LARSEN BAY TR A BK 7 LT 2 - Building PermitBUILDING DEPARTMENT - CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
Applicant to fill in between heavy lines..
BUILDING ADDRESS
CLASS OF WORK
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
13 11
DATE ISSUED
USE OF BUILDING 1`'E.5
cc
W
Z
, 3
0
NAME
SIZE OF BUILDING 02.0 HEIGHT
MAIL ADDRESS
NO. OF ROOMS
NO. OF FLOORS
CITY TEL. NO.
NO. OF BUILDINGS
VALUATION
4o o -c
BLDG. FEE
S
PLAN CHK. FEE
TOTAL
J
ARCHITECT
CC
z
Z'
NAME i� afl2�.�
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT f WC) •
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
Ir
0
F
U
Z
0
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NAME PP>-b.OUV(— {iii x (cs
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
ADDRESS
WI DTH OF BOTTOM •
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPA..
SPAN
Z
0
a
L9
W U
J In
SUBDIVISION I IS+
•
GIRDERS
JOIST Isl. FL.
JOIST 2nd. FL.
LOT NO.
BLK.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS UNE
1. Type of Construction
I, II, HI, IV, V, VI
2. Occupancy Group A, 8, C, D, E,
F, G, H, I, J Div. 1, 2, 3, 4,
3. Fire Zone 1 2 3 4
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIORcupanc3.0
ROOF f>a4
INTERIOR WALLS aL.jc' , 54). . REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN 1 WATER HEATER
FURNACE
GAS OIL V.
1 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 regulati g building construction.
1F .0 Lu e.�
Applicant
3N11 A1I3dO2Id
PLOT PLAN
3N11 Al2j3dO2id
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES TOTAL HT.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP, LINE
REAR YARD
Approv/ C I' : UILDING OFFICAL (7 Approv d: ADMINISTRATOR
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