KODIAK TWNST BK 2 LT 4 - Building Permit--APPLICATION FOR BUILDING PERMIT -AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-8070 700 Mill Bay Road
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLO LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
OFFICE USE ONLY)
STREET ADDRESS: / 22.. tilIK
E P 2 nod Dti V f' ' ' km sf
CLASS AND SCOPE OF WORK: ,
SPECIFICATIONS:
=
. BUILDING PERMIT NUMBER: -
DATE OF APPLICATION:
C l'' , �t
LOT : BLOCK .`
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE :
DATE ISSUED:
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ALTERATION
x
REPAIR
TYPE
- _ "•
SUBDIVISION / SURVEY: -'`
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE: :-
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- - - _
--
DEPTH IN GRND---
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NAME: tt
P W L
USE OF BUILDING AUTHORIZED BY THIS
REINFORCEMENT
VALUATION( ' •
PLAN CHECK FEE:
BOLT SPACING
} bo-PXi f ?t f1 +-� I',
MAILING ADDRESS:
6 0 Y .2L/5 7
PERMIT.
0
_E 1
R
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE: _ jy
i t
CRAWL SPACE VENT SQ. FEET
A 61 E H : I M R
RECEIPT NO.:
CITY & STATE:
SIZE pi) f '7 HEIGHT
STRUCTURAL
SPECIES
& GRADE
SIZE
SPACING •--
SPAN
DIV. 12 3 4 5 6
EACH OF THE FOLLOWING STAGES OF
CONSTRUCTION REQUIRES INSPECTION
H(71CJ/ i II 14 tr ,.
N0. OF ROOMS STORIES
TELEPHONE :
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS ,.}
GIRDERS
A
R
C
H
EINSULATION
N .
G
NAME: i_
NO. OF BLDGS NOW ON LOT 1
JOISTS 1ST FLOOR
-
USE OF EXISTING BU GS •
JOISTS 1ST FLOOR
-
TYPE OF CONSTRUCTION
BE REQUESTED & COMPLETED PRIOR TO
SIZE OF LOT
JOISTS 2ND FLOOR
"',
I II III IV tV.
PROCEEDING WITH ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
WATER: PUBLIC ,
'I PRIVATE
JOISTS 2ND FLOOR
CEILING JOISTS
CITY & STATE: _
SEWER: PUBLIC
„•,\PRIVATE
TYPE & THICKNESS:
EXTERIOR WALLS
`N', 1 -HR FR H.T.
-EXCAVATION
BEARING WALLS
\
TELEPHONE
FOUNDATION
UNDERGROUND UTILITIES
INTERIOR WALLS
DRIVEWAY PERMIT: ,
FOUNDATION SETBACKS
STATE LICENSE . .
WALLS
ROOF RAFTERS
SUBMITTED
FRAMING
�,
ROOF / CEILING
TRUSSES
APP VED-
ROUGH ELECTRICAL
I C
n
R
A
A
Ctft
1
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NAME:,..4„,....-- ,
I-'
-SHEATHING TYPE & SIZE:
FURNACE TYPE: -
ROUGH PLUMBING
ADEC APPLICATION:
FINAL
. Li (A.. 1. !
-. ..,36::
SUBMITTED
DATE C.O. ISSUED:
WOOD HEATER YES NO +
MAILING ADDRESS:'+
FLOOR
FINAL APPROVAL _.
-
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WALLS
ALASKA FIREMARSHALL REVIEW: ---...1,....---:.--t
f.. _...:
SUBMITTED: APPROVED:
CITY & STATE:
TYPE
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A'''
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
-
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APPLICANT: .--..�;�z-t.--- or�, t' �,•
TELEPHONE : /
FINISH MATERIAL:
(q 1l 4 A( ~ ?,Ci
ROOF
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f
STATE LICENSE :'°'
EXTERIOR SIDING
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INTERIOR WALLS
APPROVED—BUILDING OFFICAL: �`
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NOTES: ` ¢,-,