KODIAK TWNST BK 19 LT 24 - Building PermitLIN
1
Cs.
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
ICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
(OFFICE USE ONLY)
Rev. 1-97
PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK
-CLASS AND -SCOPE OF WORK:
SPECIFICATIONS:
BUILDINp PERMIT NUMBER:
DATE OF APPLICATION;
STREET ADDRESS:
LOT:
-`
BLOCK: -
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COM LIANCE:
DATE ISS D:
�,
ALTERATION
REPAIR
TYPE
�V
2'-/ /, ie:-')
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATIO BASIS:
BUILDIN PERMIT FBF:
DEPTH IN GRND
a_, ,
USE OF BUILDING AUTHORIZED BY
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
NAME:
THIS PERMIT:
BOLT SPACING
(----------"'-
-----/
`-
MAILING ADDRESS:
ka'\ ,,
CRAWL SPACE HEIGHT
INCHES
OCCUPANCY
TOTAL FEE:
O
,--
:-
SQ. FEET
GROUP: 1
W
.'- r/ c L-
CRAWL SPACE VENT
ECITY
& STATE:
SIZE \HEIGHT
-
A B E F H I M F U�
-
R
N� -OF ROOMS STORIES
STRUCTURAL
SPECIES & GRADE
!SIZE
SPACI
G
SPAN
'✓
RECEIPT NO:
TELEPHONE: --.)._\10:-OF
NO. OF FAMILIES -
GIRDERS
TYPE OF BUSINESS
EACH OF THE FOLLOWING
NAME: /-
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
{
(
STAGES OF CONSTRUCTION
AUSE
OF EXISTING BLDGS
JOISTS 1ST FLOOR
REQUIRES INSPECTION BE
R
MAILING ADDRESS:
SIZE OF LOT
JOLTS 2ND FLOOR
I
REQUESTED & COMPLETED
C
WATER:
PRIVATE
JOI S 2ND FLOOR
TYPE OF CONSTRUCT!
N
PRIOR TO PROCEEDING WITH
H
CITY & STATE:
PUBLIC'
SEWER: PUBLIC
I PRIVATE
I
CEILING JOISTS
I
`
ANY FURTHER WORK:
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
I II III IV V -
�:_.
E
TELEPHONE:
BEARING WALLS
!
I
N 1 -HR FR ; H.T.
FOR INSPECTION CALL 486-8070 ..N
G
FOUNDATION
INTERIOR WALLS
1
/
EXCAVATION
STATE LICENSE: ,
WALLS
ROOF RAFTERS
1i
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
t
DRIVEWARMFFT:
FOUNDATION /SETBACKS
NAME:
SHEATHING TYPE & SIZE:_.
FURNACE TYPE:
SUI3TFITTED
FRAMING
C
(r- t 1 '- ,IL
APPROVED
ROUGH ELECTRICAL
1
MAILING ADDRESS:
FLOOR
WOOD HEATER YES NO_ _ -
ROUGH PLUMBING
N
WALLS
-
ADEC APPLICATION:
FINAL
T
_
R
CITY & STATE:
ROOF `
TYPE i
SUBMITTED
DATE 303111E-0.7
A
1REBY KNOWLEDGE THAT I HAVE READ THIS APPLICATION,
FINAL APPROVAL
T
TELEPHONE:
FINISH MATERIAL:
THAT IT IS CORRECT AND THAT I AGREE TO COMPLY WITH ALL
ALASKA FIREMARSHAL REVIEW:
R S
0
ROOF
ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION
SUBMITTE
ROVED: 0
R
STATE LICENSE:
EXTERIOR SIDING
V
cc�}�� �Q�t
INTERIOR WALLS
APPLICANT: -
APPROVED - BU LDIN . •' - '
I� . ; �Pp� 6 . n
NOTES: 10Si' ok,&�d
1 ti .
�Oc%4, LL 9' '�� ,
Rev. 1-97
PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK
3! 11 • C
Ir
1.
•