ESTELLE LT 1A - Building PermitCITY
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS OF WORK
BUILDING ADDRESS
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS ST.
cr
MAIL ADDRESS
0
NAME
J
0
J
DESCRIPTION
TEL. NO.
NAME
ADDRESS
CITY
STATE LICENSE NO.
NAME
ADDRESS
CITY
STATE LICENSE NO.
SUBDIVISION
/
LOT NO.
BLK.
DO NOT WRITE BELOW THIS LINE
lk. 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
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
EXTFRIOR,
PIERS
WIDTH OF TOP
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
GIRDERS
JOIST 1st. FL,
JOIST 2nd. FL.
JOIST CEILING
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
SIZE
SPA
SPAN
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCII EN WATER HEATER
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
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO
VALUATION
s
BUILDING
OUNDATION
FRAME
PLASTER
FLUES
FINAL
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
Approved: CHIEF BUILDING OFFICAL
S
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
3N11 AIH3dOLfd
PLOT PLAN
SETBACK
3N11 A1N3dOEJd
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES TOTAL Hl
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
Approved: ZONING ADMINISTRATOR
By: By: