EAST ADD BK 53 LT 11 - Building PermitIND
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADD, ,
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAI R
ADDITION
MOVE
NEAREST CROSS ST.
USE OF BUILDING
OWNER
NAME
SIZE OF BUILDING HEIGHT
NO. OF ROOMS
MAIL ADDRESS
NO OF FLOORS
CITY
TEL. NO
NO. OF BUILDINGS
NO. OF BUILDINGS NOW ON LOT
7 ARCHITECT
ENGINEER
NAME
NO. OF FAMILIES
ADDRESS
SIZE OF LOT
USE OF BLDG. NOW ON LOT
CITY
SPECIFICATIONS
STATE LICENSE NO
FOUNDATION
MATERIAL
EXTERIOR,
111
CONTRACTOR
NAME
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
DEPTH IN GROUND
CITY
R.W. PLATE (SILL)
STATE LICENSE NO
SIZE
SP/ \h
',I'; , ^d
GIRDERS
LEGAL
DESCRIPTION
SUBDIVISION
JOIST 1st. FL.
JOIST 2nd. FL.
I.OT NO
BLK.
JOIST CEILING
EXTERIOR STUDS
INTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
1. 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
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
BUILDING PERMIT NO.
VALUATION
5
BUILDING
FOUNDATION
RAME
PLASTER
FLUES
1NAL
DATE ISSUED
BLDG. FEL
PLAN CHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
Approved: CHIEF BUILDING OFFICAL
S
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
By:
3N11 A1LI3dOLid
PLOT PLAN
STREET
3N11 AlLf3dOUd
SETBACK
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 •