KODIAK TWNST BK 19 LT 2B - Building PermitAPPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-8070 • 486-8072 Fax: 486-8600 710 Mill Bay Road, Room 208
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. ,PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.
(OFFICE USE ONLY)
STREET ADDRESS:-- T
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION;
LOT: BLOCK:
f^_ Y } / cf •
NEW
DEMOLITION
Y.
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING C,Of P�,IANCEi
DATE ISSUED;
./7
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t .:-' i
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY:ADDITION
,•r., , is -. ._ :;-I.
'
MOVE
DIMENSIONS
V •N :AS •
J3UILDING PERMIT FEE: J.?
{ r
DEPTH IN GRND
0
W
N
RE
NAME: - / /
l
..'f � � � �1; � �;�
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
- '
REINFORCEMENT
VALUATION;JL'',
PLAN CHECK FEE:
V\ j .
- �-
BOLT SPACINGt
MAILING ADDRESS: (,�
-
_"� 4, : >� fr �- Lke 1 `f
CRAWL SPACE HEIGHT INCHES
- OCCUPANCY I,
TOTAL FEE:
GROUP:
_
CRAWL SPACE VENT SQ. FEET
ABEFHIMRSU
STATE:•
CITY & STATE:.._
-Ii'.. , a,> k 1
SIZE HEIGHTt
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
:.f I / -4 ' ! ,3 / , i•-
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
_
DIV. 1 2 3 4 5 6
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
A
R
C
H
NTELEPHONE:
G
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
MAILING ADDRESS:
SIZE OF LOT.
JOISTS 2ND FLOOR
WATER: PUBLIC'
I PRIVATE
I
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
1 II III IV V
N 1 -HR FR H.T.
ANY FURTHER WORK:
FOR INSPECTION CALL aes-solo
CITY & STATE:
SEWER: PUBLIC
PRIVATE
,CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
FOUNDATION
BEARING WALLS
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
C
NMAILING
T
R
A
C
T
0
R
NAME: •
SHEATHING TYPE & SIZE:
-
FURNACE TYPE:
SUBMITTED
FRAMING
FLOOR -
APPROVED, .
ROUGH ELECTRICAL
ADDRESS:
WOOD HEATER YES NO
TYPE
••
ROUGH PLUMBING
•
WALLS
ADEC APPLICATION:
FINAL
SUBMITTED . .
DATE C.O. ISSUED:
CITY & STATE:
ROOF
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION,
THAT IT IS CORRECT AND THAT 1 AGREE TO COMPLY WITH -ALL'-'
ORDINANCES AND LAWS_. REGULATING BUILDING..CONSTRUCTION
` f. ,.1 ' '�
APPLICANT: ''t^ . M
'
FINAL APPROVAL
TELEPHONE:
FINISH MATERIAL: .'
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPROVED: . , 11
ROOF • t
STATE LICENSE:
EXTERIOR SIDING
1 I
I
APPROVED - BUILDING OFFICIAL: .(-•moi r� a
INTERIOR WALLS
NOTES:
Rev. 1-97
PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK