ERSKINE ADD BK 9 LT 101 & 102 - 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
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A
OFFICE U
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:
TYPE
ALTERATION
REPAIR
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
O
W
1 N
R
NAME:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
INCHES
5 4. f{. �•
OCCUPANCY
TOTAL FEE:
MAILING ADDRESS:
CRAWL SPACE HEIGHT
CRAWL SPACE VENT SQ. FEET
GROUP:
CITY & STATE:
SIZE HEIGHT
A B E F H I M R S U
DIV. 1 2 3 4 5 6
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
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
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
+ 1
PRIVATE
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
I II III IV V
N 1-HR FR H.T.
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
TELEPHONE:
FOUNDATION
BEARING WALLS
INTERIOR WALLS
EXCAVATION
UNDERGROUND UTILITIES
STATE LICENSE:
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
FRAMING
C
O
1 T
R
A
C
T
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
WOOD HEATER YES NO
TYPE
SUBMITTED
FLOOR
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
; ; ';
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
FINAL
CITY & STATE:
ROOF
SUBMITTED
DATE C.O. ISSUED:
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:
1/ 1
FINISH MATERIAL:
•
•
ALASKA FIREMARSHAL REVIE •(j' -
7,2
SUBMITTED: ry APPROV�: �,
^�
. IT
ROOF
STATE LICENSE:
EXTERIOR SIDING
INTERIOR WALLS
�t q
APPROVED - BUILDING O'FrCIAL: ti` ;r`DO�C
...
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N,
NOTES: p ,: ceIved v
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PRINTED IN KODIAK, ALASKA BY PRII T NHCTE'. , l' Kt'.
BUILDING DEPARTMENT — CITY OF KODIAK
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
CLASS OF WORK
NEW I I DEMOLISH
LOCALITY
ALTERATION I I REPAIR
ADDITION I I MOVE I
NEAREST CROSS ST.
USE OF BUILDING
W
W
F
F
i
W
a
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
f,
WW ADDRESS
F W
_
U z
ce <W
NAME
SIZE OF LOT
USE OF BLDG. NOW ON LOT
CITY
SPECIFICATIONS
FOUNDATION
STATE LICENSE NO.
MATERIAL
EXTERIOR 1 PIERS
CONTRACTOR
NAME
WIDTH OF TOP
WIDTH OF BOTTOM
I
ADDRESS
DEPTH IN GROUND I
CITY
R.W. PLATE (SILL)
SIZE I
SPA.
SPAN
STATE LICENF5 NO.
GIRDERS
LEGAL
DESCRIPTION
SUBDIVISION
JOIST Isr FL.
JOIST 2ND FL.
LOT NO. BLK.
JOIST CEILING
EXTERIOR STUDS
1. District
2. 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
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 ±, 44ef!.C4. -t..f. "G!" .a.,...- . •
BUILDING PERMIT NO.
VALUATION
DATE ISSUED
BLDG. FEE $
PLAN CHK. FEE
TOTAL
BUILDING
PLUMBING
ELECTRIC
FOUNDATION
ROUGH
ROUGH
FRAME
SEPTIC TANK
FINISH
PLASTER
SEWER
FIXTURES
FLUES
GAS
MOTORS
FINAL
FINISH
FINAL.
je7 at 'W e «APP.e4C' eZ''"
3N17 Ail! 3dOidd
PLOT PLAN
H
I
3N11 A183dO2id
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: a ,; ,,a.,5.,: u ,�~ TO
Approved: CHIEF BUILDING OFFICIAL
By: