ELDERBERRY HGTS 4TH BK 5 LT 2 - Building PermitBUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS OF WORK
BUILDING ADDRESS
LOCALITY
NEAREST CROSS ST.
NEW
DEMOLISH
ALTERATION
REPAIR
IY
0
NAME
MAIL ADDRESS
CONTRACTOR
DESCRIPTION
NAME
ADDRESS
CITY
STATE LICENSE NO.
NAME
ADDRESS
CITY
STATE LICENSE NO.
SUBDIVISION
LOT NO.
BL K.
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING HEICHT
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)
SPA.,
SPAN
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
IFType 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
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOI IN
FLUES
FIREPLACE FL. FURNACE
KIT( HEN WATER HEATER
I URNACI
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
S
BUILDING
OUNDATION
FRAME
PLASTER
FLUES
FINAL
DATE ISSUED
BLDG. FEE
PLANCHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
Approved: CHIEF BUILDING OFFICAL
By:
3N11 A183dOHd
A
PLOT PLAN
H
STREET
SETBACK
3N11 A1.13dOiid
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: ZONING ADMINISTRATOR
By-