KODIAK TWNST BK 13 LT 1A - Building PermitBUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRESS /
41 /
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAI R
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
(6
USE OF BUILDING i? a_S 6
w
Z
0
(-1, 4' aitric 041414
SIZE OF BUILDING HEIGHT
MAIL ADDRESS
NO. OF ROOMS
NO. OF FLOORS
CIT'F
TEL. NO.
NO. OF BUILDINGS
VALUATION
(00
BLDG. FEE
PLAN CHK. FEE
TOTAL
ENGINEER
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
FRAME
SEPTIC TANK
FINISH
CITY
USE OF BLDG. NOW ON LOT
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
NAME
7A
MATERIAL
EXTERIOR.
PIERS
WIDTH OF TOP
ADDRESS ,v .�
)k
WIDTH OF BOTTOM
CITYrf V)
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SUBDIVISION
l7
w u LOT NO.
J In
w
O
C(; i7fs'
SI ZE
SPA..
SPAN
GIRDERS
JOIST lst. FL.
JOIST 2nd. FL.
4 F
BLK.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
-' Type of Construction
I, Il, III, ly V vl
2. Occupancy Group A, B, C, D, E,
F, G, H, I, J Div. 1, 2, 34,
3. Fire Zone 1 2 3'4
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS((Q
�R00F..0
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 (
7-2sAno-
(Ike.
675' 6rit-rt
4 A
/ (4 V.•—°'-1
11)
A 1
/-1-d ci
Approved: CHIEF BUILDING OFFICAL
By: 1-47-1, = �(--` �.a �t
3N11 A1Li3dOLid
PLOT PLAN
A
3NI1 A183dOLid
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY 1
NUMBER OF STORIES .-/ I i> TOTAL HT.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
Approved: ZONING ADMINISTRATOR
By•