ELDERBERRY HGTS 3RD BK 5 LT 8 - Other Agency PermitsC APPLI ION FOR CERTIFICATE OF REGISTRA.._N
(SALES AND SERVICE TAX)
TO: CITY OF KODIAK
P.O.BOX 1397
KODIAK, ALASKA 99615
NAME OF FIRM
S-18 p
LOCATION ADDRESS
MAILING ADDRESS
NAME OF OWNER
HOME ADDRESS
TYPE OF BUSINESS
M
DATE OF APPLICATION ,447/1.4
ACCOUNT NO.
Goes . co.
16za SQI L ak,e., 6 �e •
ikiza Lav,e. 14 e tali
40-5,&e_ e% s— rN l
BUSINESS PHONE-' '3
A)asko, 6t5
STREET
M. k.o.cc'a
CITY
STATE
ZIP CODE
l Zo S°1 i 2 Lam ) c c k Ak 1 6157 -HOME PHONE
STREET CITY STATE ZIP CODE
C P Y,eY�60 Co vl1'Y`oLc 4 ► r,9
I97 8 a_ - /g4
ALASKA BUSINESS LICENSE NUMBER
TYPE OF ORGANIZATION: 12.I INDIVIDUAL El PARTNERSHIP
DATE BUSINESS STARTED
-48G-q -9 3
CORPORATION
OTHER (EXPLAIN BELOW)
IS BUSINESS SEASONAL / IF YES, APPROXIMATE DATES THAT BUSINESS IS OPERATED EACH YEAR
PRO is ra /2-A.
e'cscIG6- 414) FROM TO NO. OF MONTHS
1,44,4e Ca oktiw- l4�-E A(244 rrZED
19 me_ ,2 2 - lec7
31 Si g-6
• SIGNATURE & TITLE OF APPLICANT
• nr �r�nnni rrrn
NAME TITLE
MAILING ADDRESS: HOME ADDRESS: PHONE:
NAME TITLE
MAILING ADDRESS: HOME ADDRESS: PHONE:
NAME - TITLE •
MAILING ADDRESS: - ' HOME ADDRESS: PHONE: 4.
NAME TITLE
MAILING ADDRESS: .' HOME ADDRESS: PHONE:.
REVENUE OFFICE
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: //
OLi( /i I- (Jv/
CLASS AND SCOPE OF WORK:
�
�f'Rcf.• i :','iv•,;s- f,,.fl
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
iie: >ei .
LOT: BLOCK:
NEW
'
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:-
DATE ISSUED:
t� /�,
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY: G E
( u "q./14I <V LI /j/75 k)%
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS: I
BUILDING PERMIT FEE:
C' (1 =
I L`
DEPTH IN GRND
O
W
N
E
R
(
NAME:
/ f'
Ci-1 di-t 'i- ,fit 1 k: F -- .+'l/-11'`f:i;i
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
t!.
2
- -
BOLT SPACING
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
MAILING ADDRESS:
I '. L - : - L / ,) E,- I' i 1iVi'
GROUP:
:, :''
!
I
CRAWL SPACE VENT SQ. FEET
A B E H I M R
DIV. 1 2 3 4 5 6
CITY & STATE:
v .y{ '
I-ID ;'t I y
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
i ;i; - UI 3
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
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 ;
/Nl 1 —HR FR H.T.
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
BEARING WALLS
TELEPHONE:
FOUNDATION
EXCAVATION
INTERIOR WALLS
UNDERGROUND UTILITIES
STATE LICENSE:
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING -- .
C
NMAILING
T
R
A
C
T
O
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
APPROVED
ROUGH ELECTRICAL
FLOOR
WOOD HEATER YES NO
TYPE
ADDRESS:
ADEC APPLICATION:
,ROUrGH'�PLUMBIN_G�
I;1�NAL r -5,'
WALLS
SUBMITTED /:DATE C.O. IS ED: -x-Q'.T ,
CITY & STATE:
ROOF
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION,
THAT IT IS CORRECT AND THAT 1 AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION
r /1 ;
APPLICANT: r !
FINAL APPROVAL /t' J�% P.,
` {�2
ALASKA FIREMARSHAL REVIEW F p 0 N
li?g���;
SUBMITTED: REVIEW-:!.
;`'
TELEPHONE:
FINISH MATERIAL:
ROOF
\� ; ek "Q4 /': "�. j
APPROVED - BUILDING OFFICIAL: 0.,.A %- ,.."i. .' '�q"
STATE LICENSE:
EXTERIOR SIDING
INTERIOR WALLS
NOTES: O /
SYSTEM DEVE PME` F
6<C ,r, s. / . r • : i , .. , ( , i ' V e y / -
WATER $ DATE
SEWER $ RECEIPT #
TOTAL $ CASHIER
PRINTED IN KODIAK, ALASKA BY C&A PRINTING, INC.
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK
( Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRESS
L1 f 11 a
CLASS OF WORK
NEW
DEMOLISH
LOCALITY it&1 Ry
ALTERATION
REPAI R
NEAREST CROSS ST.
_f1 a I j
I-I =LA
ADDITION
MOVE
BUILDING PERMIT NO.
jit
DATE ISSUED
USE OF BUILDING
tt
Z
0
N A M E J 't L.- '} 4Y 0,0,, Lc YG ,
SIZE OF BUILDING ✓!�j'� j� ( HEIGHT
MAIL ADDRESS.
3-
NO. OF ROOMS
9
NO. OF FLOORS
k. CITYi eh°, 4ti.Y'3 N6a
NO. OF BUILDINGS
VALUATION
BLDG. FEE
S
PLAN CHK. FEE
TOTAL
W
Z
D
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
/
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT % %O 2 '{t • r
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
re
z
O
U
NAME
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATEAIC 1SE N098 a7
SIZE
SPA..
SPAN
z
0
J I-
¢ a
l7 �
W O
J to
W
SUBDIVISION
ffLhEI K (R Y
GIRDERS
._Y{
!2'
JOIST 1st. FL.
a )1 to
�� tl
/2'
JOIST 2nd. FL.
lire
LOT NO.
3
BLK.
JOIST CEILING
.^,?,e!ti tl
c
IC)
EXTERIOR STUDS
. { eo
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 1 213 4
.1
INTERIOR STUDS
ROOF RAFTERS
1x4 IC"
'
BEARING WALLS
Z "e �! i (0"
COVERING
EXTERIOR WALLS C t�v^ I R00010.-10e
INTERIOR WALLS .; }roc REROOFING"
FLUES
FIREPLACE n
FL. FURNACE U
KITCHEN WATER HEATER
FURNACE
(GA. 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 regulati ng building Conruction;
Applicant._^'
in accordance with Section 305(.b) UBC 19S9, it is
mandatory that the owner request each of the above
inspections prior to proceeding with any additional
work. (486 -5731)
Approved: CHIEF BUILDING OFFICAL
3N11 .112i3dO2id
A
PLOT PLAN
3N1"1 A.I.H3dO2id
/7'
U
a
1-
W
(n
ST9EET
PLANNING & ZONING INFO.
— ,-
ZONING DISTRICT 4- 4441. / ?Walt" •
TYPE OF OCCUPANCY
NUMBER OF STORIES L
AREA OF LOT Zd6, Z a
TOTAL HT.
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBAACKKF�•ROM PROP. LINE / 7
REAR YARD -
Approved: ZONING ADMtNISyR-ATOR / / /j!
Ry •
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
• APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BuILDING ADDRESS
Sal EP- LM E.
LOC ALITYE_Lb E
NEW
y SAtbi‘ra(oN)
ALTERATION
.u...-
NEARcsT clAy. rz-P LA 1'1
ADDITION
USE OF BUILDING
CLASS OF WORK
DEMOLISH
REPAIR
MOVE
es:Ae rye fe..
BUIL:DING 'PERMIT NO.
q
DATE ISSUED
cc
z
0
• 1
NAMC s-i-epken
MAIL 95■••
CiTY<b0)).0..k. 4 TEL. NO 2..ri
SIZE OF BUILDING 2■440 HEIGHT
.NO. OF ROOMS
NO OF FLOORS
9
NO OF BUILDINGS
VALUATION
NAME
NO OF BUILDINGS NOW ON LOT
BUILDING
BLDG. FEE
PLAN CHK. FEE
PL LT
TOTAL
MBING
s 61)/9
ELECTRIC
NO. OF FAMILIES
1
ADDRESS
F16/-) 2 51,
USE OF BLDG. NOW ON LOT
SIZE OF LOT
FOUNDATION
FRAME
ROUGH
SEPTIC TANK
ROUGH
FINISH
PLASTER
SEWER
FIXTURES
,SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO
FOUNDATION
FINAL
FINISH
FINAL
CONTRACTOR
NAME
MATERIAL
EXTERIOR, PIERS
MOTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
/ t 1'. /6, 71e.,,)
')•
R.W. PLATE (SILL)
z
CI O.
w
0
sTATAicisN4sE No962 7
SuBDIvISiON
ff_LbEf; ESRY
SIZE
SPA.,
GIRDERS
JOIST 1st. FL,
4-K12 )21
g lb l4V1
JOIST 2nit FL.
L.' >el°
16 1!
/2J
'
t 0 T NO
BLK.
JOIST CEILING
2
11.
24"
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
i.Type of Construction
I, 11, III, IV,
2. Occupancy Group A, B, C, 0, E,
F, G, H,
3. Fire Zone 1 2
iv. 1, 2, 3, 4,
INTERIOR STUDS
xz.
ROOF RAFTERS
BEARING WALLS
P x
COVERING
1
pp I
2,41"
EXTERIOR WALLS
SPAN
C_L-d(NY- I ROOSI\ ;
INTERIOR WALLSfl.sL,..„....A.v...e REROOFIrr:
FLU E5
FIREPLACE F13
FL. FURNACE
KITCHEN
WATER HEATER
FURNACE
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 regulf,ing hiildingicon,quction;
A nn 1 ira \.kitt1/4-4 .
In accordance with Section 305(b) UBC 1979, it is
mandatory that the owner request each of the above
inspections prior to proceeding with any additional
work. (486-5731)
Approved: CHIEF BUILDING OFFICAL
441 .
Nil A1H3dO2:1d
PLOT PLAN
. 3N11 A.LIndOLid
7)
SETBACK
STREET
PLANNIN & ZONING INFO, •
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES
TOTAL HT.
AREA OF LOT eZ,,e)
FRONT YARD SETBACK FROM P OP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
Approved: ZONING ADMI S TOR //
•
6?