ELDERBERRY HGTS 1ST BK 2 LT 4A - Building PermitBUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS OF WORK
BUILDING ADDRESS
LOCALITY
NEAREST CROSS ST.
w
2
O
CONTRACTOR
J
NAME
MAIL ADDRESS
CITY
TEL. NO
NAME
ADDRESS
CITY
STATE LICENSE NO.
NAME
ADDRESS
CITY
STATE LICENSE NO.
SUBDIVISION
NE
DEMOLISH
ALTERATION
REPAIR
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING HEIGHT
NO. OF ROOMS
NO. OF FLOORS
NO. OF BUILDINGS
JO. 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
GI RDERS
JOIST 1st. FL,
LOT_ N D.
BLK.
2
DO NOT WRITE BELOW THIS LINE
,. Type of Construction
I, II, Ill, 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
JOIST 2nd. FL
JOIST CEILING
EXTERIOR STUDS
NTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
URNACE
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.
y7 r/7
VALUATION
5
BUILDING
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
S
61�
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
Approved: CHIEF BUILDING OFFICAL
3N11 Al2i3dO8d
PLOT PLAN
A
SETBACK
3NI1 Al2i3dO2id
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY .5 ,■
NUMBER OF STORIES
AREA OF LOT
ale t
53.lV4'.
TOTAL HT.
FRONT YARD SETBACK FROM PR P. LINE �5j
SIDE YARD SETBACK FROM PROP. LINE /C /../2•;07/5i
srL 1::S
REAR YARD
Approved: ZONING ADMINISTRATOR /S
l
By: By•