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ERSKINE ADD BK 9 LT 84 89 - 92 115 - 118 - ZCPKodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Print Form 1 L Submit by Email 15252 Permit No. CZ2014-027 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: The following information is to be supplied by the Applicant: AJA Kodiak Properties, LLC 507 2nd Avenue, Fairbanks, AK 99701 (907) 486-4276 Subdv: Erskine Addition, Block 9, Lots 84 & 89-92 & 115-118 Block: Lot: 212 Lower Mill Bay Road Retail Business Description of Proposed Action: Interior remodel-construction of new office space to include replacement of one exterior window, removal of one non-load bearing wall (less than 160 sq ft), and construction of new non-load bearing wall. Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Current Zoning: Business KIBC 17.90 PROP_ID 15252 Lot Area: 1.08 Acres Lot Width: Not Applicable BId'g Height: 50' Front Yard: See Notes Rear Yard: 0' Side Yard: 0' Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: Staff Compliance Review Notes: Plat / Subdivision Requirements? Additional set back requirements of KIBC 17.155 apply. Subd Case No. ," • oiati\k;'.'•"'' Bld'g Permit No. TBD Does the project involve NO an EPA defined facility? Driveway Permit? Septic Plan Approval: Fire Marshall: N/A N/A N/A If YES, do you have an EPA Return Receipt of Notification? "Permit will not be issued until receipt is submitted to N/A 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 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? Not Applicable Date: Mar 14, 2014 List Other: N/A /i r4(/) Signature: Craig Olson for Jessie Glamman (representative of property owner) This permit 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 project is necessary. ** EXPIRATION: A zoning compliance permit will become null and void if the building or use authorized by such permit is not commenced within 180 days from the date of issuance, or if the building construction or use is abandoned at anytime, after the work is commenced, for a period of 180 days. Before such work can be recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration. 1997 UBC) per KIBC 17.15.060 A. ** CDD Staff Certification Date: Mar 14, 2014 CDD Staff: J/cker Payment Verification Zoning Compliance Per Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building Not Applicable Less than 1.75 acres: 1.76 to 5.00 acres: 5.01 to 40.00 acres: 40.01 acres or more: After - the -Fact 2X the published amount E $0.00 ❑ $0.00 J $30.00 4 � /,U I ❑ $60.00 fl $60.00 (, ' r E $120.00 ▪ $90.00 ` Y IDE $180.00 fl $120.00 0.00 KODIAK ISLAND BOROU FINANCE DEPARTMENT Kodiak Island Borough Community Development Department 710 Mill Bay. Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907)486 - 9396 http://www.kodiakak.us Zoning Compliance Permit 11 :Print Form Permit No. Submit by•Email Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: The following information is to be supplied by the Applicant: / 2 1-014.40■ togif, AD 1 al 1 Subdv: Block: Lot: eogRek-60,1 Description of Proposed Action: remoue_, 404 ZWri 114 S&/6I//f /J v neA/ kurt://) e/)4ce J2'7AJ J7 4:0-en,n6 /)./his a5 .tee7e, c 4) Site Plan to include: Lot boundaries and existing easements, existing buildings; proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Lot Area Front Yard: Prk'g Plan Rvw? Current Zoning: PROP_ID BId'g Height: Side Yard: Staff Compliance Review Notes: Plat / Subdivision Requirements? Lot Width: Rear Yard: # of Req'd Spaces: Subd Case No. Plat No. Bld'g Permit No. Does the project involve If YES,; do you have an EPA Return Receipt of an EPA defined facility? Notification? "Permit will not be issued until receipt is submitted to Driveway Permit? Septic Plan Approval: Fire Marshall: 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 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: Signature: This permit 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 project is necessary. ** EXPIRATION: A zoning compliance permit will become null and void if the building or use authorized by such permit is not commenced within 180 days from the date of issuance, or if the building construction or use is abandoned at any time, after the work is commenced, fora period of 180 days. Before such work can be recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration. 1997 UBC) per KIBC 17.15.060 A. ** CDD Staff Certification Date: CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building Not Applicable Less than 1.75 acres: 1.76 to 5.00 acres: 5.01 to 40.00 acres: 40.01 acres or more: ❑ $0.00 ❑ $30.00 ❑ $60.00 ❑ $90.00 ❑ $120.00 After - the -Fact 2X the published amount ❑ $0.00 ❑ $60.00 ❑ $120.00 ❑ $180.00 ❑ $240.00 PAYMENT DATE 03/14/2014 COLLECTION STATION CASHIER RECEIVED FROM CRAIG OLSON DESCRIPTION AJA KODIAK PROPERTIES 212 LOWER MILL BAY RD Kodiak Island Borough 710 Mill Bay Rd. Kodiak, AK 99615 PAYMENT CODE Zoning Compl Payments: RECEIPT DESCRIPTION Zoning Compliance Permit ZC 2014 027 BATCH NO. 2014-00000509 RECEIPT NO. 2014-00001000 CASHIER Teresa Medina TRANSACTION AMOUNT $30.00 Type Detail Check 3761 Amount $30.00 Printed by: Teresa Medina Total Amount: 0.00 Page 1 of 1 03/14/2014 01:31:36 PM Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 http: / /www.kodiakak.us Zoning Compliance Permit r Print Form Submit by Email III 111111111111f1119101111111111111111111 Permit, No. CZ2010 -042 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: The following information is to be supplied by the Applicant: AJA KODIAK PROPERTIES, LLC 507 2ND AVE, Fairbanks, AK. 99701 c/o Clarion Construction 1.907.486.3908 ERSKINE ADD BK 9 LT 84 89 - 92 115 212' LOWER MILL BAY RD Use &` Size of Existirig'Structures: Retail Business Description of Proposed Action: Repair roof Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Lot Area: Front Yard: 0' ZONING: Business Parcel No. 81140090840 Lot Width: Bld'g Height: 50' Rear Yard: 0' Side Yard: 0' Prk'g Plan Rvw? No # of Req'd Spaces: Plat / Subdivision Requirements? Does the project involve an EPA defined facility? N/A If YES, do you have an EPA Return Receipt of Notification? "Permit will not be issued until receipt is submitted to KIB" N/A Coastal Policy Business Subd Case No. Driveway Permit? Septic Plan Approval: Fire Marshall: Consistent? Yes Attachment? Plat No. Bldg Permit No. Applicant Certification: 1 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 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: Oct 15, 2009 Signature: JayJohnston far C This permit is only for the proposed project as described by the applicant. lf 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 project is necessary. ** EXPIRATION: A zoning compliance permit will become null and void if the building or use authorized by such permit is not commenced within 180 days from the date of issuance, or if the building construction or use is abandoned at any time, after the work is commenced, for a period of 180 days. Before such work can be recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration. 1997 (JBC) per KIBC 17.03.060.** CDD Staff Certification Date: Oct 15, 2009 CDD Staff: Martin Lydi Payment Verification Zoning Compliance, Permit Fee Payable in Caslietpffice Room # V1:4 :IC 14 a u3 Z.13 C7 G7). IV C.4.1 15.P pee Schedule -11 tao t ,•••• 111 ■,0 t= Ir) 0:3 Less:the-0%75 acres -8 60.00 LI', * Construction Disposal Deposit Payable in Cashier's Office Room # 104 Fee Schedule FICASH 10/15059 pp 11) a•A. Less than 250 sq ft $250.00 *** 9 * al IS (97) nhiak (957) i 37:53 PiTitAT 1 Full ***. and Borougn AK 99615 5;-9324 Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 http:/ /www.kodiakak.us Zoning Compliance Permit Permit No.C3Z0I0 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description:,; Street Address: Use & Size of Existing Structures: The following information, is to be supplied by the Applicant: A-- 9 P Description of Proposed Action: --- Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: ZONING: Parcel No. Lot Area: Lot Width: Bld'g Height: Front Yard: Rear Yard: Side Yard: Prk'g Plan Rvw? # of Req'd Spaces: Plat / Subdivision Requirements? Does the project involve If YES, do you have an EPA Return Receipt of Notification? an EPA defined facility? "Permit will not be issued until receipt is submitted to KM" Coastal Policy Subd Case No. Driveway Permit? Septic Plan, Approval: Fire Marshall: Consistent? Attachment? Plat No. Bldg Permit No. Applicant Certification: I hereby certify that 1 Willi with thePro Iris' ions of the Kodiak Island Borough Code and that 1 have the authority to certify this as the property owner, or as a representative of the property owner. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? Date: /0 /2 -0 g List Other: CIP Signature. � �-'� Wic, S" ti This permit is only for the proposed project as d = cribed by the applicant. If there are any changes to the proposed project, including its intended u prior to or during its siting, construction, or operation, contact this office immediately to determine ' urther review and approval of the revised project is necessary. ** EXPIRATION: A zoning compliance permit will become null and void if the building or use authorized by such permit is not commenced within 180.days from the date of issuance, or if the. building construction or use is abandoned at any time, after the work is commenced, for a period of 180 days. Before such work can be recommenced, anew permit' must first be obtained. (Sec. 106.4.4 Expiration. 1997 UBC) per KIBC 17.03.060.** CDD Staff Certification Date: CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 Construction Disposal Deposit Payable in Cashier's Office Room # 104 Fee Schedule KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -9362 ZONING-COMPLIANCE FEE: 20:00 PERMIT . Permit #: CL–Z- 11 _Q 1 c 1. 2. 3. Property Owner /Applicant: \eLe II ( • , r •♦ _ o Number and size of parking suaces required (onsite identification of is required - Yes:_No: ) Mailing Address Phone: _p-arkiinng spaces Q . Q '� pi c(/L{�•4. j / 4 qI %7 l ` Mi f te. ziv, Off- street loading requirement: !!! OVIi / Legal Description: y� �TI7 ' /2 1 1g ! /g, (1 tl� Jl.t�t1� Street Address: l (IP `to-cc gat 9& 1E Tax Code #: Ai tf (17) ,e7 /Q Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): 7 Description of Existing Property /current zoning: %_S ilavit Minimum Required Lot Area: ,ii/ii Width: i144 Other requi e ents (ef., zero lot lin additional setbac s, .ro'ec'.. 'nto yards, screeni etc.): Actual Lot Area: 01 3g.-2) 4' Width: '1- /; (✓ 1 .,_<a-60.,e,4 I! we e i.i / /1 t if Minimum Required Setbacks: Sides: %U/ *'1` I If Front: /t/P4 Rear: ftibi ,�i Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: lv Maximum Building Height: Industrial: Other (list): / Use and size of existing structures on the lot: �(!'r,(,.( �` -,fue l`F Is the proposed action consistent with the KIB Coastal Management Program? - Yes: Y No: If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ies), describes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No:_� 4. 7 t ' /4/ it / CU /?-' Description of proposed action (attach site plan): CO'f/ GCIL ---4 _' — W2IX X 1,or --e- r / - THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT. IS REQUIRED Expiration: A zoning compliance permit will become null and void if the building or use authorized by such permit is not commenced with 180 days from the date of issuance, or, if the building construction or use is abandoned at any time, after the work is commenced, for a period of 180 days. Before such work can be recommenced, a new permit shall be first obtained to do so. (Sec. 303 (d) Expiration, 1991 Uniform Building Code) per KIBC 17.03.060 5 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 r )r ntalive of the property owner. I agree to have identifiable corner markers in place in the field for verification of setbacks. By: y �! Supporting documents a d (check): Site plan: . Community Development staff for zoning, by: Title: (D L() er- Date: (� - i2 — 1 As -built survev: Other (list): LA 0 Title: 11"4 IiWL C F Date: AUG 1 819971 ISLAN ' BOROUGH KODIAK I� . Fire Chief [city of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District approval for UFC (Sections 10.207 and 10.301C) by: Date: I Y Y Y I aPF Y� . Driveway Permit (State, City of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: Di -tribution: File (original) / Building ()MI ial / Applicant / Asse•-.ing July 1, 1994 Fc td c.„ 1_1_3 Lt,, 8. SLAiLi &1'2 Bk R-eir ovc_m v ccs rr\_i7-- fe3f- a- fr\--Fc-)rAo-r rt.,07Nocl,e), CAT- Cj /V\ -7-Ne_ • ( v./ r /1 LASe -1-h-e--- e?1 -57-71-7 -o. ot,Ncri-c- .../700 S rr (-e.- 1 c,, ..5e_ccA_,L&_5e.__ 1 0 C) (.0 () r■ - S cOrr___, capip tiSe-._ce_._ elYvN" r I ' ovv‘ourN. LT: 0 aietA a-6-7A4ire/v, by T- 9t6-cteL.,,,,44-/ff -044_ /44-41- diA41-4-441t.,46 am.1 rs 1;47 Ze-R /1"A KODIAK ISLAND BOROUGH Community Development ZONING COMPLIANCE PERMIT 710 Mill Bay Road (Rm 204), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -5736, ext. 255 or 254 Property Owner /Applicant: /.E__ Mailing Address: % ,. f i-s � )� phone: 6 - / r / Legal Description: Y9 9e p 1 �l�f'S�l `✓C Street Address: 116 1-if ✓YJ /i L .5 e9 v o . Tax Code B: % % y CO % O g—V a 3. Description of Existing Propertyicurrent zoning: � Minimum Required Lot Area: Actual Lot Area: / - gO -D Minimum Required Setbacks: Sides: Width: niani Width: Front: Maximum Building Height: /� Use and size of existing strictures on the lot: (Jt2©C Fermi' #: Number and size of parking spaces required (onsite identification of park •ig spaces is required - Yes: No: ,)© cA c€ Off - street loading requirement: Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): e.g., zero lot line, a ks, projection. into yards, screen etc. Coastal Management Program Applicable Polices (check appropriate ca,egory) - Residential: Business: Industrial: Other (list): Is the proposed action consistent with the KIB Coastal Management Progr•: m? - Yes: No: If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ies), describes the conflict(s), and specifies conditions to mitigate the conflict(s, Attachment - Yes: No: ...-�' • Description of proposed action (attach site plan): L l/ plicant Certification: !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. e identifiab orner mark in place in the fief . v r'cation of setbacks. e � 2 're St 6n) t2A-P� > � 0 Supporting documents attached ( k): Site plan: As -built sury ey: Other (list): - /3-612_ Title: . Community Development staff for zoning, by: d∎/ Date: Tide: . Fire Chief [City of Kodiak, Fire District S1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) by: Date: . Driveway Permit (State, City of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: Distribution: File /Building Official /ApplicantTHIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED ' June 1991 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 • 486 -8072 Fax: 486 -8600 710 Mill Bay Road, Room 208 (APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.) (OFFICE USE ONLY) STREET ADDRESS: CLASS AND SCOPE OF WORK: SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE QF APPLICATION: LOT: BLOCK: NEW DEMOLITION FOUNDATION TYPE FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: ALTERATION REPAIR SUBDIVISION / SURVEY: ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND mmz 0 NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: SIZE HEIGHT REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING MAILING ADDRESS: CITY & STATE: CRAWL SPACE HEIGHT INCHES OCCUPANCY TOTAL FEE: CRAWL SPACE VENT SQ. FEET GROUP: RECEIPT NO: STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN A B E F H I M R S U DIV. 1 2 3 4 5 6 NO. OF ROOMS STORIES TELEPHONE: 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 G NAME: NO. OF BLDGS NOW ON LOT JOISTS 1ST FLOOR USE OF EXISTING BLDGS JOISTS 1ST FLOOR MAILING ADDRESS: SIZE OF LOT JOISTS 2ND FLOOR WATER: PUBLIC' PRIVATE JOISTS 2ND FLOOR TYPE OF CONSTRUCTION & STATE: SEWER: PUBLIC I PRIVATE I CEILING JOISTS 1 II III IV V N 1-HR FR H.T. INSULATION TYPE & THICKNESS: EXTERIOR WALLS TELEPHONE: FOUNDATION BEARING WALLS INTERIOR WALLS EXCAVATION STATE LICENSE: WALLS ROOF RAFTERS UNDERGROUND UTILITIES ROOF / CEILING TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS C T R A C T 0 R NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: SUBMITTED FRAMING FLOOR APPROVED ROUGH ELECTRICAL MAILING ADDRESS: WOOD HEATER YES NO TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: FINAL DATE C.O. ISSUED: CITY & STATE: ROOF SUBMITTED 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: FINAL APPROVAL TELEPHONE: FINISH MATERIAL: ALASKA FIREMARSHAL REVIEW: SUBMITTED: APPROVED:016717 ROOF STATE LICENSE: EXTERIOR SIDING 79� APPROVED - BUILDING OFFICIAL: 0 INTERIOR WALLS _ NOTES: w '2, -71,A) j `� °Pa�°��' o P ti% co cy ti !\�£0E6Z$Z�2� Rev. 1 -97 PRINTED IN RODIAK, ALASKA BY C &A PRINTING, INC. BUILDING DEPARTMENT — CITY OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE Applicant to fill in between heavy lines. OF OCCUPANCY BUILDING ADDRESS CLASS OF WORK NEW I I DEMOLISH LOCALITY ALTERATION I I REPAIR ADDITION I I MOVE I NEAREST CROSS ST. i I USE OF BUILDING W W i W a NAME SIZE OF BUILDING HEIGHT MAIL ADDRESS NO. OF ROOMS NO. OF FLOORS NO. OF BUILDINGS NOW ON LOT CITY TEL. NO. I- U W 1i-1 W I? ¢ z 414 NAME NO. OF FAMILIES SIZE OF LOT ADDRESS USE OF BLDG. NOW ON LOT CITY SPECIFICATIONS FOUNDATION STATE LICENSE NO. MATERIAL EXTERIOR i PIERS NAME C.. K UADDRESS < WIDTH OF TOP I WIDTH OF BOTTOM DEPTH IN GROUND R.W. PLATE (SILL) H CITY Z U STATE LICENSE NO. SIZE 1 SPA. SPAN GIRDERS Z SUBDIVISION 0 JOIST IsT FL. JOIST 2N0 FL. well LOT NO. HLK. JU in W 0 JOIST CEILING EXTERIOR STUDS 1. District 2. Type of Construction I, II, III, IV, V, VI 3. Occupancy Group A, B, C, D, E, F, I G, H, , J Div. 1, 2, 3, 4, 4. Use Zone: 5. Fire Zone 1 2 3 4 INTERIOR STUDS ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS ROOF INTERIOR WALLS REROOFING FLUES FIREPLACE FL. FURNACE KITCHEN WATER HEATER FURNACE GAS OIL [ 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 BUILDING PERMIT NO. VALUATION DATE ISSUED BLDG. FEE $ PLAN CHK. FEE TOTAL BUILDING PLUMBING ELECTRIC FOUNDATION ROUGH ROUGH FRAME PLASTER SEPTIC TANK FINISH SEWER FIXTURES FLUES GAS MOTORS FINAL FINISH FINAL By: Approved: CHIEF BUILDING OFFICIAL By: 3N11 Al2i3dOtld PLOT PLAN H 3N11 AiLl3dO2id STREET MAP NUMBER No. ASSIGNED BY FIELD CHECK BY DATE PLANNING & ZONING INFO TYPE OF OCCUPANCY TOTAL FLOOR AREA NUMBER OF STORIES AREA OF LOT TOTAL HT. FRONT YARD SETBACK FROM PROP. LINE SIDE YARD SETBACK FROM PROP. LINE REAR YARD NEW CONSTRUCTION CHANGE OF OCCUPANCY FROM TO ALTER