ELDERBERRY HGTS 1ST BK 2 LT 1 - Building PermitBUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS OF WORK
BUILDING ADDRESS
LOCALITY
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MAIL ADDRESS
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NAME
ADDRESS
CITY
STATE LICENSE NO.
NEW
DEMOLISH
ALTERATION
REPAIR
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING HEIGHT
NO. OF ROOMS
NO OF FLOORS
NO. OF BUILDINGS
NO. OF BUILDINGS NO , nN LOT
NO. OF FAMILIES
SIZE OF LOT
USE OF BLDG. NOW ON LOT
SPECIFICATIONS
FOUNDATION
CONTRACTOR
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CITY
STATE LICENSE NO.
SUBDIVISION
LOT NO.
BL K.
DO NOT WRITE BELOW THIS LINE
OF
Type of Construction
I, 11, III, IV, V, VI
2. Occupancy Group A, B, C, D, E,
F, G, H, 1, J Div. 1, 2, 3, 4,
3. Fire Zone 1 2 3 4
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
SIZE
SPA.,
SPAN
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL
JOIST CEILING
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO.
VALUATION
$
BUILDING
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOT
INTERIOR WALLS
REROOI IN
FLUES
I I REPLACE - FL. FURNACE
KITCHEN WATER HEATER
l
I URNACE
GAS OIL
1 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
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
3N11 A_LEI3dO2Jd
PLOT PLAN
A
I
SETBACK
3N11 Ala3dOad
STREET
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: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By: By.