BROOKERS LAGOON LT 8 - Building PermitBUILDING DEPARTMENT - KODIAK ISLAND BOROUGH APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
(APPLICANT TO FILL IN ALL INFORMATION WITHIN HEAVY LINES.
PLEASE PRINT, USE BALL-POINT PEN, AND PRESS FIRMLY.)
UBDIVISION/SURVEY
13,t2C^531(MrS LA, 0-a‘l
CLASS AND SCOPE OF WORK
LOT NO. BLOCK NO.
:05
NEW
ALTERATION
DEMOLISH
REPAIR ,
BUILDING PERMIT NUMBER
lb
3
ADDITION
MOVE
STREET ADDRESS
USE OF BUILDING
401.4,4-
VALUATION: (BASIS)
e
DATE ISSUED
Dexo
BLDG PERMIT FEE
NEAREST CROSS STREET
SIZE OF BUILDING t
NO. OF ROOMS q
HGT
FLOORS
NO. OF FAMILIES
NAME
Pig-Ccze,v, R. 5
NO, OF BUILDINGS NOW ON LOT
AMOUNT
85 7 "ko
PLAN CHK FEE
TOTAL.
6 '7
USE OF BUILDING
CAA
INSPECTION SCHEDULE
MAILING ADDRESS
\00.( 4■04
SIZE OF LOT
ATER: PUBLIC kIt PRIVATE
BUILDING
PLUMBING
ELECTRICAL
FOUNDATION
ROUGH
ROUGH
CITY, STATE TELEPHONE
SEWER: PUBLIC PRIVATE
FRAME
EPTIC TANK
FINISH
SPECIFICATION
PLASTER/BO
SEWER
IXTU RES
U
kiWZ
I —
U0
Z
NAME
FOUNDATION
EXT
TYPE
PIERS
FLUES
GAS
MOTORS
FINAL
FINISH
FINAL
ADDRESS
DEPTH IN GND
HGT FIN GRADE
CITY, STATE
P.T. PLATE (SILL)
EACH OF THE ABOVE INSPECTIONS MUST BE REQUESTED AND THAT
WORK APPROVED PRIOR TO ANY ADDITIONAL WORK PROGRESSING
BEYOND THAT POINT, AS REQUIRED BY UBC SECTION 305. FOR EACH
INSPECTION, 24 HOURS NOTICE IS REQUIRED. TELEPHONE THE KODIAK
ISLAND BOROUGH ENGINEERING DEPARTMENT, 406-5736, EXT. 273.
STRUCTURAL
SIZE
SPA.
SPAN
I STATE LICENSE NO.
GIRDERS
JOISTS 1ST FLR,
a y.D
cr
I-
cr
NAME
t6riAil A em.51-1-‘e.
ADDRESS
JOISTS 2ND FLR.
JOISTS CLG
EXT STUDS
INT STUDS
CITY, STATE
ROOF RAFTERS
NOTES:
INSTALLATION OF (MINIMUM) 19-INCH BY 20-FOOT CULVERT IS REQUIRED
AT EACH DRIVEWAY ACCESS TO THE PROPERTY.
SANITATION PLAN APPROVAL BY AN ADEC.CERTIFIED INSTALLER IS
REQUIRED PRIOR TO ISSUANCE OF A BUILDING PERMIT WHERE PUBLIC
WATER AND/OR SEWER 15 NOT AVAILABLE FROM A CERTIFICATED
MUNICIPAL SYSTEM.
INSTALLER'S PLAN APPROVAL RECEIVED
INSTALLER
TRUSSES
z
STATE LICENSE NO.
BEARING WALLS
9Y6
INSULATION, FNDN
(FOR OFFICE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
A B E H
DIVISION 1 4
2. TYPE OF CONSTRUCTION
I II III IV
FR 1-HR.
H.T.
A LLS
ROOF/CLG .
SHEATHING, WALLS/EXT
3 4
5, lc
ROOF .5.24_1 FLOOR
FINISH, EXT WALLS
ROOF
C171,
FLUES, FIREPL WOOD HTR
KITCHEN WATER HTR
FURNACE, TYPE
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
PRIOR TO THE ISSUANCE OF A PERMIT, EITHER THE OWNER OF THE
PROPERTY OR HIS AUTHORIZED AGENT MUST SIGN THIS APPLICATION OR
GRANT OTHER WRITTEN PERMISSION FOR THE DESCRIBED WORK TO BE
PERFORMED,
TAX LOT NO 'R6-614 or)r)oc0S
DATE g dec.- )3 5.--
OWNER PER
OWNERSHIP TRANSFERRED, IN PROCESS, TO
PER
CLOSING DATE, DEED RECORDED (BY)
Pew/AA \-c t5 Fore_ A_
S(Kao( Pvigre, SP•Ae- Arer; 1?-r,c42u2EAD
APPROVED, BUILDING OFFICIAL
BY /6'44
PLOT PLAN
(A SITE PLAN MAY ALSO BE REQUIRED)
REAR PROPERTY LINE
FRONT PROPERTY LINE
STREET
NOTE: APPLICANT SHALL SHOW BUILDING SETBACKS
FROM PROPERTY LINES, AS PERPENDICULAR DISTANCES
FROM PROPERTY LINES TO BUILDING, DIMENSIONS OF
STRUCTURE SHALL BE SHOWN ON THE PLAN.
ZONING CODE COMPLIANCE
ZONING DISTRICT iez_e_
TYPE OF OCCUPANCY Nje_uo
NO. OF STORIES TOTAL HGT 35—t
AREA OF LOT _ 4,
SETBACKS FROM PROPERTY LINES:
FRONT •••-5- t/J. REAR
SIDE (L) „2,,e5(44 (t..) SIDE (R) All
REQ'D OFF-STREET PARKING
c9--S1/4.91:71
C.U.P. OR VARIANCE NJ