ELDERBERRY HGTS 2ND BK 3 LT 10 - Building Permit!n?p0 ' p
RRPRZ
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486 -8070 • 486 -8072 Fax: 486 -8600 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)
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:
DEPTH IN GRND
O
w
N
R
NAME:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS: r
�- %
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
GROUP:
CRAWL SPACE VENT SQ. FEET
A B E F H I M R S U
DIV. 1 2 3 4 5 6
CITY & STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE: / s
NO. OF FAMILIES
GIRDERS
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
PRIOR TO PROCEEDING WITH
ANY FURTHER WORK:
FOR INSPECTION CALL 486 -8070
TYPE OF BUSINESS
GIRDERS
A
R
C
H
E
N
G
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
I II III IV V
N 1-HR FR H.T.
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
SUBMITTED
FRAMING
O O Z H Q< O H O
SHEATHING TYPE & SIZE:
FURNACE TYPE:
FLOOR
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
FINAL
SUBMITTED
DATE C.O. ISSUED:
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:
FINAL APPROVAL
TELEPHONE: r � r
!_ r ,
FINISH MATERIAL:
KODIAK FIREMARSHAL REVIEW:
SUBMITTED: APPROVED:
ROOF 1
STATE LICENSE: {�
yl
EXTERIOR SIDING
APPROVED - BUILDING OFFICIAL:
INTERIOR WALLS _
_
NOTES:
PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
LOCALITY
CLASS OF WORK
NEW
DEMOLISH
ALTERATION
REPAIR
NEARLST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING
Z
0
NAME
MAIL ADDRESS
CITY
SIZE OF BUILDING HEIGHT
Wr 14<
U C W
F W
Z
U U'
ipZia
NAME
NO. OF ROOMS
TEL NO.
T/7/1
NO. OF FLOORS
NO. OF BUILDINGS
VALUATION
s
BLDG. FEE
S
PLAN CHK. FEE
TOTAL
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
FRAME
SEPTIC TANK
FINISH
CITY
USE OF BLDG. NOW ON LOT
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
0
F
U
1-
F
Z
0
U
NAME
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
ADDRESS
CITY
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPA
`WAN
DESCRIPTION
SUBDIVISION �lf�, ,.J.K�ry Ile,;_?,
f f f r
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO.
BLK.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
41). Type of Construction
I, 11, 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
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 regulat,• g building construction.`
Applicant
Approved: CHIEF BUILDING OFFICAL
3N11 Al2j3dOid
PLOT PLAN
SETBACK
3N11 A1213dO2ld
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. LINF
REAR YARD
Approved: ZONING ADMINISTRATOR
By: By •
GAS OIL
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
BUILDING ALI.••
CLASS OF WORK
NEW
DEMOLISH
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
LOCALITY
NEAR
EST CROSS ST.
NAME
CC
Z MAIL ADDRESS
0
FI U X
W LI
— Z
rl7
ALTERATION
REPAIR
ADDITION
MOVE
CITY
TEL NO.
NAME
ADDRESS
CONTRACTOR
CITY
STATE LICENSE NO.
NAME
USE OF BUILDING
SIZE OF BUILDING !. HEIGHT
NO. OF ROOMS
NO. OF FLOORS
NO. OF BUILDINGS
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
SIZE OF LOT
USE OF BLDG. NOW ON LOT
SPECIFICATIONS
FOUNDATION
MATERIAL
EXTERIOR,
PIERS
BUILDING PERMIT NO
VALUATION
S ! /
BUILDING
DATE ISSUED
4,
BLDG. FEE
PLAN CHK. FEE
TOTAL
PLUMBING
s %63
I
ELECTRIC
WIDTH OF TOP
ADDRESS
CITY
STATE LICENSE NO.
- k ; 7`/
SUBDIVISION
LOT NO.
BLK
DO NOT WRITE BELOW THIS LINE
0. Type of Construction
I, II, III, IV, V)VI
2. Occupancy Group A, B, C, D, E,
F, G, H, I, ))Div. 1, 2, 3, 4,
3. Fire Zone 1 0
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
SPAN
GIRDERS
JOIST lst. FL.
JOIST 2nd. FL
JOIST CEILING
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
IULARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
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
FOUNDATION-, f/, j
FRAME
PLASTER
FLUES
FINAL
TOUGH
SEPTIC TANK
SEWER
GAS
FINISH
Approved: CHIEF BUILDING OFFICAL
By:
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
ZONING DISTRICT
PLOT PLAN
SETBACK
3N11 A183dOtid
S 1 FLEE 1
PLANNING & ZONING INF
TYPE OF OCCUPANCY
NUMBER OF STORIES
AREA OF LOT / f GW
FRONT YARD SE JACK FROM PROP. LINE
f
TOTAL HT. /yam
SIDE YARD SETBACK FROM PROP. LINE
?'47W SDfy.
REAR YARD
_52e/'
Approved: ZONING ADMINISTRATOR /0 ;AZ
By./'