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ATS 49 TR N-18 - Other Agency PermitsTO: CITY OF KODIAK P.O.BOX 1397 KODIAK, ALASKA 99615 APPLI . ION,FOR CERTIFICATE OF REGISTRA, (SALES AND SERVICE TAX) DATE OF APPLICATION - 0- ACCOUNT NO NAME OF FIRM ---rieisz-iri•-s —/ LOCATION ADDRESS e3 . n evy, i n f UL.)a--k-- BUSINESS PHONE (-,-- 'f**) L / 10 MAILING ADDRESS STREET CITY : NAME OF OWNERV ‘0..S! 69- V1 E", A(4 BAL._ (., STATE ZIP CODE 11-11 S HOME ADDRESS Q.(-7._(.1:-V)!O c ' kei)i,A),- k- criGCHomEP oNE6,---(-07k" STREET CITY STATE I TYPE OF BUSINESS 0,, c,<:., A.A._--+ v1fix•-t.( -1- ZIP CODE DATE BUSINESS STARTED L'o V. 1 Ci a• ALASKA BUSINESS LICENSE NUMBER TYPE OF ORGANIZATION:• INDIVIDUAL PARTNERSHIP I CORPORATION OTHER: (EXPLAIN BELOW) IS BUSINESS SEASONAL IF YES, APPROXIMATE DATES THAT BUSINESS IS OPERATED EACH YEAR . NO. OF MONTHS 72AJtARP (5 ,._ZD)e-15T7(..A41---"' i614,0(15 ,a/.4tr-ri0 FROM / . 7 i _TO , . • SIGNATURE & TITLE OF APPLICANT NAME TO BE COMPLETED IF A PARTNERSHIP OR CORPORATION TITLE MAILING ADDRESS: HOME ADDRESS: PHONE: NAME TITLE MAILING ADDRESS HOME ADDRESS: PHONE: NAME MAILING ADDRESS: TITLE HOME ADDRESS: PHONE: NAME TITLE MAILING ADDRESS: HOME ADDRESS: PHONE: REvN E OFF ICE HARBOR VIEW COMPLEX June 11, 1984 Kodiak Island Borough Box 1246 Kodiak, AK 99615. Dear Sir: ,e4r6,0 V-4 201 Kashaveroff Suite #6 (907) 486 - 4147 KODIAK, ALASKA 99615 We have given permission to Joe Perrozzi of Kodiak Cafe to use the back fence area for customer parking. The back fence runs from the Kodiak Western building along our property line to the ocean beach. Thank you. Sincerely, KONIAG,. INC.. Ci;-(AJ Charles A-Wine arden Executive Vice President CAW/dh ivo/i4/Yzro prwistx30 - r776,14 /V33YP - .7000 :re -end ss-3P41 1 pI ...7C7 1:34 7fr )/61/ '70 t „LS GibE kRTMENT OF THE AR NoTE.—It is to be understood that this instrument does not give any property rights either in real estate or mate- rial, or any exclusive privileges; and that it does not authorize any injury to private property or invasion of private rights, or any infringement of Federal, State, or local laws or regulations, nor does it obviate the necessity of obtaining State assent to the work authorized. IT MERELY EXPRESSES THE ASSENT OF THE FEDERAL GOVERNMENT SO FAR AS CON- CERNS THE PUBLIC RIGHTS OF NAVIGATION. (See Cummings v. Chicago, 188 U. S., 410.) 16-13168-2 Kodiak Harbor 31/ PERMIT Alaska District Corps of Engineers. Anchorage, Alaska, 13 July, 19 65 Kodiak Airways, Inc. Box 2457 Kodiak, Alaska Gentlemen: Referring to written request dated 24 May 1965 rhilre to. inform yon that, upon the recommendation of the Chief cf FnaiLeers,- and under the provisions of Section 10 of the Act of Congress approved March 3, 1899, entitled "An act* making appropriations for the construction, repair, and preservation of certain public works on rivers and harbors, and for other pur- poses," you are hereby authorized by the Secretary of the Army. to construct a rock fill and seaplane float (Here describe the proposed structure or • Kodiak Harbor (Here to be ti am ed the river, harbor, or waterway concerned.) at' -Kodiak, Alaska (Here to be named the nearest well-known locality—preferably a town or city—and the distance in miles and tenths the same, stating whether above or below or giving direction by points of ih-Tacordance with the plans shown on the drawingattachedhereto and.marked: (Or drawings; give file number or other definite identification marks.) "PROPOSED ROCK FILL AND SEAPLANE RAMP, SITUATE AT KODIAK, ALASKA. 24 May 1965" subject to the following conditions: • • • (a.) That the work shalli..- ...bject to the supervision and approval of the .crict Engineer, Corps of Engineers, in charge of the locality, who may temporarily suspend the work at any time, if in his judgment the interests of navi- gation so require. (b) That any material dredged in the prosecution of the work herein authorized shall be removed evenly and no large refuse piles, ridges across the bed of the waterway, or deep holes that may have a tendency to cause injury to navigable channels or to the banks of the waterway shall be left. If any pipe, wire, or cable hereby authorized is laid in a trench, the formation of permanent ridges across the bed of the waterway shall be avoided and the back filling shall be so done as not to increase the. cost of future dredging for navigation. Any material to be deposited or dumped under this authorization, either in the waterway or on shore above high -water mark, shall be deposited or dumped at the locality shown on the drawing hereto attached, and, if so prescribed thereon, within or behind a good and substantial bulkhead or bulkheads, such as will prevent escape of the material in the waterway. If the mate- rial is to be deposited in the harbor of New York, or in its adjacent or tributary waters, or in Long Island Sound, a permit therefor must be previously obtained from the Supervisor of New York Harbor, New York City. • (c) That there shall be no unreasonable interference with navigation•by the work herein authorized. (d) That if inspections or any other operations by the United States are necessary in the interest of navigation, all expenses connected therewith shall be borne by the permittee. (e) That no attempt shall be made by the permittee or the owner to forbid the full and free use by the public of all navigable waters at or adjacent to the work or structure. (f) That if future operations by the United States require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Secretary of the Army, it shall cause unreasonable obstruction to the free navigation of said water, the owner will be required upon due notice from the Secretary of the Army, to remove or alter the structural work or obstructions caused thereby without expense to the United States, so as to render naviga- tion reasonably free, easy, and unobstructed; and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners shall, without expense to the United States, and to such extent and in such time and manner as the Secretary of the Army may .!•equine, remove all or r. r.y portion of the uncompleted structure or fill and rester:,, tc its former .:o: idition the ravi- gable capacity of the watercourse. No claim shall be made against the United States on account of any such removal or alteration. (g) That the United States shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the Government for the conserva- tion or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. (h) That if the display of lights and signals on any work hereby authorized is not otherwise provided for by law, such lights and signals as may be prescribed by the U. S. Coast Guard, shall be installed and maintained by and at the expense of the owner. (i) That the permittee shall notify the said district engineer at what time the work will be commenced, and as far• in advance of the time of commencement as the said district engineer may specify, and shall also notify him promptly, in writing, of the commencement of work, suspension of work, if for a period of more than one week, resumption of work, and its completion. (j That if the structure or woe herein authorized is not completed on or before "1St -- day ofecemoer , 19 , this permit, if not previously revoked or specifically extended, shall cease and be null and void. authority of the Secretary of the Army: 1 SEP 48 1 721 (Civil ni 1145- =-303. CLARE F. FARLE Colonel, Corps of Engineers District Engineer This form supersedes ED 1t`orm 96, dated 1 Apr 48, which may be used until exhausted. M. 5. GOVERNMENT PRINTING OFFICE 16-13169 -5 C t TY�:- •�_:::•0 F::..�i... K 4.D:I A K; -. Locafton: of Proposed :^_.. • Rock Fitt. a Seapion Ramp- MOTE -;Si tihdings and elevations: re earthquake : - datuiii:.:°:. 2 Harbor 2 C of E : :monument: is 2.2",brass disc set_ flush 2 pipe driven flush. in shale outcrop ..w Elevations based -- on U. S G ..a-,G: S B. 111.:, No 8;:S i fLiate on' the.` property:_:of. Donnelley -..a c' Acheson just:::nort h of: walk, :_y leading to their residence .-1 B M No. 8 elevation = 19.47 ft, ve ::: M. L..L.W.. -rs ocation of Marine Way based on Y & D drawing Na` 1,060,465 as prepared by R W Beck. a Associates Seattle Washington r - ..Soundin.gs based on .City., of :.Kodiak_ Ferry,Terminal ::Project::. _Drawing-.:No xP_TAlaska 3107 as prepared br- Pacific American Engineering Consultants Seattle�,Washingt Sheet 1 of : PROPOSED ROCK ,FILL =..A _.SEAPLANE : ::RAMP Situate at OD1AK ALAS beets • . ..... _ . . . . • . • - - • 1 , _ • ._ . ' . • .. , - . '• • . •. • ■ . - - • . . • . - • . • . - -.. 1- . • • _ ' • -• • , •. • • - • _ - -• - • • - - • • • • . - • • - - • - - • • • • • • • • • • • • 1. • ■ y . . . . . • • ■ • • .'. . - - . - • • • • _ • • • • - • • • - •, , • H H existing breakwater _ - • - ■ t • • • • ■ . . . - . . . . • - . • • ■ property fine : _ . slope easement .to .be acquired from PC.P _ • 1■1 ■ - • • • • 5 __J o . . , • _ . ..:* . . " eldyatiOnS, and'' referenced dataare pre-earthquake : and -friust= be adjusted ithe--aSsu-rned 5:4 ft.-:subsidence " . _ - • - _ . , _ • _ • - . . . . • • Sheet 2 of .2 Sheets ... PROPOSED ROCK FILL AND SEAPLANE-RAMP ... Situate ot .-. KODIAK -,-ALASKA Application by KODIAK_ AIRWAYS INC. Box 2457 - Kodiak, Alaska MAY 24,1965 : . 'CONS U.TL4 5:1;1 1 H.G.F ..... A ---J I. F tvi f.'-; P. :50' KAI650522F1 J3 0 WAR DEPARTMENT NOTE. —It is to be understood that this instrument does not give any property rights either in real estate or material, or any exclusive privileges; and that it does not authorize any injury to private property or invasion of private rights, or any infringement of Federal, State, or local laws or regulations, nor does it obviate the necessity of obtaining State assent to the work authorized. IT MERELY EXPRESSES THE ABSENT OP THE FEDERAL GOVERNMENT 8O FAR AS CONCERNS THE PUB- LIC BIGHTS OP NAVIGATION. ON Cummifiga V. Chicago, 188 U. S., 410.) PERMIT United States Engineer Office. :North Pacific Division, Portland 5# 0recozi. Sap's -her 1946 . • H. F. Iaammi d Kodiak, Masks Dear Sir: Referring to written request dated 1 have to inform you that, upon the recommendation of the Chief of Bagineers, and under the provisions of Section 10 of the Act of Congress approved March 3, 1899, entitled "An act making appropriations for the construction, repair, and preservation of certain public works on rivers and harbors, and for other poses," you are to cc is act a face of S.az"f as hereby authorized by the Secretary of War, rharf, warehouse, twa shoo build • nccecsary (Sere describe the proposed structure or ) "off;: Harbor • pur- and to remove rook at (Sere to be named the river, harbor, or waterway concerned.) at Kodiak, A1ast2 (Here to be named lasemeamst wen -known locality —preferably a town or city —and the distance in miles and tenths from some definite point in the same. stating whether above or below or giving direction by points of compass.) -- • in accordance with the plans shown on the drawing attached hereto and marked: wi ` o o 'r °i`°'d°I n f"P_opased Dock & Wazehouse uatito ss o marks.). Shore of Kodiak i a: br In Town of Kodiak, Alaska Application bry H. F. McDonald Kodiak Cold Storage Co. arch 4# 1946n 4�' =;_t c^ subject to the following conditions: OF FC4Nt `• tgjj xnPox) 9'008 , (a) that the work shall be bubj . o the supervision and approval of the Dzsi,r Ingineer, Engineer Department at Large, in charge of the locality, who may temporarily suspend the work at any in his judgment, the interests of navigation so require. (b) That any material dredged in the prosecution of the work herein authorized shall be removed evenly, and no large refuse piles, ridges across the bed of the waterway, or deep holes that may have a tendency to cause injury to navi- gable channels or to the banks of the waterway shall be left. If any pipe, wire, or cable hereby authorized is laid in a trench, the formation of permanent ridges across the bed of the waterway shall be avoided and the back filling shall be so done as not to increase the cost of future dredging for navigation. Any material to be deposited or dumped under this authorization, either in the waterway or on shore above high- water mark, shall be deposited or dumped at the local- ity shown on the drawing hereto attached, and, if so prescribed thereon, within or behind a good and substantial bulk- head or bulkheads, such as will prevent escape of the material into the waterway. If the material is to be deposited in the harbor of New York, or in its adjacent or tributary waters, or in Long Island Sound, a permit therefor must be pre- viously obtained from the Supervisor of New York Harbor, Army Building, New York City. (c), That there shall be no unreasonable interference with navigation by the work herein authorized. (d) That if inspections or any other operations by the United States are necessary in the interests of navigation, all expenses connected therewith shall be borne by the permittee. (e) That no attempt shall be made by the permittee or the owner to forbid the full and free use by the public of all navigable waters at or adjacent to the work or structure. (f) That if future operations by the United States require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Secretary of War, it shall cause unreasonable obstruction to the free navi- gation of said water, the owner will be required, upon due notice from the Secretary of War, to remove or alter the structural work or obstructions caused thereby without expense to the United States, so as to render navigation reason- ably free, easy, and unobstructed; and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners shall, without expense to the United States, and to such extent and in such time and manner as the Secretary of War may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable capacity of the watercourse. Nc cL• ±m shall be m^.de agairst the United States on account of any such removal or alteration. (g) That the United States shall in no case be liable for any aamage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the Government for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. (h) That if the display of lights and signals on any work hereby authorized is not otherwise provided for by law, such lights and signals as may be prescribed by the U. S. Coast Guard, shall be installed and maintained by and at the expense of the owner. (1) That the permittee shall notify the said district engineer at what time the work will be commenced, and as far in advance of the time of commencement as the said district engineer may specify, and shall also notify him promptly, in writing, of the commencement of work, suspension of work, if for a period of more than one week, resumption of work, and its completion. (2) That if the structure or work herein authorized is not completed on or before ----- -- --»;ll oleic..., day of ,19 49 , this permit, if not previously revoked or specifically extended, shall cease and be null and void. By authority of the Secretary of War: WAR DEPARTMENT o. O. or E. Form No. 96 Revised lan. 17, 1940 TBERON D. WEAVER Colonel, Corps of Engineers Division Engineer PIANK 14A/2 SYR. 3'ec „„;/2X/CAPS 14 24. • --Nil 30' 2' CONC. PIERS J' cc SECT/Off 4-4 SC 7 Z. r i"- zo. ere' 4 )1, VIC/NIT)/ MAP ovrioaas IA1 FATHOMS ArMLL SCALE YARDS 14 240 .70D 400 Atom US: C(C.1":" Cim,er NO.S.Rrr 17— • - • • . • ) • Ar- Low 7-;DE • - 14;10// t.. ,A PLAN SCALE a I2 so' eo' /ea, 12e ‘..--- g ..,c. F.= tal )......--. '. "_ .---..--- 3-'. Sociniorna's 4At //V FA-Er /7. A. L.W. repeg.4z. Akmvinc Lak-s- 5748 /.54'EO PRO POS DOCK 4. WAREHOUSE SITUATE 0AI KODIAK ISLAND NORTH 31-10RE OF I-CODIAK HARBOR.:::: IN rowN OF KODIAK) ALASKA AWL /CA 7-tow Br HE Plc DON41-0 KODIAK CO LD 5TOR AGE CO. Rc H 4; 1`14 D4'4WI/ sr CHAS. A. 7-1 FFA /V Y - sr A r .TEArrcE wAsli iiromeremolir, .2 • . • BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING ADDRESS %r1 1\1-1g Y 11+/1 •P v CLASS OF WORK NEW DEMOLISH LOCALITY iv; �Z t / / f) I Is • NEAREST CROSS ST. Yv %ISS /clv` - NAME MAIL ADCr() L % KAcZ 4 ik ALTERATION ADDITION 1.0""- REPAIR MOVE USE OF BUILDING CO VIA vi, .e /c 1 SIZE OF BUILDINGFl g1 HEIGHT NO. OF ROOMS NO. OF FLOORS O CITY g 1.: TEL. NO. NO. OF BUILDINGS BUILDING PERMIT NO. VALUATION !7 bbl (00 DATE ISSUED BLDG. FEE / / S PLAN CHK. FEE TOTAL / 1L w w w w Z NAME NO. OF BUILDINGS NOW ON LOT BUILDING PLUMBING ELECTRIC NO. OF FAMILIES FOUNDATION ROUGH ROUGH ADDRESS SIZE OF LOT FRAME SEPTIC TANK FINISH (9 CITY C w C USE OF BLDG. NOW ON LOT 0wv. p/ C,tc PLASTER SEWER FIXTURES SPECIFICATIONS FLUES GAS STATE LICENSE NO. FOUNDATION • FINAL FINISH MOTORS FINAL -.' ADDRESS NAME ,, pp t /� ' Itl0If ,(4v,�( 41� 51gv1dcor,�, Z 0 U 7 MATERIAL EXTERIOR, PIERS 1VIDTH OF TOP ?WIDTH OF BOTTOM CITY f (.idi ACi1 �. () STP(T LICENSE NO. DEPTH IN GROUND R.W. PLATE (SILL) SIZE SPA:, SPAN Z J a 0 .J U N D' SUBDIVISION GIRDERS JOIST 1st. FL. JOIST 2nd. FL. LOT NO. ' BLK. t\1 -1 cl JOIST CEILING EXTERIOR STUDS DO NOT WRITE BELOW THIS LINE - -1. Type of Construction 1, 11, 111, iv,g, vi 2. Occupancy Group A,Lc_E, H, I, M, R Div. 1, 3, 4 3. Fire Zone 1"2_3 4 INTERIOR STUDS . 01' ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS ROOF INTERIOR WALLS,tA - 4.5CytREROOFING """' FLUES FIREPLACE FL. FURNACE KITCHEN WATER HEATER FURNACE -- GAS .• OIL 1 hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City, Ordinances and State Laws regul tin g building struction. Applicant r afCc a eiyti ode / 2 soar -. 10`ri fz' ‘,1000`.\\i\ 7 ctkL walls Rqkc«` 3040/ ± aJo1 //fa/ ?c,.,/ A(,1\'( vJtp.,,loos� & fiAc(�ic(t -4i,kc, Gr(1 WOiK 6e.- Ikc iii �lt�1 IA ,�10IA 4- 8 (1,6 V \S 41 t (i//OY "'. /CA c ) C qt- � �.54-a% 11 t o,� e ,6da 'ci Gvhf to.1- .0,101.t1 4 -/ 1Jv� a BNI1 AILI3dOiid PLOT PLAN 3N11 Al83dOifd SETBACK STREET 64-0- g /7-4,/ o Approved: CHIEF BUILDING OFFICAL PLANNING & ZONING INFO. ZONING DISTRICT �����iit'c - - � � � � ;y� TOTAL HT. ;La"-, FRONT YARD SETBACK FROM PROP. LINE Ai/Jr SIDE YARD SETBACK FROM PROP. LINE iJ v REAR YARD TYPE OF OCCUPANCY NUMBER OF STORIES AREA OF LOT Approved: Z01�1NG ADMIN�STRATOR °I- 3 t By: BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING ADDRESS 7 / CLASS OF WORK NEW LOCALITY % 1 / ,') 7 ) o A ii'.' 1 ALTERATION DEMOLISH REPAIR NEAREST CROSS ST. ADDITION MOVE BUILDING PERMIT NO. 3 DATE ISSUED (dz- 2- is` Li- USE OF BUILDING O << ?1.414/e__ .✓ NAME SIZE OF BUILDING HEIGHT Z MAIL ADDRESS I • I 4 G, °7Cf I NO. OF ROOMS 3 O CITY !' ' ■ TEL NO. It -, 0 3�} F A-( ' i v7le6, - //fir/ 7 NO. OF FLOORS 6 NO. OF BUILDINGS VALUATION J 1 Mt r� , BLDG. FEE / 'S PLAN CHK. FEE TOTAL / NAME F It/ F w Z r �9 04.o2_2( NO. OF BUILDINGS NOW ON LOT / BUILDING PLUMBING ELECTRIC NO. OF FAMILIES FOUNDATION ROUGH ROUGH ADDRESS() 3 3696 SIZE OF LOT d 7 /.i-! l As, 7? FRAME SEPTIC TANK FINISH 7 \ CITY STATE LICENSE NO. USE OF BLDG. NOW ON LOT Lief' .M„ea,,'rl f j'7---- PLASTER SEWER FIXTURES SPECIFICATIONS FLUES GAS MOTORS FOUNDATION .•- FINAL FINISH FINAL 0 U Z 0 U ( 1 CS MATERIAL EXTERIOR, PIERS WIDTH OF TOP ADDRESS CITi /l' WIDTH OF BOTTOM 17,4,/-/- -/- DEPTH IN GROUND R.W..PLATE (SILL) STATE.LICENSE NO. // f G / �l) i' "):),526 1 Z 0 F CC a o W U J 0 SUBDIVISION p ∎ Q V 42.W —UlY /A SIZE SPA... SPAN G�$DERS IST 1st. FL. JOIST 2nd. FL. LOT NO. BLK. JOIST CEILING EXTERIOR STUDS DO NOT WRITE BELOW THIS LINE [Type of Construction I, II, III, IU, V,3VI 2. Occupancy Group A,,B, C, D, E, F, G, H, I, J Div. 1, -2, -3, 4, 3. Fire Zone P 2 3 4 INTERIOR STUDS ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS Byre m ROOF (.4f INTERIOR WALLS W�If A/LA REROOFING FLUES FIREPLACE FL. FURNACE KITCHEN WATER HEATER FURNACE Os/ 6-( r GAS OIL !Ai ra. -1 e/L I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ordin aces and State Laws regulating) building construction. Applicant ^S ^? ) 3NI1 A1213dO2:1d A PLOT PLAN" P1101 I STREET Nr'% 67,1FNI('- SETBACK 3N11 A1.2l3dO2id /9— PLANNING & ZONING INFO. ZONING DISTRICT /X /rw_67r% /�L f 772 TYPE OF OCCUPANCY NU,fapE.R.Of STOORI ES"' 4/»2,? //j TOTAL HT. AREA OF LOT // AO r) (i FRONT YARD SETBACK FROM PROP. LINE /44_7 SIDE YARD SETBACK FROM PROP. LINE <:7.;47 ,,,,+r4) e ,477 REAR YARD / ..c --/ / `. I % G% Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR - -1-72//,`,/ 1. By.V_ 1/'�C BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. BUILDING ADDRESS ,903 tyol`i` LOCALITY , CLASS OF WORK NEW NEAREST CROSS ST. CC . 0 NAME crry �.r t MAIL ADDRESS ALTERATION ADDITION USE OF BUILDING SIZE OF BUILDING DEMOLISH REPAIR MOVE HEIGHT NO. OF ROOMS NO. OF FLOORS CITY TEL. NO. NO. OF BUILDINGS APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING PERMIT NO. VALUATION $ DATE ISSUED BLDG. FEE PLAN CHK. FEE , TOTAL•_ F U W F . 2 )0 r ENGINEER NAME NO. OF BUILDINGS NOW ON LOT BUILDING PLUMBING ADDRESS CITY NO. OF FAMILIES SIZE OF LOT USE OF BLDG. NOW ON LOT SPECIFICATIONS STATE LICENSE NO. FOUNDATION• FOUNDATION FRAME PLASTER FLUES FINAL ROUGH ELECTRIC ROUGH SEPTIC TANK FINISH SEWER FIXTURES GAS MOTORS FINISH FINAL CONTRACTOR NAME- MATERIAL EXTERIOR, PIERS WIDTH OF TOP ADDRESS WIDTH OF BOTTOM . CITY DEPTH IN GROUND R.W. PLATE (SILL) STATE. LICENSE NO. SIZE SPA.. SPAN J a 0 w .J DESCRIPTION SUBDIVISION -17015b4AIDs GIRDERS JOIST lst. FL. JOIST 2nd. FL. LOT NO. ' BLK. T -� JOIST CEILING EXTERIOR STUDS DO NOT WRITE BELOW THIS LINE 1. Type of Construction I, II, III, IV, V, VI 2. Occupancy Group A, B, E, H, I, M, R Div. 1, 2, 3, 4 • 3. Fire Zone 1 2 3 4 INTERIOR STUDS ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS I ROOF INTERIOR WALLS REROOFING FLUES • FIREPLACE s FL. FURNACE KITCHEN WATER HEATER FURNACE GAS OIL I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ordinance and State Laws regulating il�ing/onstruction Applicant-- : eaamr i t ' 602 A i `.x 901 46 ,i- AttoP 4,60"10610Ei P4010.4,•)-a Approved: CHIEF BUILDING OFFICAL By A PLOT PLAN SETBACK 3N11 AIH3dO2id STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY //_ 1 x .'ac / ����- -'Y 6' NUMBER OF STORIES TOTAL HT. AREA OF LOT fJ (127-171- /, FRONT YARD SETBACK FROM PROP, SIDE YARD SETBACK FROM PROP. LINEN REAR YARD ' Approv.'ed�ZONING Q►DMIN1ST TOR By:,/