LEITE ADD BK 1 LT 3 - Building PermitAPPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-8070 700 Mill Bay Road
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
(OFFICE USE ONLY)
STREET ADDRESS:
ISMAit_ov
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
C 4)
DATE DE APPLICATION:
hi
LOT :
3
BLOCK :
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ALTERATION
REPAIR
TYPE
ZONING COMPLIANCE :
DATE ISSUED:
SUBDIVISION /SURVEY:
LE ITC
ADDITION
MOVE
DIMENSIONS
DEPTH IN GRND
VALUATION BASIS:
r Sr.
BUILDING PERMIT FEE: g
E
NAME:
6gfil /..3 ISA Pri ST Cif
AILING ADDRESS:
I 00
USE OF BUILDING AUTHORIZED BY THIS
PERMIT:
REINFORCEMENT
BOLT SPACING
VALUATION:
/ 5 00, .00
PLAN CHECK FEE:
CRAWL SPACE HEIGHT
INCHES
CRAWL SPACE VENT
SQ. FEET
CITY & STATE:
SIZE HEIGHT
NO. OF ROOMS STORIES
STRUCTURAL
SPECIES
& GRADE
SIZE
SPACING
SPAN
TELEPHONE :
Til,g t(L4
7
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
NAME:
A
R
C
H
E
N
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
OCCUPANCY GROUP:
ABEHIMR
DIV. 1 2 3 4 5 6
TOTAL FEE:
RECEIPT NO.:
USE OF EXISTING BUNS
SIZE OF LOT
JOISTS 1ST FLOOR
JOISTS 2NO FLOOR
TYPE OF CONSTRUCTION
CITY & STATE:
SEWER: PUBLIC I I PRIVATE I
WATER: PUBLIC PRIVATE
JOISTS 2ND FLOOR
CEILING JOISTS
TELEPHONE. :
INSULATION TYPE & THICKNESS:
FOUNDATION
EXTERIOR WALLS
BEARING WALLS
I II III IV ,V-•
1 -HR FR H.T.
L4 -
EACH OF THE FOLLOWING STAGES OF
CONSTRUCTION REQUIRES INSPECTION
BE REQUESTED & COMPLETED PRIOR TO
PROCEEDING WITH ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
EXCAVATION,
INTERIOR WALLS
STATE LICENSE :
WALLS
ROOF RAFTERS
DRIVEWAY PERMIT:
SUBMITTED
UNDERGROUND UTILITIES
FOUNDATION /SETBACKS
ROOF / CEILING
TRUSSES
APPROVED
FRAMING
T
R
A
NAME:
SHEATHING TYPE & SIZE:
-MAILING-ADDRESS.
FLOOR
FURNACE TYPE:
WOOD HEATER YES NO
WALLS
CITY & STATE:
ROOF
TYPE
ADEC APPLICATION:
SUBMITTED
FINAL APPROVAL
ROUGH ELECTRICAL
ROUGH PLUMBING
FINAL
DATE C.O. ISSUED:
C TELEPHONET
:
FINISH MATERIAL:
ROOF
STATE LICENSE :
NOTES:
EXTERIOR SIDING
INTERIOR WA LS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT IS
CORRECT AND THAT I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS
REGULATING BUILDING CONSTF)TION
Oi
APPLICANT: rt/..4
ALASKA-FIREMARSHALREVIEW
SUBMITTED: APPROVED:
APPROVED -BUILDING OFFIC4L:
sr,