st Floor
S
—3�
oncrete Block
rg
2nd Floor
8. HEAT
3rd Floor
— Stove
X01 Furnace
-- -Coal Stoker
� HHw Water
V tfot air Forced
— Radiant �
—Space Heater Kind
Fjaor Furnace
�t
umber of Chimneys
—Kind
NUMBER OF FIREPLACES
— Basement A OR•( _
2t—At Floor —TYPe—
Attic
a
9. PLUMBING—
r - -Ts 1.
INDATION 1��
Total # '
_
LWoter Sours,
ewer SouSce
oncrete Thick
onc. Block
.nc. Posh
lead
kids
lead Sills
Grade of
Floor Plan _P �F' G
Ceiling Heigh} �—
— Basement rr
�at Floor r
�—
r_ -2nd Floor
___AHic
s
_
5. ROOF �
10. ELECTRICAL'
L Wired V n'O Grade
/
X20 SaNice'�/!
TOTAL GRADE
—Flat ✓Gable _Hip
v
_Other Krnd
— Shingle Jr
— Shakes
Composition # !s355hingle
Y Insulation Kind
—Tar Paper
P
—Metal Kind
— Built -up n,
—Other N1 ni 1/
Y
IEMENT
'-dial _a__ —S.F.
ull
Grade of
Kitchen VP _A _G
__Oven Built -in
—Range Built-in
—Both Room Finish
11. GARAGE
- - - -- �---
:ribbed /n ii
%V .
.oncrete •
)chide Entrance
ec. Room Size
wing Area Size
in. Wells Kind
in. Floor Kind
in. Ceiling Kind
Y/ c;r
n ff
DH6
9. PLUMBING
�• .
---Attic Stairway
Attic Unfinished
Attic Useful %
— Number Dormers
- -Shed T
—Gable size
—
! # Tubs_w /shower
'
#Toilets
Grade
12 PORCHES N,O �
--
b. INTERIOR
r J
Basins
_Insulation Board
— Plasterboard
— Plaster
— Masonry
—Wood Paneling
— Plywood A) I - M YA 1"
--L#
� # Kitchen Sinks _
Shower Stalls_
--L_# Hat Wafer Tanks
—# Gallon, Kind
.ME. 2
_Walls �. �.YV /s�..c.
_Bracin 9
Roof aX fUS -....
f6floor X 3 ,c
Ceiling (04717 CI / C.C.
_Other r
_
7. FLOORS
,
13. YARD IMPROVEMENTS
1st Floor o.c.
Bridged
Post Size 41�o.c.
Beam Size ^.c.
/r•
— Finished
— Unfinished
—Open Stud
—
— # Laundry Trays _
S _ Total Number Fixture
2nd Floor __o.e
ter Buildings
Area
Floor
Roof
Interior
Heat
Plumb
Unit Cost
Adds & Deducts I
Repl. Cost
Age
Condition
Building CDst,
BUILDING VALUE CALCULATION _
OPERATIONS AND PROCEDURES
BUILDING AREA CALCULATION
Square Feet — Ground Area
m
r.
Area or Quantity
Unit
Cost
Total
Performed By
-
Inspection
Date
Floor or Part
Width
Length
Area
CIa55i {ICatlOn
/I•
421/f
?Zr
C-Ayff
6
vv
/
- calculation
-io
•
ayr
7 Zr a'•
Review
_
) ) Sz
DEPRECIATION AND OBSOLESCENCE
DEPRECIATION
Notes:
a. Effective Age
Depreciation �•°%^
ADDITIONS AND
DEDUCTIONS
b. Observed Physical
Condition %
Perimeter Scale f/a" Ft.
c. Total Depreciation
(a +b)
. r
-
._. - -i..-
d. Net Condition
(100 - c) S %
OBSOLESCENCE
e• Overimprovement %
f.Underimprovement %
g. Other %
h. Net Condition
(100 - (e +f }g) "90 %
1. FINAL NET CONDITION
(dxh) %
SUMMARY OF APPRAISED VALUE
Principal Building r
Appraisal /
Other Principal
Buildings Appraisal
'
TBJl8O81 V
lu -
'
.
Accessory Buildings
Appraisal
Total Building
Appraisal r Id
Total
Replacement Cost
$ -l/P 0
Total Land
Apreisai
Cost
Conversion Factor
Adjusted
Replacement
Cost
•
$3%Z_9*01
TOTAL APPRAISED
I VALUE $ r
f
I
Other Description: _ RID ll
INFLUENCES:
PLUS
MINUS
Depth
r r
REASON'
FOR CHANGE
Topography
Irregular Modification"
View
Drainage
Physical Barriers
Access
Corner
Water
I I
Sewer k/
m M10
Sidewalk
Paving• ,• c
Curb & Gutter
Other G
TOTAL
u
Year of Valuation:
or (Minus) Factors
LAND VALUE
r r
REASON'
FOR CHANGE
I I
I II
m M10
�
_
�
C _
if -- n, � c•
l,u
e
�IhJI"767
HMO
1.
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• I
i
u
I
III
Li
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di.
I
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x 1
10
O /
PLACE PICTURE HER E
OP:HEw
LAnO I
BICP.
Tool
FOR CMgNGE
! 86
;vc oTu J u
30 000
43 &0
�3 �
LYN G We
Sa
9'300,
y,8oa
_
aSSao
oc)
8
190
ssoa
53 two
Bsca
_
7� —
4
/)a
25 w
S ooc>
78 Scx�)
no 6 /D,Y g/ _
�k3
Sint
Z -:Z�o
53,0w
sCZ)
_
oob
S5 scc
-
Lc cc
1I 1 I
(el O CO
N C O
_
Iq`tb
" ��
Zb 500
1 000
$`I �Ci
199 1
"
2$SOO
61 000
ff9 goo
`ois
Is
28,500
76,100
900
.2B 60
6m
WO
9q
KIBS180809 --
-f i
1998 SURVEY
PARCEL NUMBER
STREET ADDRESS
HISTORICAL AGE
EA / Bd -Ba / L /A:
PURPOSE OF RVW .
REVIEWER / DATE :
Aleutian Bk 6 Lt 1
R1040060010
517 Willow St
1951 / f89
22 / 3 -1 / 1,152
Assessment Rvw
ML 2/19/98
Single Family Residence
Effective Age: 22 years
Cost as of 9/97
Style:
Exterior Wall:
Floor Area: 1,152 square feet
Quality: Fair /Average
Condition: Average
One Story
Hardboard Sheets
Units
Basic Square Foot Cost......... 1,152
Including 5 Plumbing Fixtures
Composition Shingle........... 1,152
Forced Air .................... 1,152
Floor Cover ................... 1,152
Wood subfloor ................. 1,152
Appliance Allowance........... 1,152
Plumbing Fixture, Rough- In.... 1
Wood Stairway ................. 1
Subtotal Basic Structure Cost.. 1,152
------------------------- ----------------- - - - - --
Cost Total
--------------- - --
59.08 68,060
1.80
3.08
3.04
7.20
2.46
413.00
1117.00
77.99
Extras:
Wood Balcony .................. 432 18.52
----------------------------------------------------------
Replacement Cost New........... 1,152 84.93
---------------------------------------------------- - - - - --
Less Depreciation:
Physical and Functional.......
Depreciated Cost ...............
-------------------------------
Rounded to nearest $100
Cost data by MARSHALL and SWIF1
2,074
3,548
3,502
8,294
2,834
413
1,117
89,842
8,001
97,843
<28.0 %> <27,396>
1,152 61.15 70,447
---------------------- - - - - --
70,400
1997 ASSESSMENT : ALEUTIAN BK 6 LT 1
Parcel Number : R1040060010
Street Address : 517 WILLOW
Historical Age : 1951 / 189
EA / Bd -Ba / L/A : 20 / 4 -1 / 1,152
Reviewer / Date : ML 10/15/96
Single Family Residence
Effective Age: 20 years
Cost as of 6/96
Floor Area: 1,152 square feet
Quality: Fair /Average
Condition: Good
Style: one Story
Exterior Wall: Hardboard Sheets
-------------------------------
Basic Square Foot Cost.........
Including 5 Plumbing Fixtures
Composition Shingle...........
Forced Air ....................
Floor Cover ...................
Wood subfloor .................
Appliance Allowance...........
Plumbing Fixture, Rough- In....
Wood Stairway .................
Subtotal Basic Structure Cost..
-------------------------------
Extras:
Wood Balcony ..................
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
-------------------------------
1,152
56.27
64,823
1,152
1.77
2,039
1,152
2.93
3,375
1,152
3.08
3,548
1,152
6.92
7,972
1,152
2.26
2,604
1
389.00
389
1
998.00
998
1,152
-------------------------------
74.43
85,748
432
18.06
7,802
1,118
-------------------------------
8,920
1,152
-------------------------------
82.18
94,668
<22.5 %>
<21,300>
1,152
-------------------------------
63.69
73,368
73,400
Parcel Number
Property Owner
Address
City, State, ZIP:
Surveyed by
Date of Survey
R1040060010
KIM, S & S
BOX 769
CITY
PSC
9/93
Single Family Residence
Effective Age: 26 years
Cost as of 3/93
#517 WILLOW
Floor Area: 1,152 square feet
Quality: Fair /Average
Condition: Good
Style: one Story
Exterior Wall: Hardboard Sheets
Units
-------------------------------------------------
Basic Square Foot Cost......... 1,152
Including 5 Plumbing Fixtures
Composition Shingle........... 1,152
Forced Air .................... 1,152
Floor Cover ................... 1,152
Wood subfloor ................. 1,152
Appliance Allowance........... 1,152
Plumbing Fixture, Rough- In.... 1
Wood Stairway ................. 1
Subtotal Basic Structure Cost.. 1,152
-------------------------------------------------
Extras:
Wood Balcony ..................
WOODSTOVE .....................
Subtotal ......................
-------------------------------
Replacement Cost New...........
-------------------------------
Less Depreciation:
Physical and Functional.......
Depreciated Cost ...............
-------------------------------
Rounded to nearest $100
Cost data by MARSHALL and SWIFT
NO ENTRY, EXTERIOR REVIEW ONLY.
L
T/1
)01151q& 10� > >ew&I
432
Cost Total
--------------- -
52.64 60,641
1.68
2.78
2.84
6.56
2.15
392.00
953.00
69.82
17.30
--------------- - - - --
1,152 77.33
--------------------
<31.5 %>
1,152 52.97
------ ---- ---- - - - - --
1,935
3,203
3,272
7,557
2,477
392
953
80,430
7,474
1,185
8,659
89,089
<28,063>
61,026
61,000
Parcel Number
Property Owner
Address
City, State, ZIP
Surveyed by
Date of Survey
R1040060010 #517 WILLOW
KIM', JUNG W.
PO BOX 769
KODIAK, AK 9615
MCKEE, S/21/87
REVIEWED: ML 6/1/88
Single Family Residence
Effective Age: 18 years
Cost as of 10/87
Style:
Heating & Cooling:
Exterior Wall:
Roofing:
Floor Structure:
Floor Cover:
Plumbing:
Appliances:
Other Features:
Floor Area: 1,152 square feet
Quality: Fair
Condition: Badly Worn /Average
One Story
Forced Air
Plywood
Composition Shingle
Wood Subfloor
Standard Allowance
Standard Allowance
Standard Allowance
Single Fireplace
Wood Stairway
Units Cost Total
---------------------------------------------------------------------
Basic Structure Cost........... 1,152 53.91 62.106
Extras
Wood Deck ..................... 432 9.73 4,203
---------------------------------------------------------------------
Replacement Cost New........... 1,152 57.56 66,309
Less Depreciation:
Physical Depreciation......... <20.0%) <13,261>
Depreciated Cost ............... 1,152 46.05 53,048
----------------------------------------------------------------------
Rounded to nearest $100 53,000
Cost data by MARSHALL and SWIFT
BUILDING PERMIT #86066 NO ACTIVITY YET
PRMT #88037- WOD- ADD VALUE FOR '89 YEAR 1
SAVE #113 /3 9d f Uf% /U °L A Z -g9
88 uAlue ... See
sex
KTBS1808I4
Parcel Number
Legal Description:
Property Owner
Address
City, State, ZIP ;
Inspected by /date:
Land Value
R 1 i 140060010
LOT I BK 6 ADDITION
JUNG W. KIM
P.O. BOX 769
KODIAK, AK 99615
MCKEE 5 -21 -87
Single Family Residence
Effective Age: 18 years
Cost as of 1/87
Style:
Exterior Wall:
Other Features:
ALEUTIAN SUB
Floor Area: 1,152 square feet
Quality: Fair
Condition: Badly Worn /Average
One Story
Plywood
Single Fireplace
Units Cost Total
Basic Square Foot Cost.........
1,152
39.62
45,639
Including 6 Plumbing Fixtures
Composition Shi.ngle...........
1,152
1.32
1,521
Forced Air ....................
1,1`;2
2.05
2,362
Floor Cover ...................
1,152
1.89
2,177
Wood subfloor .................
1,152
5.26
6,060
Appliance Allowance...........
1,152
1.34
1,543
Plumbing Fixture, Rough-In ....
1
313.38
313
Fireplace Single ..............
1
2030.94
2,031
Subtotal Basic Structure Cost..
1,152
53.51
61,645
----------------------------------------------------------------------
Less Depreciation:
Physical Depreciation.........
<20.0%)
(12,329)
Depreciated Cost ...............
1,152
42.81
49,316
Rounded to nearest- $=
Cost data by MARSHALL and SWIFT
BUILDING PERMIT #86066 NO ACTIVITY YET
PROFILE #113
KIBS180815
49,300
GI
1
Parcel Number
.GI
2
Property Owner
GI
3
Address
GI
4
City, State, ZIP
GI
5
Surveyed by
GI
6
Date of Survey
CO 1
MARSHALL AND SWIFT RESIDENTIAL ESTIMATOR
FOR ASSESSORS
LLB —d-
Type
CO 2 99 (°tS' Zip Code
Z
1 Single Family
2 Low -rise Multiple
CO
3
L
Quality 1
Low
Number of Units (Low -rise Multiples only)
Heating:
2
Fair
CO
4
Forced Air
Finished Floor
Area
CO
5
4,f
Effective Age
7 Baseboard, Electric
CO
6
Z 3
Condition 1
Worn out
8 Baseboard, Hot Water
Cooling only:
CPT
2
Badly Worn
CO
7
�
Style
5
1 One -Story 5 1 -1/2 Story Finished
2 Two -Story 6 1 -1/2 Story Unfinished
3 Three -Story 7 2 -1/2 Story Finished
4 Split -Level 8 2-1/2 Story Unfinished
3 Town House, End Unit 5 Duplex
4 Town House, Inside Unit.
3 Average 5 Very Good
4 Good 6 Excellent
3 Average 5 Very Good
4 Good 6 Excellent
9 3-1/2 Story Finished
10 3 -1/2 Story Unfinished
11 Bi -Level
CO 8
3 Wood Shingle 6 Clay Tile
L
Heating and Cooling
C011
Number of Units (Low -rise Multiples only)
Heating:
Heating & Cooling:
1
Forced Air
6 Ceiling, Radiant, Electric
11
Warmed and Cooled Air
-
2
Gravity Furnace
7 Baseboard, Electric
12
Heat Pump System
SIT
3
Floor Furnace
8 Baseboard, Hot Water
Cooling only:
CPT
4
Wall Furnace
9 Radiators, Hot Water
13
Evaporative with Ducts
Number of Double Fireplaces
5
Floor, Radiant, Hot Water 10 Radiators, Steam
14
Refrigerated with Ducts
CO 9
1
Exterior Wall
Wood Frame:
Masonry:
1
Plywood
4 Siding 7
Common Brick
10 Concrete Block
2
Hardboard Sheets
5 Shingle 8
Face Brick
3
Stucco
r
6 Masonry Veneer 1 9
Stone
C010
Roofing _
1
Composition Shingle 4 Wood Shake 7
Galvanized Metal
10 Plastic Tile
2
Built -up Rock
5 Concrete Tile 8
Slate
'
Rau i n-r1
(LL-T- 2.
ADDITIONS AND REMARKS
GENERAL
Land
Site Improvements
ZV Physical Deprec.
Functional Deprec.
Locational Deprec.
Description Cost Options
AD1 $
AD2 $
AD3 9 KI13S 180813
RE1 Br 1 'i l Ck" N a 1-'c� ✓v. t 'cp' G. in
RE2
SAVE _PP n�' lE d I13
FORM A- 2200.0 - Printed in U.S.A.
3 Wood Shingle 6 Clay Tile
9 Composition Roll
C011
Number of Units (Low -rise Multiples only)
MISCELLANEOUS ITEMS
GARAGE & BASEMENT
BUILDING
GAT
S.F. Attached Garage OSP
SY Open Slab Porch -
LAN
GDT
S.F. Detached Garage SLA
S.F. or % Slab on Ground
SIT
GBU
S.F. Built -in Garage PLA
S.F. or % Plaster Interior
PHY
CPT
S.F. Carport SFP
1
1.. Number of Single Fireplaces
FUN
TBA
S.F. Total Bsmt. Area DFP
Number of Double Fireplaces
LOC
BAF
S.F. Bsmt. Finish •aketa
Rau i n-r1
(LL-T- 2.
ADDITIONS AND REMARKS
GENERAL
Land
Site Improvements
ZV Physical Deprec.
Functional Deprec.
Locational Deprec.
Description Cost Options
AD1 $
AD2 $
AD3 9 KI13S 180813
RE1 Br 1 'i l Ck" N a 1-'c� ✓v. t 'cp' G. in
RE2
SAVE _PP n�' lE d I13
FORM A- 2200.0 - Printed in U.S.A.
KIBS100AS12
01985 — Copies of this form may be purchased from MARSHALL and SWIFT,
FORM A- 2200.0 1617 Beverly Blvd. P.O. Box 26307, Los Angeles, California 90026 -0307 for $3.00 per pad of 50. California subscribers add sales tas.
AVAILABLE MISCELLANEOUS ITEMS
Balconies
Plumbing
CBA
Cement Balcony (square feet)
FIX
Plumbing Futures lnumber)
WBA
Wood Balcony (square feet)
FUS
Full Baths (number)
Basement
HAB
Half Baths (number)
TBA
Total Basement Area (square feet)
RIN
Rough -ins (number)
BAF
Basement Finish (square feet)
BGF
Basement Garage Finish (square feet)
OUT
Outside Entrance Below Grade (number)
Porches
Depreciation
EPO
Enclosed Porch (square feet)
OSP
Open Slab Porch (square feet)
FUN
Functional Depreciation (% or dollar amount)
OPS
, Open Slab Porch with Steps (square feet)
LOC
Locationel Depreciation l% or dollar amount)
RPO
Rooted Porch (square feet)
P H V
Physical Depreciation I% or dollar amount)
RPS
Roofed Porch with Steps (square feet)
Fireplaces
SFP
Single Fireplace (number)
S1F
Single One -story Fireplaces (number)
Stairways
S2F
Single Tiro -story Fireplaces (number)
CST
Cement Stairway (number of flights)
DFP
Double Fireplace (number)
SST
Steel Stairway (number of flights)
D1 F
Double One -story Fireplaces (number)
WST
Wood Stairway (number of flights)
132F
Double Two -story Fireplaces (number)
Floor Covering
FLO
Floor Cover Allowance (dollar amount)
Miscellaneous
CAR
Carpeting (square feet or% of total floor area)
APP
Appliance Allowance (dollar amount)
HAR
Hardwood Flooring (square feet or %of total floor area)
ARC
Architect's Fees (percentage)
RES
Resilient Floor Cover (square feet or %of total floor area)
BAC
Single Line Backdated Cost Date
Garage
CLI
User - supplied Climate Adjustmem
GAT
Attached Garage (square fee)
LAN
Land Value (dollar amoum)
GBU
Built-in Garage (square feet)
MILL
User - supplied Local Multiplier
CPT
Carport (square feet)
ROU
Rounding Value
GOT
Detached Garage (square feet)
PLA
Plaster Interior (square feet or %of total floor area)
GCW
Garage Common Wall (linear feet - use with GAT only)
SIT
Site Improvements (dollar amount)
SUB
Subterranean Garage (square feet - low -rise multiples only)
SLA
Slab on Ground (square feet or %of total floor area)
KIBS100AS12
01985 — Copies of this form may be purchased from MARSHALL and SWIFT,
FORM A- 2200.0 1617 Beverly Blvd. P.O. Box 26307, Los Angeles, California 90026 -0307 for $3.00 per pad of 50. California subscribers add sales tas.
111 %iJ J 1 1:i111V111 (Page1or3)
Permit # of Z-�]
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
Mailing �
2. Legal De
Street Ad
3. Description of proposed action:
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 Requirement's 0
STAFF COMPLIANCE REVIEW Parcel No. R,1_70 7010
Current Zoning: 2 2 Required Lot Area:,.) gw'6
Required Setbacks: Front: 0" Side: S` r Rear in a Building Height:
5. Number & size of parking spaces required:
6. Off-street loading requirements:
Plat/subdivision related requirements (e.g. plat notes, easements,
etc.) Y- a ._....
)division conditions, drainage plan review,
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.
ACMP Policies: Res. U- us. O Ind. O Other O Consistent with KIB CMP: Yes& -IToO Attachment: YesO NoO
Zoning Co a Permit Fee Construction sal DeposiC
Payab Cashier fnee Payabi Casbier e
Room 0 104 Roam 0 100
Fee chcdule: Fee Schedule: p
(per KB Asseml y &solution (per KIR Assembly Resolution SEP 1 8 2U
Eft. Jtdy 22wff EtF..l my 1, 2005)
L4 then 1.75 at&s;� m 11.11
Z P 1
Ulhte ..0.00 ores
$'10.00
> 441p&es or more $120.0
T
rnn r e,...n.,u....
Less than 250 sq. fl.
251 to 500 sq. ft.
01 or greater sq. ft
4 (Page 2 e(3)
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
Mab:IUIri.Wrrnoe
1. Subd. Case #: Plat #: 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 ag o have identifiable comer markers in place in the field for
verification of setbacks.
By: Title: K' iZ
Date:
L!
Supporting documents attached (check one): Site Plan: ❑ As -Built Survey: ❑
Other (List):
min •.
5. Fire Marshal (1
Department
6. Septic System Plan Approved
prior to or during its siting, t
immediately to determine if
project is necessary.
rnn T.mnl„pcJrn. nninu rmmnl;nn�o<nn Nrn,inn
review
Nn l of 1
0
Pon
°q /g1(.
ailing'
rvv," V.
Property Address
C
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wmits - - Date Built 1q:T.1
t
lExterior -
served Physical Condition l
- I
Interior F
Foundation
IILDING TYPE AND USE •
EXTERIOR ; ay' . � 6
6. INTERIOR (Continued) 7
7. Floors •
-
, ;(
�ingle C
Concrete • Block ✓
✓' -Trim Icnd F
FINISH " - ' ^`'•,r`:; ,
-Double " n' :
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FNumber Number
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5. •XEA •
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Total # > •
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hT�'.'S.KE'4 '
9. PLUMBING (Continued) ,
FOUNDATION -tat M
- ,. /
:!--Concrete . Cl.S —Thick —
Grade of i (. 4! .
` }
S. -ROOF r's�. —
K R l k�
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. I1SF A RAI I PniNT PEN AND PRESS FIRMI Y I (OFFICE USE ONLY)
STREET ADDRESS
5I' I 1
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
G/S—zem _ 3r
LOT BLOCK:
NEW
I
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
G z.. - - 2- cc -7
DATE ISSUED:
ALTERATION
REPAIR
TYPE
SUB D VISION / SURVEY:
4 q LA+16(P1
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
3K 6,T"
BUILDING E:
PERMIT "FE
(1-3 -p
DEPTH IN GRND
O
W
ECITY
R
NAME
<,A,..,, rl. i Y11'\
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
A t� v' 6C �
REINFORCEMENT
VALUATION,
4 /
PLAN CHECK FEE:
BOLT SPACING
MAILING !j DR SS'
A III
CRAWL SPACE HEIGHT INCHES
OCCUPANCYGROUP�
TOTAL FEE:
CRAWL SPACE VENT SQ. FEET
& STATE:
Vwk 4k
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
T LEPHO� )E:
—/Q 5S
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
Q
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
/q
1/ /)
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
& STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
TELEPHONE:
FOUNDATION
BEARING WALLS
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
SUBMITTED
FOUNDATION / SETBACKS
C
NN
T
RA
ME:!
�i ( t
I uY
SHEATHING TYPE & SIZE:
FLOOR
FURNACE TYPE:
FRAMING
APPROVED
ROUGH ELECTRICAL
MAILING DDRE�S-S§,,� /
V '`��.�
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
SUBMITTED
FINAL
CITY &,STAATE �{�
ROOF
DA YE,C/O ISSUED:
Q
T
O
R
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' CONSTRU TION
APPLICANT /
FINAL APPROVAL ": ":, �;�;,IM
la:yi {:y'{
T LE JP ONE:
Cl �— `ter (/[/
FINISH MATERIAL:
ROOF
LOCAL FIREMARSFIAL REVIEW,y dldg VBY'Ot
SUBMITTED: APPROVED:
STATE LICENSE:
J'�
gD70
EXTERIOR SIDING
AP.P_ROVED - BUI •DING OFFICIAl —,
INTERIOR WALLS
NOTES: _ -� F•e:i- In Full
ulaox you