ELDERBERRY HGTS 1ST BK 2 LT 10 - Building PermitBUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRI SS
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
NEAREST CROSS ST.
ALTERATION
ADDITION
REPAIR
MOVE
BUILDING PERMIT NO.
DATE ISSUED
9
USE OF BUILDING
CC
Z
0
NAME
MAIL ADDRESS
SIZE OF BUILDING / //t a HEIGHT
NO. OF ROOMS
NO. OF FLOORS
CITY
TEL. NO
NO. OF 3UILDINGS
H �
W W
H W
1 Z
U
Z
W
NAME
NO. OF BUILDINGS NOW ON LOT
VALUATION
BUILDING
BLDG. FE t`
5 ? Zy
PLAN CHK. FEE
TOTAL
PLUMBING
ELECTRIC
NO. OF FAMILIES
ADDRESS
SIZE OF LOT
FOUNDATION
ROUGH
ROUGH
FRAME
SEPTIC TANK
FINISH
CITY
USE OF BLDG. NOW ON LOT
SPECIFICATIONS
PLASTER
SEWER
FIXTURES
STATE LICENSE NO
FOUNDATION
CONTRACTOR
NAME
MATERIAL
EXTERIOR, PIERS
FLUES
F INAL
GAS
MOTORS
FINISH
FINAL
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DE PTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SI /1
SI'A.
SPAN
J
0
W
J
DESCRIPTION
SUBDIVISION
GIRDERS
JOIST Isl. FL.
JOIST 2nd. FL.
1 Of NO
'0
BLK.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
.. Type of Construction
I, II, III, 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
1 URNACE
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
j) _S / AE
Approved: CHIEF BUILDING OFFICAL
By:
3NI1 A183dOHd
PLOT PLAN
A
v
3N11 Al2:13dO1:1d
SETBACK
STREET
& ZONING INFO.
ZONING DISTRICT /N.A..— j,i- t)/A -fi / u^��'�2 -ice •
TYPE OF OCCUPANCY /
NUMBER OF STORIES _ .. 7'L� TOTA
AREA OF LOT ',co? -�•
FRONT YARD SETBACK FROM PRe LINE /
HT. "�'�
SIDE YARD SETBACK FROM. PROP. LINE
r /
REAR YARD
Approved: ZONING ADMINISTRATOR
By, Q . ,, yfrk