ERSKINE ADD BK 6 LT 85 - Building PermitAPPLICATION 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
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:
6 — T
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
DATE ISSUED:
:/
2--/t ( ?
ALTERATION
'X,
REPAIR
TYPE
SUBDIVISION / SURVEY:
,_
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDI G PERMIT FEE:
) /
DEPTH IN GRND
Iozw¢
NAME:
'"''' —
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
%
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
MAILING ADDRESS:
GROUP:
CRAWL SPACE VENT SQ. FEET
A B E F H I W 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:
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
HCITY
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
1 II III IV V
N 1-HR FR H.T.
& STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
BEARING WALLS
FOUNDATION
TELEPHONE:
EXCAVATION
INTERIOR WALLS
UNDERGROUND UTILITIES
STATE LICENSE:
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
C
T
R
A
T
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
APPROVED
ROUGH ELECTRICAL
FLOOR
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
MAILING ADDRESS:
ADEC APPLICATION:
FINAL
WALLS
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
ALASKA FIREMARSHAL REVIEW:
TELEPHONE:
FINISH MATERIAL:
ROOF
SUBMITTED: -f APPROVED
• O`,,t21374
STATE LICENSE:
EXTERIOR SIDING
l� r `" °� , 76,,,
APPRf7VE@' - BUIL ING OFF1CtAt'-
INTERIOR WALLS
1 NOTES: 1) /h,c,� 1- rho rJ n�c s ij, c�,�i� /, f / / Sw Z. � SS. 4a, O oor CI
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'Wilk CA
Rev. 1 -97
PRINTED IN KODIAK, AIASKA ASTERS OF KODIAK
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS OF WORK
Z
0
CONTRACTOR
NAME
MAIL ADDRESS
CITY
Ti L NO.
NAME
ADDRESS
CITY
STATE LICENSE NO.
Z
0
H
a a
0 Ei
w U
O
NAME
ADDRESS
CITY
STATE LICENSE NO.
SUBDIVISION
NEW
DEMOLISH
ALTERATION
REPAIR
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING. HEIGHT
NO. OF ROOMS
NO. OF FLOORS
NO. OF BUILDINGS
1
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
SIZE OF LOT
USE OF BLDG. NOW ON LOT
SPECIFICATIONS
FOUNDATION
MATERIAL
EXTERIOR
PIERS
WIDTH OF TOP
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
SIZE
Slv�
GIRDERS
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO.
Mir SY/o
VALUATION
BUILDING
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
LOT NO
BLK.
DO NOT WRITE BELOW THIS LINE
k. 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
JOIST lst. FL.
JOIST 2nd. FL.
JOIST CEILING
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
1 2001
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 regulating building construction.
Applicant
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
Approved: CHIEF BUILDING OFFICAL
By:
5
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
3N11 Al2i3dO8d
PLOT PLAN
STREET
SETBACK
3NI1 Al2i3dO2id
7/7' .54tr ; >r ,
g`94-G
•
�.
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY,// R
NUMBER OF STORIES /
AREA OF LOT yf
FRONT YARD SETBACK FROM PP P. LINE /d C, -'f
SIDE YARD SETBACK FROM PROP. LINE yJ ( ;
TOTAL HT
REAR YARD +�7
Approved: ZONING ADMINISTRATOR
By-
/-4,--7-7,6*A44;41:
BUILDING DEPARTMENT — CITY OF KODIAK
Applicant to fill in between heavy lines. OF OCCUPANCY
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
BUILDING ADDRESS
CLASS OF WORK
NEW I I DEMOLISH
LOCALITY
ALTERATION I I REPAIR
ADDITION I -.. I MOVE
NEAREST CROSS ST.
USE OF BUILDING
PERM ITTEE
NAME
SIZE OF BUILDING HEIGHT
NO. OF ROOMS
MAIL ADDRESS
NO. OF FLOORS
CITY TEL. NO.
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
ARCHITECT
ENGINEER
NAME
SIZE OF LOT
ADDRESS
USE OF BLDG. NOW ON LOT
CITY
SPECIFICATIONS
FOUNDATION
STATE LICENSE NO.
MATERIAL
EXTERIOR i PIERS
NAME
-- - - -
WIDTH OF TOP
I
WIDTH OF BOTTOM
I
CONTRACTO
ADDRESS
DEPTH IN GROUND I
CITY
R.W. PLATE (SILL)
SIZE I
SPA.
SPAN
STATE LICENSE NO.
GIRDERS
-'
LEGAL
DESCRIPTION
SUBDIVISION
JOIST 1ST FL.
JOIST 2ND FL.
LOT NO. BLK.
JOIST CEILING
EXTERIOR STUDS
1. District
II
12. 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,
4. Use Zone:
5. Fire Zone 1 2 3 4
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS
REROOFING
FLUES
FIREPLACE FL.. FURNACE
KITCHEN WATER HEATER
FURNACE GAS OIL
[ 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.
VALUATION
DATE ISSUED
BLDG. FEE $
PLAN CHK. FEE
TOTAL
BUILDING
FOUNDATION
PLUMBING
ROUGH
ELECTRIC
FRAME
PLASTER
FLUES
FINAL
SEPTIC TANK
SEWER
GAS
FINISH
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
3N 11 A1?:13dOHd
PLOT PLAN
H
A
r
SETBACK
3NI1 A1213dO2fd
STREET
MAP NUMBER
No. ASSIGNED BY
FIELD CHECK BY
DATF
PLANNING & ZONING INFO
TYPE OF OCCUPANCY
TOTAL FLOOR AREA
NUMBER OF STORIES
AREA OF LOT
TOTAL HT.
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
NEW CONSTRUCTION ALTER
CHANGE OF OCCUPANCY FROM
By: To
Approved: CHIEF BUILDING OFFICIAL
By: