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ALEUTIAN BK 9 LT 21 & 22 - Property Card.� �I^ wiy� .;lrag 1�Cvsrej:o�1 Cr/e F Szwnerr, • Mailing Address A ��la!� Property Address ;iad� Nem/mek S-4, � 1J'4,Ak 4K g•�6 /Y 3y F � r c �r 'ermiTS *11z � r R oa Dale Built I C•f TJ 0 1/w /0 (/a/75 /AY) IilJ/! �91�111�X7��SStn RFBW2£1)Rn�AC��A��Ftk�ADDiFI[�l � z Q :/ 59y BP06 -102 6/22/06 RALT 2000. Observed Physical Condition Exterior Inferior Foundation P BUILDING TYPE AND USE 4. EXTERIOR F—i7- 6. INTERIOR (Continued) 7. Floors (Continued) tSDI/mgle — Double TOther / # Stories �ific finish - % N9 Basement _ _` Frame. — Concrete Block __Log _ Concrete Block MkSheath.ng D/J Kind —Building Pr(oper tt Insulation7-i6<r'A /arSSKind ! —Stucco r! Siding fin' Rind — Shakes — Bricktex —Lo9 Slab —Log Si ding —Metal — Plywood - !WTrhn n Kind Grade s —✓ a _G FINISH Wood Concrete Bath - Living Raom 1 Bed Room A /'r // A�.- Cf% ?/t.WAel - 7 ,__- .....�,_ — Number Rooms Number Baths --• L/ - j�% k2ndFloor r 8. HEAT —Stowe LOil Furnace — —Coal Stoker � We —Hot air Forced —Radiant —Space Heater Kind —Floor Furnace Number of Chimneys —Kind ' ' ` NUMBER OF FIREPLACES — Basement /1011 � _1st Floor _Type_ 9. PLUMBING' 1. FOUNDATION ® y Pr L -Wafer Source : �! ewer Source •( -rT :-- Concrete Airdne Thick IF Conc. Black Wod Posts —Skids —Wood Sills _ Grade o4 %��� Floor Plan —P � ! G Ceiling Height `/ — easem °nt rr ✓ 1st Floor ��� —2nd Floor - -_ _Affil _ 5. ROOF 10. ELECT RICAI .0 f /Wired �Sr "L7a G r— J-'-SO Service 'T- —Flat ��Oabla� —Hip -Other rind — Shingle — Shakes q � `Compoai} ion #-M Shingle a Kind —Tar Paper —Metal Kind — guilt -up 3 _Other A /Y ! 2. BASEMENT sTOV - -'L GRA'D6f — Partial -_x_ —S.F. _Fall —Cribbed — Cencrefa _Outside Entrance —Rec. Room Size — Living Area Size —Fin. Walls rind —Fin. floor Kind _Fin. Ceiling Kind _ Grade of _A Kitcen _0 —Own Built -in —Range Built -in —Both Room Finish 11. GARAGE : C V(/tQ 9. PLUMBING _ __Attic Stairway —Attic Unfinished —Attic Useful — Number Dormers hed T Size YPe —Gable Size L # Tubs_w /shower I-# Toilets Grade ko 12 PORCHES P Non F 6. INTERIOR J—# Basin / # Kitchen Sinks —# Shower Stalls_ �# Hot Water Tanks —# Gallons —Kind -- P — Insulation Board — Plasterboard — Plaster Masonry - —Wood Paneling / ✓Plywood A /MIN A°!L — Finished — Unfinished —Open Stud — 3. FRAME l�Walls -7xy -/ G n.c. —Bracing n �- `Roof 2Y4 -/P/I S „•a- f�Floor X3 a,c. /Ceiling "Dff/!re o.c. P ��,, - 7. FLOORS - u 13. YARD IMPROVEMENTS Ist Floor o.c. Bridged ' Post Size �I ky Beam Size _o.c 2nd Floor O.C. __ n/ Am 41 — - -Other —# laundry Trays _ : Total Number Fixtures Other Buildings Area Floor Roof Inferior Heat Plumb Unif Cost Adds & Deducts Repl. Cost Age Condition Buildiirg, Ca BUILDING VALUE CALCULATION OPERATIONS AND PROCEDURES BUILDING AREA CALCULATION Item No. Area or Quantity Unif Cosf Total Performed By Date Square Feet - Ground Area inspection Floor or Part Width Length Area Classification A OP IV, Calculation / • Review DEPRECIATION AND OBSOLESCENCE DEPRECIATION Nofas: a. Effective Age Depreciation 0 °� ADDITIONS AND DEDUCTIONS b. Observed Physical Condition % _ Perimeter /,Z Scale 1/4'•- c. Total Depreciation % (a 4 b) , r , , , •- 0181438 - • pp��D s , • , d. Net Condition p (100 - c) - OBSOLESCENCE e. Overimprovement % I. Underimprevement % e. Other % h. Net Condition (100 - (e4 f +g) I. FINAL NET CONDITION (dxh) % SUMMARY OF APPRAISED VALUE — Principal Building Appraisal Other Principal Buildings Appraisal Accessory Buildings Appraisal Total Building Appraisal :7- Ly Total Replacement Cost Cost Conversion Factor s 2� ��/ �•�� Total Land Apraisal Adjusted Replacement Cost s r . 3OG AG TOTAL APPRAISED I VALUE $ ■r. r 1 Other z7 Size: %7796 <k,,glr /v/.7y k,•/a 9•',/C Area: /p � fry � Use Zone: 'R Valuation Code: Land Use: 'S Unit Price: As INFLUENCES: PLUS .MINUS Depth Land Bldgs. Topography %6Y �cuic �yo�its /h c Irregular Modification 7 1co 7 1 eo View 1.4425 Aleij�j�n es .S Drainage 5. Q' Physical Barriers Access aaa Corner Water L Sewer L Sidewalk Paving Curb & Gutter LO(, - 1Q Other -1 TOTAL 3oa Lzjo& Net + ( —) Basic Land Value g(D'CUDI Plus or (Minus) Factors4},Lf5W. Net Price of Land 'J,y "SrlJ LAND VALUE YEAR OWNER ASSESSED VALUATION REASON FOR CHANGE Land Bldgs. Total %6Y �cuic �yo�its /h c 7 1co 7 1 eo 1.4425 Aleij�j�n es .S 5. Q' 34S aaa - oo 3oa Lzjo& Pao ee; z� /� >b d� k. .. ©0 g ,00 �aa /d IVRM 1A24 A19 4 245VO 34T R9s I' I 0o 3 o a6,fq D d 'C3 I n ,NLuu9s� /G9Y qR3 0"'p 6174 4411a, 'dOO y - , G2s� m� REMARKS: PICTURE: PICTURE: Via/ r 4,0 AvS PLACE PICTURE HERE " 09353 -00 Wrz O9d li�lPOaS�Ti P la/ /ice /a Ps d t',.?(o-7 ` ! %)D ,&tca, mac -1k .P C0 A /aIc"iNat L T2j NT• I 27 171.,$ — RICA Svc,. �n�,, KIBS181433_ _J • 41P 4op j ZONING COMPLIANCE PERMIT(P.aelarJ) ~ Permit Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205Z Kodiak, AK 99615 PH(907)486 -9362 Fax(907)486 -9396 laWWwww.kib.co kodiak.aKtls Required AgDlicant Information: I Prnnerts, Owner /Annllrant, - MGI'�JY10.2 /i LCGt/2 -7P- .Y Mailing Address: 6LU rt't� 1'.,t Phone: ibZ 2. Legal Description: Gr 14 Z /• Z 2 /Q LK .`/ /� %�I�, vV has.. or Street Address: 3. Desc ip/tlon of proposed actinop: _ �y ii ' 01 - u� st .�e•4 d / L. a cr r e / �Pi✓ U.ils d�c.... 'i� -- cam-- ,L�Ai� 4. Site Plan (page 3 of 3 of this application): to include: Lot boundaries & existing easements, proposed location ojall 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 9 Parking Requirement Solid Waste Removal Requirements qI STAFF COMPLIANCE REVIEW Current Zoning: Required Setbacks: Front: 25-r Required Lot Parcel Building 5. Number & size of parking spaces required: 9'X1 ' 6. Off-street loading requirements: I(/ Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review, etc.) 141AL Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc. AIA9 RCMP Policies: Res. P Bus. O Ind, O Other O Consistent with KID CMP: Ycs)CNop Attachment YesO NpIS zgal.a Compll.ua Permit Fee F.,.ble Is (Za.bier's Omee Roam a IN F'ee Sahm.ly tper KID Asambly aesolullou F.R. July 1, 20N) 3 I!9j: CoeWOoluumspos.t Deposit P.y.ble Ia c ahke, On. Room a IN Fee 80M.le: (per KID Assembly Rmduaun En July 1, 20H I.eu Ih.o 2.a0 sq, tL SI0U.00 25o f IC- -SSWU� SUI or Rre.ler sy. D. rID110.0a "23 . (Poe r or J) THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED L Solid. Case N: Al*— Plat #: /tf ji�— ldg Permit #:�JLt�__ 2. Driveway Permit (State, Borough, City) by /date: AM- 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 w the property owner, or as a representative of the property owner. I agree to have identifiable comer markers in place in the field for verification of setbacks. Byw Mer -11414 Title: 0 w.1,E2 Date: C /�3I c Supporting documents attached (check one): Site Plan: 90 r As -Built Survey: ❑ Other (List): a. Community Development Department 5. Fire Marshal (UFC) 6. Septic System Plan Approved by /date: A19— This Dermit is ONLY for the proposed project 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 immediately to determine if further review and approval of the revised rolect is necessa 4i d' ,n 96 "emM4 pRIVE ,. �i •4�=r L1 G$i�2oa(e� li - '161D C-HC%f CqwD �ew- /B AE70R(JARf� l.9B6. eC _ 81111 T SIIRVFY 427 P /2Z. BLOGK H ,'WC end ihn r6e Lnp.wemaeu dre.a.d.Ae..a end /o eer wn6p v e..rmec6 r rhr p r6u w ierpe.reeen r pap.q I,i., r4 pevire in gvnio. aed du dm.. doe Grrer v odx �sLle eam� s aad Mrwe, y_ 1997 ASSESSMENT : ALEUTIAN BK 9 LT 21 Parcel Number : R1040090210 Street Address : 620 HEMLOCK Historical Age : 1950 / 187 EA / Bd -Ba / L/A : 10 / 2 -1.5 / 988 Reviewer / Date : ML 10/15/96 Single Family Residence Effective Age: 10 years Cost as of 6/96 Style: One Story Exterior Wall: Siding ------------------------------- Basic Square Foot Cost......... Including 7 Plumbing Fixtures Composition Shingle....... :- Forced Air .................... FloorCover ................... Wood subfloor ................. Appliance Allowance........... Plumbing Fixture, Rough- In.... Subtotal Basic Structure Cost.. ------------------------------- Garage: Detached Garage ............... ------------------------------- Extras: PICKET FENCE .................. ------------------------------- Replacement Cost New........... Less Depreciation: Physical and Functional....... Depreciated Cost ............... ------------------------------- Rounded to nearest $100 Cost data by MARSHALL and SWIFT Floor Area: 988 square feet Quality: Average Condition: Average Units 988 988 988 988 988 988 1 988 560 Cost 63.80 1.93 3.09 3.73 7.47 3.23 416.00 83.67 350 8.20 -------- - - - - -- 988 101.80 Total 63,034 1,907 3,053 3,685 7,380 3,191 416 82,666 15,042 2,870 100,578 <9.0%> <9,052> 988 92.64 91,526 --------------- - -- 91,500 1992 SURVEY Parcel Number Street Address Historical Age No. Bdrms /Ba(s) . Property Owner Address City, State, ZIP: Reviewer /Date R1040090220 7 #620 HEMLOCK 1950 / '87 "2 / 1.5 EDWARDS & ADAMS #620 HEMLOCK KODIAK, AK 99615 ML 7/13/92 Single Family Residence Effective Age: 5 years Cost as of 9/91 Style: One Story Exterior Wall: Siding Basic Square Foot Cost......... Including 7 Plumbing Fixtures Composition Shingle........... Forced Air .................... Floor Cover ................... Wood subfloor ................. Appliance Allowance........... Plumbing Fixture, Rough- In.... Subtotal Basic Structure Cost.. Garage: Detached Garage ............... Extras: PICKET FENCE .................. Floor Area: 988 square feet Ouality: Average Condition: Good 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. ;34 io Units Cost Total --------------------- 988 58.02 - - - - -- 57,324 988 1.68 1,660 988 2.84 2,806 988 3.40 3.359 988 6.76 61679 968 3.05 3,013 1 396. 0O 396 988 76.0 75,237 560 24.49 13,714 350 ----------------- 6.69 ---- 3, 042 - - - - -- 988 93.11 91,993 (3.6%) (3, 312) 988 89.76 00,681 - - - --- 88, 700 KIBS181434 v go Parcel Number Street Address. , : Historical Age Proger^t y . Owner Address - City, State, ZIP: Reviewer /Date Ri049090220 #620 HEMLOCK 1968 . EDWARDS & ADAMS' PO EX 2528 KODI'AK, AK 996,15 ML 19/18/90 Single Family.Residence Effective Age: 3 years Cost as of 6/90 - Style: One Story Exterior Wall: Siding Floor Area: 988 sauare feet Quality: Average Condition: Good Rounded to nearest $100 84,900 Cost data by MARSHALL and SWIFT NO ENTRY, EXTERIOR REVIEW ONLY, PRMT #89124 FOR.,ACC ASSUME READY FOR LIEN DATE;' SAVE #42:3 If �KIBS181437 Units Cost Total --------------------------------------- Basic: Square-Foot Cost.......... -------------- 988 7 ---------------- 53.01 52,374 Including 8 Plumbing Fixtures Composition Shingle.........:. 988 1.46 1,442 Forced Air...... .........,. 988 2.53 2,500 Floor Cover. ........:.......... 988 3.19 3,063 Wood subfloor .................. 988 6.53 6,452 Appliance Allowance........... 988 2.90 2,865 Subtotal' Basic Structure Cast..: 988 69.53 68,696 Garage: Detached Garage..........,..... 560 24.17 13,535 Extras: WOOD STOVE(S) ......... :........ 2 1179.00 2,340 PICKET FENCE (EST @350 1 /f) 350 5.50 1,925 Subtotal ...................... 4,2:65 ---------------------------------------------------------------------- Replacement Cost New ........... 988 87.55 - 86,496 Less Depreciation: Physical and Functional....... (1.8 %) (1,557) Depreciated Cost .......:....... " 988 85.97 84,939 Rounded to nearest $100 84,900 Cost data by MARSHALL and SWIFT NO ENTRY, EXTERIOR REVIEW ONLY, PRMT #89124 FOR.,ACC ASSUME READY FOR LIEN DATE;' SAVE #42:3 If �KIBS181437 GI 1 Parcel Number GI 2' Property Owner GI 3 Address GI, 4 City, State, ZIP GI 5 Surveyed by GJ 6 Date of Survey MARSHALL AND SWIFT RESIDENTIAL ESTIMATOR FOR ASSESSORS KOD /A A 99(0/5 CO 1 --L Type 1 Single Family CO 2 � �6 /S Zip Code 2 Low -rise Multiple CO 3 %3 Quality 1 Low 2 Fair CO 4 988 Finished Floor Area CO 5 Effective Age CO 6 3 Condition 1 worn Out 2 Badly Worn CO 7 Style 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 MISCELLANEOUS ITEMS 1 One -Story 5 1.1/2 Story Finished 9 3 -1/2 Story Finished 2 Two -Story 6 1 -1/2 Story Unfinished 10 3 -1/2 Story Unfinished 21IJ — 3 Three -Story 7 2-1/2 Story Finished 11 Bi -Level SIT 4 Split -Level 8 2 -1/2 Story Unfinished SF Built -in Garage PLA CO 8 PHY Z Heating and Cooling CPT SF Carport (flat roof) SFP Heating: FUN Heating & Cooling: Functional Deprec. 1 Forced Air 6 Ceiling, Radiant, Electric 11 Warmed and Cooled Air AV /00 2 Gravity Furnace 7 Baseboard, Electric 12 Heat Pump System 3 Floor Furnace 8 Baseboard, Hot Water Cooling only: 4 Wall Furnace 9 Radiators, Hot Water 13 Evaporative with Ducts 5 Floor, Radiant, Hot Water 10 Radiators, Steam 14 Refrigerated with Ducts CO 9 Exterior Wall Wood Frame: Masonry: 1 Plywood 4 Sidings eA/ Ak 7 Common Brick 10 Concrete Block 2 Hardboard Sheets 5 Shingle 8 Face Brick 3 Stucco 6 Masonry Veneer 9 Stone C010 7 Roofing 1 Composition Shingle 4 Wood Shake 7 Galvanized Metal 10 Plastic Tile 2 Built -up Rock 5 Concrete Tile 8 Slate 3 Wood Shingle 6 Clay Tile 9 Composition Roll C011 Number of Units (Low -rise Multiples only) MISCELLANEOUS ITEMS ADDITIONS AND REMARKS D/eIs-�criptiyyn Cost Options AD7 C[C� FeirE. $ AD2 (204d55011ES $ d Q 75d -�! 1- AD3 $ AD4 LL $ RE1 l2eWeLtPCQ �d9F/O: ✓esni ' i/ i= �ln %�'1' pLy /° iwo "ryoQ�5Tbr1�i RE2 SAVE 'A06aRna KIBS181436 FORM A- 2200.2 Printed in U.S.A. GARAGE & BASEMENT BUILDING GENERAL GAT SF Attached Garage OSP 6216 =302 0 SF Open Slab Porch LAN 21IJ — Land GDT SF Detached Garage SLA SF or % Slab on Ground SIT Site Improvements GBU SF Built -in Garage PLA SF or % Plaster Interior PHY Physical Deprec. CPT SF Carport (flat roof) SFP Number of Single Fireplaces FUN CL/ ' a Functional Deprec. TBA SF Total Bsmt. Area DFP Number of Double Fireplaces LOC AV /00 Locational Deprec. BMF SF Bsmt. Min. Finish BPF SF Berm. Prtn. Finish ❑ See back for additional miscellaneous items ADDITIONS AND REMARKS D/eIs-�criptiyyn Cost Options AD7 C[C� FeirE. $ AD2 (204d55011ES $ d Q 75d -�! 1- AD3 $ AD4 LL $ RE1 l2eWeLtPCQ �d9F/O: ✓esni ' i/ i= �ln %�'1' pLy /° iwo "ryoQ�5Tbr1�i RE2 SAVE 'A06aRna KIBS181436 FORM A- 2200.2 Printed in U.S.A. ADDITIONAL MISCELLANEOUS ITEMS © 1986 — Copies of this form may be purchased from MARSHALL and SWIFT FORM A- 2200.2 1617 Beverly Blvd., P.O. Box 26307, Los Angeles, California 90026 -0307 Balconies CBA Cement Balcony (square feet) WBA Wood Balcony (square feet) HAB Basement BGF Basement Garage Finished Area (square feet) OUT Outside Entrance Below Grade (number) OPS Fireplaces S1F Single One- story Fireplaces (number) S2F Single Two- story Fireplaces (number) S31F Single Three -story Fireplaces (number) D1F Double One- story Fireplaces (number) D2F Double Two- story Fireplaces (number) 133F Double Three -story Fireplaces (number) T31F Triple Three -story Fireplaces (number) CST Floor Covering FLO Floor Cover Allowance (dollar amount) CAR Carpeting (square feet or %of floor area) CER Ceramic Tile (square feet or %of floor area) HAR Hardwood Flooring (square feet or % of floor area) PAR Parquet (square feet or %of floor area) QUA Quarry Tile (square feet or %of floor area) RES Resilient Floor Cover (square feet or %of floor area) TER Terrazzo (square feet or %of floor area) Garage CPG Carport, Gable Roof (square feet) SUB Subterranean Garage (square feet - low -rise multiples only) © 1986 — Copies of this form may be purchased from MARSHALL and SWIFT FORM A- 2200.2 1617 Beverly Blvd., P.O. Box 26307, Los Angeles, California 90026 -0307 Plumbing FIX Plumbing Fixtures (number) FUB Full Baths (number) HAB Half Baths (number) RIN Rough- ins(number) ENE Porches OPS Open Slab Porch with Steps (square feet) RPO Slab Porch with Roof (square feet) RPS Slab Porch with Roof and Steps (square feet) , WOD Wood Deck (square feet) SPO Enclosed Slab Porch - Screened (square feet) KWP Enclosed Wood Porch - Knee Wall w/ Panels (square feet) SWP Enclosed Wood Porch - Solid Wall (square feet) Stairways (Exterior) CST Cement Stairway (number of flights) SST Steel Stairway (number of flights) WST Wood Stairway (number of flights) © 1986 — Copies of this form may be purchased from MARSHALL and SWIFT FORM A- 2200.2 1617 Beverly Blvd., P.O. Box 26307, Los Angeles, California 90026 -0307 Miscellaneous APP Appliance Allowance (dollar amount) ARC Architects Fees (percentage) BAC Single Line Backdated Cost Date CLI Climate Adjustment (both ENE and FOU) ENE Energy Adjustment (1 -3) FOU Foundation Adjustment (1 -3) MUL User - supplied Local Multiplier ROU Rm a,F.0 V,91::c © 1986 — Copies of this form may be purchased from MARSHALL and SWIFT FORM A- 2200.2 1617 Beverly Blvd., P.O. Box 26307, Los Angeles, California 90026 -0307 MAIMEMO BIN NMI KRONOR 0 ■ ■ ■ ■ ■E ■ ■ ■� ■ ■ ■� ■ ■ ■ ■■ = q■ MAINE 'W■ � n■�■ ■■■ ■■■E"'j■■■■■■� ■ "O■ ■■Nn■��n�■■"u■■ ■i �iNu'm'■� ■■A■ ■■■■i■'� �ii'�ii' "�!!ii �i'ii ■ " '■niiimma ii:ii 'iiMEi= "" N� ■" ii "■1� i■■■M ■■..on i■■'■ Is"Em no " "■iii i ■� N� ■ :i ■"'�i■ ■ No ■ ■" "■" ■■ ■■ ■■■"■ ■■ p p"■■: "■■� ■ ■■ ■■"��■■■■■"■ ■"�O■gg.■■ IMEN EMEM MIN III Ems min Insist © 1986 — Copies of this form may be purchased from MARSHALL and SWIFT FORM A- 2200.2 1617 Beverly Blvd., P.O. Box 26307, Los Angeles, California 90026 -0307 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 LINFS PI FASF PRINT. IISF A RAI I PRINT PEN ANn PRFSS FIRMI V ) (OFFICE USE ONLY) STREET ADDRESS: CLASS AND SCOPE OF WORK: SPECIFICATIONS: - BUILDING PERMIT NUMBER: DATE OF APPLICATION: LOT: BLOCK: % NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: %? cG ALTERATION REPAIR TYPE SUBDIVISION / SURVEY /: /p , �;�. -, /4 ..:. ;_ ADDITION MOVE DIMENSIONS -- LZ y12' VALUATION BASIS: /YI . --t , BUILDING PERMIT FEE: DEPTH IN GRND O W N E R NAME 7 / I C,. r �.�., �. Ir /` r +. ^•li USE OF BUILDING AUTHORIZED BY : i Gr' y � Gc v �.- THIS PERMIT G ✓:�� ���> <. REINFORCEMENT /j/ .''' VALUATION: PLAN CHECK FEE: BOLT SPACING MAILING ADDRESS: r ? C I f,^ ,-. Icr. /� CRAWL SPACE HEIGHT ,,(j %`� INCHES OCCUPANCYG ROUP: . r _- TOTAL FEE: CRAWL SPACE VENT - SQ. FEET' 9 CITY & ST TE: /� , . ( ..' /< SIZE C/' X i ' HEIGHT STRUCTURAL SPECIES & GRADE SIZE ` SPACING SPAN NO. OF ROOMS STORIES RECEIPT NO: TELEPHONE: Yr (,r — 3 7JN , NO. OF FAMILIES GIRDERS ' j /,: . / -, 7 1. ( J - /' 6 ' TYPE OF BUSINESS GIRDERS �. _ j; jv„ ,I `" 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 H E N G NAME: NO. OF BLDGS NOW ON LOT JOISTS 1ST FLOOR t USE OF EXISTING BLDGS JOISTS 1ST FLOOR TYPE OF CONSTRUCTION //�A 'r - MAILING ADDRESS: SIZE OF LOT JOISTS 2ND FLOOR - jsy' WATER: PUBLIC PRIVATE JOISTS 2ND FLOOR '''r CITY &STATE: SEWER: PUBLIC PRIVATE CEILING JOISTS ' INSULATION TYPE & THICKNESS: EXTERIOR WALLS e TELEPHONE: FOUNDATION BEARING WAtLS/40 A' IV`,✓F 4e �/- C •4 Tr. (/ INTERIOR WALLS ) i EXCAVATION STATE LICENSE: WALLS ROOF RAFTERS �� rN j,!��^> 2,J l // `� `••-3' UNDERGROUND UTILITIES ROOF /CEILING TRUSSES - C DRIVEWAY PERMIT: SUBMITTED- FOUNDATION / SETBACKS C ON T R NAME: %i (.t.. L. o .` SHEATHING TYPE & SIZE: FLOOR FURNACE TYPE: FRAMING APPROVED ROUGH ELECTRICAL MAILING ADDRESS: WOOD HEATER YES. NO TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: I SUBMITTED !!, NI-a, FINAL CITY &STATE: ROOF DATE VO)- ISSUED: A C T O R 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT IS CORRECT AND1THAT I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION APPLICANT: �' FINAL APPROVAL 16''LI'" TELEPHONE: FINISH MATERIAL: ROOF LOCAL FIREMAR SHAL REVIEW.- A H�A,�L SUBMITTED: N17- `W0P'ROVED: STATE LICENSE: EXTERIOR SIDING \) �.. _�� AP_R"� "- BU DIL ING /FFICI Lis" � INTERIOR WALLS NOTES: /-/Z• J a p .f _ , YOU+•• Igo 0 y