CRESTVIEW LT 6A - Building PermitBUILDING DEPARTMENT — CITY OF KODIAK
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
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CLASS OF WORK
NEW I
DEMOLISH
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ALTERATION I I REPAIR
ADDITION I I MOVE
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SIZE OF BUILDING /// HEIGHT /
NO. OF ROOMS
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NO. OF FLOORS /
' /EL. NO.
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
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NAME
SIZE OF LOT ff /
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ADDRESS
USE OF BLDG. NOW ON LOT
CITY
SPECIFICATIONS
FOUNDATION
STATE LICENSE NO.
MATERIAL X1OG.�
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EXTERIOR I PIERS
NAME
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WIDTH OF TOP
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WIDTH OF BOTTOM
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DEPTH IN GROUND
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SIZE I
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SUBDIVISION ll
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EXTERIOR STUDS
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1. District
2. Type of Construction
I, II, III, IV, V, VI
3. Occupancy Group A, B, C, D, E,
F, G, H, I , J Div. 1, 2, 3, 4,
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4. Use Zone:
5. Fire Zone 1 2 3 4
INTERIOR STUDS
ROOF RAFTERS
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BEARING WALLS
COVERING
EXTERIOR WALLS �D6 g
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REROOFING
INTERIOR WALLS Gtr R
FLUES
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FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE Z.../--
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[• 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.
A
g77 VALUATION
600
DATE ISSUED
f / (3/7 7
BLDG. FEE
PLAN CHK. FEE
TOTAL
BUILDING
PLUMBING
2 c)s
C 6
ELECTRI
FOUNDATION
IROUGH
ROUGH
FRAME
ISEPTIC TANK
FINISH
PLASTER
SEWER
FIXTURES
FLUES
GAS
MOTORS
FINAL
FINISH
FINAL
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By:
App
By:
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PLOT PLAN
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STREET
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MAP NUMBER
O. ASSIGNED BY
FIELD CHECK BY - -
DATE
PLANNING & ZONING INFO
TYPE OF OCCUPANCY
S G /.fi 4.J•r /AL
TOTAL FLOOR AREA % /47,e/V4-
NUMBER OF STORIES ( TOTAL HT. 1
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AREA OF LOT / ), - /GP 4/
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE . e [)
REAR YARD
///4
NEW CONSTRUCTION A„/ ALTER
CHANGE OF OCCUPANCY FROM
To