KODIAK TWNST BK 19 LT 2C - Building Permitc)
APPLICATION 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:„1
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CLASS AND SCOPE OF WORK:
SPECIFICATIONS: \
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
N- c_-:.: 7 , 2 ,- I-, i - 1 ',-
LOT: BLOCK: ,,,'”`
NEW
DEMOLITION
';'4
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
DATE ISSUED:
ALTERATION
REPAIR
TYPE
SUB,DIViSION ,SURVEY:
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ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
,... ..•
DEPTH IN GRND
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0
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N
E
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USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
-
REINFORCEMENT
VALUATION: / .
PLAN CHECK FEE:
.-
BOLT SPACING
MAILING ADDRESS: r il i
2-- '-',5 kc, _.-,-,: 4.4,L (it vv
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
GROUP:
CRAWL SPACE VENT SQ. FEET
ABEFHI,M(RAU
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CITy.& STATE, .,,
•
V., t'l r , = ,
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SIZE HEIGHT *
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
,
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RECEIPT NO:
TELEPHONE: „..,
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-NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERSDIV.
1 2 /73' 5 6
k.,
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
A
R
C
H
E
N
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
PRIVATE
JOISTS 2ND FLOOR
_
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
/- .
I II III IV ('1/
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1 N. -HR
ANY FURTHER WORK:
INSPECTION CALL 486-8070
CITY & STATE: '
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
TELEPHONE:
FOUNDATION
BEARING WALLS
INTERIOR WALLS
t,
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
C
0
N
T
R
C
T
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE
SUBMITTED
FRAMING
FLOOR
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
FINAL
SUBMITTED
_
DATE-070_,ISSUED:
CITY & STATE:
ROOF
1 HEREBY ACKNOWLEDGE THAT 1 HAVEREAD THIS APPLICATION
,,, . ,
THAT IT IS CORRECT AND THAT 1 AGREE) TO COMPLY WITH ALL
ORDINANCES AND LAWS)RE6UL4TING/BUILPING CONSTRUCTION
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APPLICANT:
FINAL APPROVAL,
TELEPHONE:
FINISH MATERIAL:•
ALASKA FIREMARSHAL REVIEW: , .-..,
SUBMITTED: 7A'PP.ROVED. ..:
ROOF
STATE LICENSE:
EXTERIOR SIDING
—
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APPROVER,BUILDIN1/4.1 vFFIk..1-AL: • . -
INTERIOR WALLS
NOTES: ' /-- / ?1n epert-ni-I
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17-,k1 .4167
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PRINTED IN KODIAK, ALASKA BY C&A PRINTING, INC.