KILLARNEY HILLS BK 4 LT 10A - Building PermitBUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
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CLASS OF WORK
NEW
DEMOLISH
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LOCALITY ?N)
ALTERATION
REPA I R
NEAREST CROSS' ST.
V.,
ADDITION
MOVE
BUILDING PERMIT NO.
I
DATE ISSUED
USE OF BUILDING
114
0
._',-. 4 ? .4, / ;
SIZE OF BUILDING, - ;`"HEIGHT
MAIL ADDRESS ",„
NO. OF ROOMS ,
CITY
;
`i I
NO. OF FLOORS
NO. OF BUILDINGS
VALUATION
BLDG. FEE
$
7:7 Os)
PLAN CHK. FEE
TOTAL
A.‘,..,.TECT
ENGINEER
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
NO. OF FAMILIES
FOUNDATION
ROUGH
ELECTRIC
ROUGH
ADDRESS
SIZE OF LOT
CITY
USE OF BLDG. NOW ON LOT
FRAME
PLASTER
SEPTIC TANK
SEWER
FINISH
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO,
FOUNDATION
FINAL
FINISH
FINAL
NAME- - •
sL1
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
/
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
rf
SI ZE
SPA...
SPAN
0
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0
SUBDIVISION
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GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
/
LOT NO.
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BLK.
JOIST CEILING • ,
• • 9. /..7
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
1. Type of Construction
1,11,111, 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
INTERIOR STUDS
ROOF RAFTERS
.:,
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS
1..
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-
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PLOT PLAN
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STREET
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PLANNING & ZONING INFO.
ZONING DISTRICT r
TYPE OF OCCUPANCY(N; )
-NUMBER OPSTORIES -75> TOTAL
AREA OF LOT
I 7. /57! c<40 FRONT YARD SETBACK FROM PROP. LINE
3-54-cet= SIDE YARD SETBACK FROM PROP. LINE ",
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Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR 1, /
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