ELDERBERRY HGTS BK 1 LT 9 - Building PermitBUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines.
OF OCCUPANCY
BUILDING AMR SS
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
USE OF BUILDING
MOVE
5Z'
BUILDING PERMIT NO.
DATE ISSUED
NAME
tY
Z MAIL. ADDRESS
0
SIZE OF BUILDING HEIGHT
NO. OF ROOMS
CITY
TEL. NO
NO. OF FLOORS
NO. OF BUILDINGS
VALUATION
S
BLDG. FEE
PLAN CHK. FEE
TOTAL
ENGINEER
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
ADDRESS
SIZE OF LOT
FOUNDATION
FRAME
ROUGH
ROUGH
SEPTIC TANK
FINISH
CITY
USE OF BLDG. NOW ON LOT
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
NAME
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SUBDIV ION
for
LOT NO
BLK.
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
'. Type of Construction
1, 11, 111, 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 I 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
Approved: CHIEF BUILDING OFFICAL
By:
3N11 AlE13dOiId
A
PLOT PLAN
I
STREET
SETBACK
3N11 AlJi3dO Jd
l
PLANNING & ZONING INFO.
ZONING DISTRICT /' f ,•�� � Zr'... ZC( 1
TYPE OF OCCUPANCY r �a
NUMBER OF STORIES TOTAL HT /7p/ �y% "I�/�j/ j
AREA OF LOT //` j9'9 ,l�J { {{
FRONT YARD SETBACK FROM PRO LINE /7(1., "",
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD 1-
Approved: ZONING ADMINISTRATOR
By: V>1-.- .7/r • ( �•- c
/'
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486 - 8070.486 -8072 Fax: 486 -8071 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)
STRgET ADDRESS:
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
LpT: BLOC
NEW
k
DEMOLITION
/
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
DATE ISSUED:
TYPE
2 6--OZ
` I:7 2_ CZ 3
ALTERATION
REPAIR
S 11DIVISION / SURVEY:
C. I i. , t . :rit ILL] ,...I(
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING 6ERMIT FEE:
DEPTH IN GRND
( �%,..t.t.c�
f `- . (.`ti
O
W
NAME_: !
i 1 1 j G' —
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
/� C L
(�„
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
(2 C'<' •
,i 4 ; -
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCYGROUP:
TOTAL FEE:
1- 1 i�
� F "'
_j
l
CRAWL SPACE VENT SQ. FEET
K �-
, _T,.
tTY & STATE:
i i 4 1/ ,. ( �` k.
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
T
EPH �QN ONE:
✓�, ,
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
-17"---i- t.' ; 1- <I
t{a {
L_ r
TYPE OF CONSTRUCTION
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
H
E
N
G
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
Yr.P „, -)r•d
.,2x 5
t( „'
1 C. '
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
y
i"�:
WATER: PUBLIC
'
PRIVATE
I
I
JOISTS 2ND FLOOR
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
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
NMAILING
Ilk
A
C
T
RROOF
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
SUBMITTED
FRAMING
FLOOR
APPROVED
ROUGH ELECTRICAL
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:
LOCAL FIREMARSHAL REVIEW:
SUBMITTED: APPRO�
STATE LICENSE:
EXTERIOR SIDING
i 'V r�
APPROVED DItJt ( A'C! ST
INTERIOR WALLS
NOTES:
N 1 LP
IA
Reee1Ved
.N Finance N� . Co
`cJ City of itodlak Qv
N.
we v
-Z1 9L StiAC"N.
PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK