ALEUTIAN BK 8 LT 21A - Property Cardnor.
ling Address!`�y>•r�!/!5'Q_. :.. — . _ a ° Property Address
V J. I_ rh_ lab tx�i_ i.
•rved Physical Condition
_�
Block
I Exterior
Kind
Kind
Kind
Grade —P
I Interior
Wood —
Concrete _
Bath —
Living Room
Bed Room -
Foundation
DING TYPE AND USE
4. EXTERIOR
6.
INTERIOR (Continued)
log
7. Floors (Continued)
_Single
— Concrete
Block
_Trim
Kind
FINISH
_Double
_Other
# Stories
-Attic Finish
_Basement
_Frome-
Concrete
_�
Block
__Sheathing
— Building Paper
— Insulation
_Stu<w —
— Siding
— Shakes
— Rricktex
Kind
Kind
Kind
Grade —P
—A _G
Wood —
Concrete _
Bath —
Living Room
Bed Room -
Number Number
Floor Rooms Baths
Basement
lst Floor
log
2nd Floor
3rd Floor
R
ar
r
M
-4 �
Z
BUILDING VALUE CALCULATION
Item Unit
No. Area or Quantity I Cost Total
ADDITIONS AND DEDUCTIONS
Total Replacement Cost $
Cost Conversion Factor
Adjusted Replacement Cost $
AND
a. Effective Aga I Notes:
Condition
.Total.Depreciatior
(a +b)
Net Condition
(100 - c)
OBSOL
Overimprovement
Underimprovemen
Other
Net Condition
(100 . (e +f
FINAL NET CON
(dxh)
SUMMARY OF,
VALUE
E
or
Area
Perimeter Scalo'/4" _ Ft.
% . . . . . .
. . KIBS181282
I
R. HEAT
_Log
log
Slab
3rd Floor
_
—Log Siding
Attic
—Stove
9. PLUMBING�i__.......__'_
OUNDATION
`Metal
Tota l #
—Oil Furnace
_Concrete
Thick
PI ood
�
Grade of
—Cant Stoker
_Coot. Black
Floor Plan —P A
—G
—Hot Water
_Water Source
Ceiling Height
—Not air Forced
Sources -
_Woad Posts
_
—Sewer
_Skids
5. ROOF
__Basement
— Radiant
10. ELECTRICAL
u
_Wood Sills
_ lst Floor
—Space Heater Kind
—Wired Grade
—Flat _Gable
Hip
2nd Floor
—T_
-.
Floor Furnace
�h + -�
B.6ereieeii'� ` -a4! :L
_Other d
Qifl
-.i•
— Number of Chimneys. _
ASEMENT
— Shingle
_ -At tic
— Kin • ".- 'r
7r' `
Ar" L.GR6Db v
- Partial -
—S.F.
__Shakes
NUMBER OF FIREPLACES
11. GARAGE �]
Grad. of
_Full
_Composition #
— Shingle
Kitchen _ P ---A _G
— Basement
_Cribbed
— Insulation
Kind
—Osen Builttin
—13t Floor —Type_
_Concrete
—Tar Paper
—Range Built -in
_Outside Entrance
__Metal
Kind
Room Finish
-Rec. Room
Size
— Built -up
—Both
—
9. PLUMBING J
�J
_Living Area
size
—Other
-
Stairway
Grade
12 PORCHES
_Fin. Walls_
Kind
—# Tubs_w /shower
_—Attic
_Attic Unfinished
_Fin. Floor
Kind
Attic Useful
nt
—# Toilets
_Fin. Ceiling
Kind
6. INTERIOR
—# Basins
— Number Dormers
-
_
—Insulation Board
—� Kitchen Sinks
—Shed Type
Size
�RAME
— Plasterboard
—# Shower Stalls —
—Gable
size
..,c,
— Plaster
—# Hot Water Tanks
_Walls
10. YARD IMPROVEMENTS
_Bracin 9
— Masonry
7. FLOORS -
-J
—# Gallons- -Kind
—Roof
..,c,
—Woad Paneling
1st Floor
^.c.
_Floor _o.c.
— Plywood
Bridged
-
- Ceiling
c.c.
— Finished
Post Size
a.,
—
—Other
— Unfinished
Beam Size
o.c.
—# Laundry Trays _
V
_
—Open Stud
end Floor
a.c.
—Total Number
Fixtures
Dther Buildings
Area
Floor
Roof
I Interior I
Heat
I 1`17�bj
Unit Cost
I Adds & Deducts
I Repl. Cost
I Age_L
Condition
I Building Coat
BUILDING VALUE CALCULATION
Item Unit
No. Area or Quantity I Cost Total
ADDITIONS AND DEDUCTIONS
Total Replacement Cost $
Cost Conversion Factor
Adjusted Replacement Cost $
AND
a. Effective Aga I Notes:
Condition
.Total.Depreciatior
(a +b)
Net Condition
(100 - c)
OBSOL
Overimprovement
Underimprovemen
Other
Net Condition
(100 . (e +f
FINAL NET CON
(dxh)
SUMMARY OF,
VALUE
E
or
Area
Perimeter Scalo'/4" _ Ft.
% . . . . . .
. . KIBS181282
I
I
i
1
i
Other Description:
INFLUENCES:
PLUS
MINUS
Depth
Topography.)
Irregular Modification_ lz)•
View
Drainage
Physical Barriers
Access
Corner
0
Water
Sewer L–
,; �7,rf!ll�MRWOM,-
Sidewalk
1111mm
Paving ��. �.
-...c%
Curb & Gutter
Other
TOTAL
vell
Net + ( —)
Basic Land Value
e cy •/ Plus or (Minus) Factors
Net Price of Land '
Remarks: VA 4 N D�,J7�.•.� / /' /G – i �/ �f'•
ai
LAND VALUE
ASSESSED VALUATION
REASON
FOR CHANGE
IN
0
,; �7,rf!ll�MRWOM,-
1"40
1111mm
IN
vell
IN
MEN
MEN
IN
ME
EW-10NIMM,
mm"
"I
EMISSION
♦
♦ • ♦ /I
/I_
a /_ /
mmm,
101112m
T.
REMARKS:
NEW
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PLACE PICTURE HERE
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APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPA TMENT
Telephone: 486 - 8070.486 -8072 Fax: 486 -8071 710 Mill Bay Road, Room 208n �CC,, // ([/1
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.) C _� -CJ`} —07)( "/(OFFICE USE ONLY)
STREET ADDRESS:
5/ 5 / , ,,, r ,z 111161
CLASS AND SCOPE OF WORK:
t
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION
,.
LOT: BLOCK:
iT I
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE
C7- G ' /-G /f�
DATE ISSUED: �f Zo�p�
-
ALTERATION
X
REPAIR
TYPE
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE'
'6j
DEPTH IN GRND
0
W
N
E
R
NAME) ( I
f l /• /�. A��/ �
USE OF BUILDING AUTHORIZED BY
THIS PERMIT.
IZ CL% w•�iS /�
'�JJ ___ LLL
REINFORCEMENT
VALUATION:
-2— %,-?, -'
PLAN HECK FEE: d`
BOLT SPACING
MAILING ADDRESS: 1
/ / U �'! r) �/ L-') u %r %�
CRAWL SPACE HEIGHT INCHES
OCCUPANCYGROUP:
/1/X
TOTAL FEE :
CRAWL SPACE VENT SO. FEET
CITY 8 STATE: r I
l I/
I� 1lr 11 K ) L
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO
TELEPHONE:
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
REQUESTED & COMPLETED
PRIOR TO PROCEEDING WITH
ANY FURTHER WORK:
FOR INSPECTION CALL 486 -8070
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 IVIA
FOUNDATION / SETBACKS
C
NMAILING
T
R
NAME:
SHEATHING TYPE & SIZE:
FLOOR
FURNACE TYPE:
FRAMING
APPROVED
ROUGH ELECTRICAL
ADDRESS:
WOOD HEATER YES NO
TYPE
/i` �'
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
SUBMITTED
FINAL
CITY & STATE:
ROOF
DATE C.O. ISSUED:
A
C
T
01
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. j/
FINAL APPROVAL
TELEPHONE:
FINISH MATERIAL:
ROOF
LOCAL FIREMARS�JH�ALL REVIEW: 4 IENIt :W1
SUBMITTED: APPRbVEDit
STATE LICENSE:
EXTERIOR SIDING
\J ) ' DNG�
ALO^�Z "• -�
OFICI
INTERIOR WALLS
•TV.w
NOTES ,,Tr , 4T 1 -1114'
.at • ;r. fil l
PRINTED IN Kooux, ALASKA 81 FEINT MASTERS OF KODAK
/CI 60
bite' S9 f. m. h0' /