Loading...
KODIAK TWNST BK 1 LT 17B - Supplemental InformationBUILDING DEPARTMENT - KODIAK ISLAND BOROUGH APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY (APPLICANT TO FILL IN ALL INFORMATION WITHIN HEAVY LINES. PLEASE PRINT, USE BALL-POINT PEN, AND PRESS FIRMLY.) SUBDIVISION/SURVEY LOT NO. BLOCK NO. STREET ADDRESS NEAREST CROSS STREET NAME w Z O 1- w w w Z S (7 ▪ Z Q w MAILING ADDRESS CLASS AND SCOPE OF WORK NEW ALTERATION ADDITION DEMOLISH REPAIR MOVE USE OF BUILDING /../ 5-10. L. SIZE OF BUILDING . )3,HGT NO. OF ROOMS BUILDING PERMIT NUMBER DATE ISSUED / .76 VALUATION: (BASIS) BLDG PERMIT FEE FLOORS NO. OF FAMILIES 2- NO. OF BUILDINGS NOW ON LOT USE OF BUILDINGS SIZE OF LOT i AMOUNT PLAN CHK FEE TOTAL INSPECTION SCHEDULE BUILDING PLUMBING ELECTRICAL CITY, STATE TELEPHONE NAME ADDRESS CITY, STATE STATE LICENSE NO. NAME -1,75--'3.:.----••••••.r. WATER: PUBLIC PRIVATE SEWER: PUBLIC PRIVATE SPECIFICATIONS FOUNDATION ROUGH ROUGH FRAME SEPTIC TANK PLASTER/BD SEWER FINISH FIXTURES FOUNDATION TYPE EXT PIERS DEPTH IN GND HGT FIN GRADE P.T. PLATE (SILL) STRUCTURAL GIRDERS JOISTS 1ST FLR. SIZE SPA. SPAN ADDRES ‘at -Tatxx‘s , JOISTS 2ND FLR. JOISTS CLG EXT STUDS INT STUDS FLUES FINAL GAS FIN ISH MOTORS FINAL EACH OF THE ABOVE INSPECTIONS MUST BE REQUESTED AND THAT WORK APPROVED PRIOR TO ANY ADDITIONAL WORK PROGRESSING BEYOND THAT POINT, AS REQUIRED BV UBC SECTION 305. FOR EACH INSPECTION, 24 HOURS NOTICE IS REQUIRED. TELEPHONE THE KODIAK Icl ANO' BOROUGH ENGINEERING DEPARTMENT. 486-5736. EXT. 273. NOTES: INSTALLATION OF (MINIMUM) 18 -INCH BY 20 -FOOT CULVERT 15 REQUIRED AT EACH DRIVEWAY ACCESS TO THE PROPERTY. SANITATION PLAN APPROVAL BY AN ADEC-CERTIFIED INSTALLER 15 REQUIRED PRIOR TO ISSUANCE OF A BUILDING PERMIT WHERE PUBLIC WATER AND/OR SEWER 15 NOT AVAILABLE FROM A CERTIFICATED MUNICIPAL SYSTEM. INSTALLER'S PLAN APPROVAL RECEIVED INSTALLER CITY, STATE ROOF RAFTERS STATE LICENSE NO. (FOR OFFJE USE ONLY: CIRCLE) 1. OCCUPANCY GROUP A B EH I MR DIVISION 1 2 3 4 5 2. TYPE OF CONSTRUCTION 1 II III IV V FR 1 -HR. N H.T. TRUSSES BEARING WALLS INSULATION, FNDN WALLS ROOF/CLG SHEATHING, WALLS/EXT ROOF FLOOR FINISH, EXT WALLS ROOF FLUES, FIREPL WOOD HTR KITCHEN WATER HTR FURNACE, TYPE 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 PRIOR TO THE ISSUANCE OF A PERMIT, EITHER THE OWNER OF THE PROPERTY OR HIS AUTHORIZED AGENT MUST SIGN THIS APPLICATION OR GRANT OTHER WRITTEN PERMISSION FOR THE DESCRIBED WORK TO BE PERFORMED. TAX LOT NO DATE OWNER PER OWNERSHIP TRANSFERRED, IN PROCESS, TO: PER CLOSING DATE, DEED RECORDED (BY) APPROVED, BUILDING OFFICIAL PLOT PLAN (A SITE PLAN MAY ALSO BE REQUIRED) REAR PROPERTY LINE SIDE PROPERTY LINE FRONT PROPERTY LINE STREET 1 SIDE PROPERTY LINE NOTE: APPLICANT SHALL SHOW BUILDING SETBACKS FROM PROPERTY LINES, AS PERPENDICULAR DISTANCES FROM PROPERTY LINES TO BUILDING. DIMENSIONS OF STRUCTURE SHALL BE SHOWN ON THE PLAN. ZONING CODE COMPLIANCE ZONING DISTRICT TYPE OF OCCUPANCY NO. OF STORIES TOTAL HGT AREA OF LOT SETBACKS FROM PROPERTY LINES: FRONT REAR SIDE (L) SIDE (R) REQ'D OFF-STREET PARKING C.U.P. OR VARIANCE APPROVED, ZONING OFFICER BY BY BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. CLASS OF WORK BUILDING ADDRESS 1-A Utiel LOCALITY NEAREST CROSS ST. trv w z 0 NAME MAIL ADDRESS CITY 91A tif L NO. NEW DEMOLISH ALTERATION REPAIR z 0 J a 'Li, J N Lai 0 STATE LICENSE NO. NAME ADDRESS CITU STATE LICENSE NO. SUBDIVISION LOT NO. BLK. 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 ADDITION MOVE USE OF BUILDING SIZE OF BUILDING HEIGHT NO. OF ROOMS NO. OF FLOORS NO. OF BUILDINGS NO. OF BUILDINGS NOW ON LOT NO. OF FAMILIES SIZE OF LOT USE OF BLDG. NOW ON LOT SPECIFICATIONS FOUNDATION MATERIAL EXTERIOR, PIERS APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING PERMIT NO. VALUATION BUILDING I OUNDATION FRAME DATE ISSUED BLDG. FEE PLAN CHK. FEE TOTAL PLUMBING ROUGH SEPTIC TANK ELECTRIC ROUGH FINISH PLASTER SEWER FIXTURES WIDTH OF TOP WIDTH OF BOTTOM DEPTH IN GROUND R.W. PLATE (SILL) SIZE SPA., SPAN GIRDERS JOIST 1st. FL. JOIST 2nd. FL. JOIST CEILING EXTERIOR STUDS 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 F LUI 5 1 GAS FINISH MOTORS FINAL 3N11 AJ J3dO8d PLOT PLAN Y H H 3N11 Ala3dO2id SETBACK STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY NUMBER OF STORIES TOTAL 111. 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: By• BUILDING DEPARTMENT — CITY OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE Applicant to fill in between heavy lines. OF OCCUPANCY BUILDING ADDRESS CLASS OF WORK NEW I I DEMOLISH LOCALITY ALTERATION I I REPAIR ADDITION I I MOVE I NEAREST CROSS ST. USE OF BUILDING PERM ITTEE NAME SIZE OF BUILDING HEIGHT NO. OF ROOMS MAIL ADDRESS NO. OF FLOORS i CITY TEL. NO. NO. OF BUILDINGS NOW ON LOT NO. OF FAMILIES RC IT ECT ENGINEER NAME SIZE OF LOT ADDRESS USE OF BLDG. NOW ON LOT CITY SPECIFICATIONS FOUNDATION STATE LICENSE NO. MATERIAL EXTERIOR i PIERS CONTRACTOR NAME WIDTH OF TOP I WIDTH OF BOTTOM I ADDRESS DEPTH IN GROUND I CITY R.W. PLATE (SILL) SIZE 1 SPA. SPAN STATE LICENSE NO. GIRDERS LEGAL DESCRIPTION SUBDIVISION JOIST !sr FL. JOIST 2ND FL. LOT NO. BLK. JOIST CEILING EXTERIOR STUDS 1. District 0 Type of Construction I, II, III, IV, V, VI 3. Occupancy Group A, B, C, D, E, F, G, H, I, J Div. 1, 2, 3, 4, 4. Use Zone: 5. Fire Zone 1 2 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 [ 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 BUILDING PERMIT NO. - VALUATION DATE ISSUED BLDG. FEE S PLAN CHK. TOTAL BUILDING 1 PLUMBING 1 FEE ELECTRIC FOUNDATION FRAME PLASTER ROUGH 1 I SEPTIC TANK SEWER ROUGH FINISH FIXTURES FLUES FINAL GAS FINISH MOTORS FINAL 3NI1 .112i3dO2id PLOT PLAN A r SETBACK 3N1'1 Al?:13dOJId STREET MAP NUMBER NO. ASSIGNED BY FIELD CHECK BY DATF PLANNING & ZONING INFO TYPE OF OCCUPANCY TOTAL FLOOR AREA NUMBER OF STORIES TOTAL HT. AREA OF LOT FRONT YARD SETBACK FROM PROP. LINE SIDE YARD SETBACK FROM PROP. LINE REAR YARD NEW CONSTRUCTION ALTER CHANGE OF OCCUPANCY FROM By: To Approved: CHIEF BUILDING OFFICIAL By: