KODIAK TWNST BK 16 LT 12F & 12H -- NEW KODIAK BK 2 LT 6 - Building PermitBUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines.
BUILDING ADDRESS
LOCALITY
NEAREST CROSS ST.
NAME
MAIL ADDRESS
NAME
ADDRESS
CITU
STATE LICENSE NO.
NAME
CLASS OF WORK
NEW
ALTERATION
ADDITION
DEMOLISH
REPAIR
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
ADDRESS
CITY
STATE LICENSE NO.
LOT NO. BLK.
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
DO NOT WRITE BELOW THIS LINE
Type of Construction
I, 11, 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
INTERIOR STUDS
OF OCCUPANCY
BUILDING PERMIT NO.
VALUATION
S
BUILDING
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
URNACE
GAS 011
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
S
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
A.i \
;4- t I . a•> .
,..k..'-- J�,r `-� A
3N11 Al2j3dOtld
A
PLOT PLAN
SETBACK
3N11 A11=13dOlJd
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES TOTAL HT.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LL,!
SIDE YARD SETBACK FROM PROP. LINF
REAR YARD
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By:
By: