KILLARNEY HILLS BK 3 LT 4 - Building PermitAPPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-8070 710 Mill Bay Road
(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
ALTERATION
REPAIR
TYPE
ZONING COMPLIANCE:
DATE ISSUED:
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
DEPTH IN GRND
VALUATION BASIS:
BUILDING PERMIT FEE:
0
W
N
E
R
NAME:
MAILING ADDRESS:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
BOLT SPACING
VALUATION:
PLAN CHECK FEE:
CRAWL SPACE HEIGHT _ . INCHES
CRAWL SPACE VENT
SQ. FEET
CITY & STATE:
SIZE
HEIGHT r•
NO. OF ROOMS / STORIES
STRUCTURAL
SPECIES & GRADE SIZE
SPACING
SPAN
TELEPHONE:
NO. OF FAMILIES
GIRDERS
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 1
JOISTS 1ST FLOOR
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
OCCUPANCY GROUP:
AB E H I M, R
DIV. 1 2 3 4 5 6
TOTAL FEE:
RECEIPT NO:
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
TELEPHONE:
FOUNDATION
EXTERIOR WALLS
BEARING WALLS
INTERIOR WALLS
STATE LICENSE:
WALLS
ROOF RAFTERS
TYPE OF CONSTRUCTION
II III IV V
N 1 -HR FR H.T.
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
PRIOR TO PROCEEDING WITH
ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
EXCAVATION
ROOF / CEILING?
TRUSSES
C
0
N
T
R
A
C
T
0
R
NAME:
MAILING ADDRESS:
SHEATHING TYPE & SIZE -
•
FLOOR
FURNACE TYPE:
DRIVEWAY PERMIT:
SUBMITTED
APPROVED
WALLS
CITY & STATE:
ROOF /
WOOD HEATER YES NO
TYPE
ADEC APPLICATION:
SUBMITTED
TELEPHONE:
FINISH MATERIAL:
ROOF /
STATE LICENSE:
EXTERIOR SIDING
INTERIOR WALLS
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
UNDERGR $11j1�iy
FOUND / SETBACI S
FRA i
1,
ROUGN ELECT Fj�C �j � 0
ROUGH PLU NG.
FINAL; v•paC +
DATE C.O. IWelt*K°�`� A,,,'
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPRO
D:
APPROVED - BUILDING OFFICIAL:
NOTES:
WATER $
SEWER $ RECEIPT #
TOTAL $ CASHIER
SYSTEM DEVELOPMENT FEE
DATE
Printed in Kodiak, Alaska by C & A Printing Inc.
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS
BUILDING ADDRESS
OF
WORK
NEW
DEMOLISH
LOCALITY
/4 ' ,!'�S':4!ci7
NEAREST CROSS ST.
,V ,A 1,k) 4v
Z
0
ARCHITE
z_
O
z
w
NAME
1. ,Bei,1 8 C4/
MAIL ADDRESS
ALTERATION
REPAIR
ADDITION
MOVE
USE OF BUILDING es 1 <cd eA'et tc
CITY
TEL. NO
SIZE OF BUILDING of SA 76 HEIGHT
NO. OF ROOMS
NO. OF FLOORS
NO. OF BUILDINGS
NAME WA lfl/cvr'v
ADDRES
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
SIZE OF LOT
a
O
J
DESCRIPTION
CITY
4i
STATE LICENSE NO.
NAME
. IC
CITY
STATE LICENSE NO.
SU BDI VISIO
LOT NO.
BLK.
3
USE OF BLDG. NOW ON LOT
SPECIFICATIONS
FOUNDATION
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
SPA._
SPAN
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
JOIST CEILING
/
DO NOT WRITE BELOW THIS LINE
1. 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
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
X>f
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO.
VALUATION
BUILDING
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
OX t.
COV E F,I NG ,y
EXTERIOR WALLS T)/i i' /' ')f ROOF4$f
INTERIOR WALLS ;" - , �, REROOFING
FLUES
FIREPLACE i 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
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
71%, c R rd k6/z..,A PL -/g k gar/ e
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115 A q jhf?PS ARS. Woos . asetiAu 1$191%d e. t
3N11 Al2iJdO?ld
A
PLOT PLAN
H
SETBACK
3N11 ,11U3dOad
+ STREET
1
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES k TOTAL HT.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By•