CRESTVIEW LT 7B - Building PermitAPPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486 -8070 700 Mill Bay Road
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
(OFFICE USE ONLY)
STREET ADDRESS:
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
LOT : BLOCK :
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE :
DATE ISSUED:
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
1 f S ,
DEPTH IN GRND
O
pi
E
R
NAME:
USE OF BUILDING AUTHORIZED BY THIS
PERMIT:
REINFORCEMENT
VALE UUATIO`:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
A B E H I M R
DIV. 1 2 3 4 5 6
CRAWL SPACE VENT SQ. FEET
RECEIPT NO.:
CITY & STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES
& GRADE
SIZE
SPACING
SPAN
EACH OF THE FOLLOWING STAGES OF
CONSTRUCTION REQUIRES INSPECTION
BE REQUESTED & COMPLETED PRIOR TO
PROCEEDING WITH ANY FURTHER WORK:
FORINSPEC11ONCALL 486 -8070
NO. OF ROOMS STORIES
TELEPHONE
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
A
R
C
H
EINSULATION
N
G
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING S
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
SIZE OF LOT
JOISTS 2ND FLOOR
_
I II III IV V
N 1 -HR FR H.T.
WATER: PUBLIC ,
PRIVATE
JOISTS 2ND FLOOR
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
TYPE & THICKNESS:
EXTERIOR WALLS
EXCAVATION
rBEARING WALLS
TELEPHONE
FOUNDATION
UNDERGROUND UTILITIES
INTERIOR WALLS
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
STATE LICENSE :
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
APPROVED
ROUGH ELECTRICAL
C
0
R
A
C
1
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
ROUGH PLUMBING
FLOOR
ADEC APPLICATION:
FINAL
SUBMITTED
DATE C.O. ISSUED:
WOOD HEATER YES NO
TYPE
MAILING ADDRESS:
FINAL APPROVAL
WALLS
ALASKA FIREMARSHALL REVIEW:
SUBMITTED: APPROVED:
CITY & STATE:
ROOF
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:
TELEPHONE :
FINISH MATERIAL:
ROOF
APPROVED- BUILDING OFFICAL:
STATE LICENSE
EXTERIOR SIDING
INTERIOR WALLS
NOTES: , t' , rnec t i ifl FEf_.
Date
_..._ . _ -. _ Receipt
_ _,._ _.... _.
s5 Cash