ERSKINE ADD BK 5 LT 16A - As-Built SurveyKodiak Island, Alaska
TIC No:
,S,Ilflt
2900
Last Name/company Name:
Taxpayer Information 4/15/03 14:57:58
7,fft11 111 1
Property
,Data:
st1111 St
First Name(s):
Mailing Address:
B'0
Ci,ty: KODIAK
At.a.e., :. AK 7.143/cP1117.:, 99615
Carrier
1 10 1
Rute1 :
111111111
AAAAAAAAAAAA
Format: R T1l4on'ol'6b A 1111111111;11
AAAAAAAAAAA
pe9,1, ERSKINE ADD BK 5 LT 16 & 17
Iti41111111
IC2'0—Please enter TIC number and data selection and press desired function
F1=Add F2=Change F3=Exit F4=Prompt. F7/F8=Scroll F24=More Keys
• oc/04.0 CHEC1eE0 and OP-047ED,
/3 MAY /9.92 (44.0,c. fuel 7-.04e , pzve roam ,
AS BUILT SURVEY
-4.-4:••.11‘N
OF
es••••••...:110
co .0
of* je
49Ih
11•1110 Q1141111
'Roy A. Ecklund
NO 1638-S
•• o''e
.
op/7. ......... •gs'
l‘NoFEssioNNO.
%wag.
1 hereby certify that I have surveyed the following'clescribed property:
.L.C.,71 /4, arereg Lori /7, .e/pelc e
544.4 L(.5..5?./rpfley ,c2/4:7` /70. 60-1,
iro4:194- 2ecor-e9 .04 6-; j•
and that the improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying adjacent thereto.
that no- improvements on property lying adjacent thereto encroach on
the premises in question and that there are no. roadWays. transmis .
son lines or other visible easements on said property except as indi.
cated hereon.
Dated this
day o ,19
ROY A. ECKLUND
Registered Land Surveyor
Scale:
Drawn by: /74E - tJ, 1 Date: /47/
-PmAr0V F72-Pm AS-457.1/47 PATXP
DESCRIPTION
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS OF WORK
BUILDING ADDRESS
I r
LOCALITY
NEAREST CROSS ST
NEW
DEMOLISH
ALTERATION
REPAIR
W
Z
0
J
w
J
NAME
MAIL ADDRESS
CITY TEL. NO.
NAME
ADDRESS
CITY
STATE LICENSE NO.
NAME
ADDRESS
CITY
STATE LICENSE NO.
SUBDIVISION
LOT NO.
BLK.
DO NOT WRITE BELOW THIS LINE
1. Type of Construction
I, II, III, IV, V, VI
2. Occupancy Group A, B, C, D, E,
F, G, H, I, J Div. 1, 2, 3, 4,
3. Fire Zone 1 2 3 4
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING HEIGHT
NO. OF ROOMS
NO. OF FLOORS
NO. OF BUILDINGS
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
SIZE OF LOT
USE OF BLDG. NOW ON LOT
SPECIFICATIONS
FOUNDATION
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
SIZE
SPA.,
SPAN
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL
JOIST CEILING
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS ROOF
INTERIOR WALLS REROOFING:
FLUES
FIREPLACE 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 Ordinances and State
Laws regulating building construction.
Applicant
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO.
VALUATION
BUILDING
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
DATE ISSUED
7
BLDG. FEE
PLAN CHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
S
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
3N11 Al2j3dO2jd
PLOT PLAN
A
I
3N11 Al2j3dO8d
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES TOTAL HT.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By: By: