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NSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
Julr 1991)
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BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
Applicant to fill in between heavy lines.
E30ILDING ADDRL
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS SI
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
,/e/r/
USE OF BUILDING
NAME
CC
SIZE OF BUILDING HEIGHT a T
Z MAILADDRF SS
0
CITY lE L NO.
NO. OF ROOMS
4//,e%
NO. OF FLOORS
/a
NO. OF BUILDINGS
VALUATION
/.fir• dc?
$
BLDG. FEE
: _. pO
PLAN CHK. FEE
TOTAL
U Ic
U w
W
Z
AO 0CC
0
F
U
FY
F•
Z
O
U
NAME
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
ADDRESS
SIZE OF LOT
C ITY
USE OF BLDG. NOW ON LOT
BUILDING PLUMBING
ROUGE
FRAME SEPTICTANK
PLASTER -�' SEWER
FOUNDATION
ELECTRIC
ROUGH
�NISH
EIXTUR15
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
NAME
MATERIAL
EXTERIOR, PIERS
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
z
J 0
D-
o
o Fr0
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J N
0
SUBDIVISION
4�•L
GIRDERS
JOIST 1st. FL,
JOIST 2nd. FL.
LOT NO.
7
BLK/^5-
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
IPType 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 12 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
In accordance with Section 305(b) UBC 1979, it is
imperative that the owner request the above inspectio.
prior to proceeding with any additional work.
'ODIAK ISLAND BOROUGH ENGINEERING DEPARTMENT, 486-573(
T
FE -Ica 24 �1/ %R'" )K C;
Wit..
STREET
L Pf
SETBACK
I, I-
3E `/G/) / .54 .0 (Q
PLANNING & ZONING INFO.
ZONING DISTRICT _
TYPE OF OCCUPANCY
NUMBER OF STORIES -- -` TOTAL HT.(7. //1-i(
AREA OF LOT 4�/y 70 5;.: /
FRONT YARD SETBACK FROM PROP:.LIIVE
SIDE YARD SETBACK FROM PROP. LINE
n i
REAR YARD ,(l/.,e.;,,
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By: ,
By:
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-3224 700 Mill Bay Road
ANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
(OFFICE USE ONLY)
v
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:
ALTERATION
REPAIR
TYPE
SUBDIVISION/SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
O
ESIZE
R
NAME:
USE OF BUILDING AUTHORIZED BY THIS
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
/` C • • '
PERMIT:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
-
CRAWL SPACE VENT SQ. FEET
A B E H 1 M R
RECEIPT NO.:
% --
L
CITY &STATE:
HEIGHT
SPECIES
DIV. 1 2 3 4 5 6
-
EACH OF THE FOLLOWING STAGES OF
CONSTRUCTION REQUIRES INSPECTION
NO. OF ROOMS STORIES
STRUCTURAL
& GRADE
SIZE
SPACING
SPAN
TELEPHONE
NO. OF FAMILIES
1
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
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
BE REQUESTED & COMPLETED PRIOR TO
SIZE OF LOT
JOISTS 2ND FLOOR
I II III IV V
PROCEEDING WITH ANY FURTHER WORK:
FOR INSPECTION CALL 486-3224
WATER: PUBLIC ,
PRIVATE
JOISTS 2ND FLOOR
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
N 1 -HR FR H.T.
EXCAVATION
TELEPHONE :
BEARING WALLS
UNDERGROUND UTILITIES
FOUNDATION
INTERIOR WALLS
DRIVEWAY PERMIT:
FOUNDATION /SETBACKS
SUBMITTED
FRAMING
STATE LICENSE :
WALLS
ROOF RAFTERS
L k ( -
ROOF / CEILING
TRUSSES
APPROVED
ROUGH ELECTRICAL
C
k
T
R
A
C
T
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
,
ROUGH PLUMBING
ADEC APPLICATION:
FINAL
SUBMITTEDDATE
C.O. ISSUED:
MAILING ADDRESS:
FLOOR
WOOD HEATER YES NO
FINAL APPROVAL
WALLS
ALASKA FIREMARSHALL REVIEV)I:
//
SJBMITTED: APPROVED:
CITY & STATE:
ROOF
TYPE
TELEPHONE
FINISH MATERIAL:
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT IS
ROOF
CORRECT AND THAT I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS
REGULATING BUILDING CONSTRUCTION
""�/1 G`---�
APPROVED
STATE (CENSE
EXTERIOR SIDING
{�
'' �i V 7
INTERIOR WALLS
APPLICANT: \ f
-BUILDING OFFICAL:�"� ---:__
NOTES: