LEITE ADD BK 1 LT 6 - Building PermitBUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRESS
l4io a—sxkatt v
LOCALITY
CLASS OF WORK
NEW
DEMOLISH
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING
w
Z
0
NAME
t P (: 't.+L l )3s
SIZE OF BUILDING HEIGHT
MAIL ADDRES ( x 3 ^ ;
NO. OF ROOMS
NO. OF FLOORS
CITY �<)1 tA}}/
TEL. NO.
NO. OF BUILDINGS
VALUATION
S
BLDG. FEE
•
s
PLAN CHK. FEE
TOTAL
X
w
W
S Z
Q W
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT •�
FRAME
SEPTIC TANK
FINISH
CITV
USE OF BLDG. NOW ON LOT
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
NAME
ADDRESS ,
{1,�, (�
CITY 1
FOUNDATION
FINAL
FINISH
FINAL
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
DESCRIPTION
STATE LICENSE NO.
)3L ,3 "4
SUBDIVISION
SI/F.
SPA.,.
SPAN
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO.
7
BLK. /1
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
1. Type of Construction
I, 11, 111, IV, V, VI
2. Occupancy Group A, B, E, H, I,
M, R Div. 1, 2, 3, 4
3. Fire Zone 1 2 3 4
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
INTERIOR WALLS
ROOF
REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
I 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 regulating building construction.
Applicant
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A
PLOT PLAN
I
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SETBACK
STREET
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TPic_><S i -f Tt- C t' LD, Cit=f:I tA
PLANNING & ZONING INFO.
ZONING DISTRICT
rl
TYPE OF OCCUPANCY /7•7'› I ll.' 5
/
NUMBER OF STORIES
TOTAL HT.
fAiX
AREA OF LOT
FRONT VARO SETBACK FROM PROP. LINE
SIDE YARD SETBACK FRO,/1 PROP. LINE
REAR YARD r_21 t7 A.
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By:
By
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING
w
Z
NAME
SIZE OF BUtLDING HEIGHT
MAIL ADDRESS
NO. OF ROOMS
NO. OF FLOORS
O CITY ILL.NO
NO. OF BUILDINGS
VALUATION
BLDG. FEE
S
PLAN CHK. FEE
TOTAL
NAME
K
w W ADDRESS
H
— Z
CITY
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
I OUNDATION
ROUGH
ROUGH
SIZE OF LOT
RAME
SEPTIC TANK
FINISH
USE OF BLDG. NOW ON LOT
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
NAME
O
I- ADDRESS
U
MATERIAL
EXTERIOR,
PIERS
I INAL
FINISH
FINAL
WIDTH OF TOP
WIDTH OF BOTTOM
CC C VTY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPAN
SUBDIVISION
0
J F.
a a
w • U - LOT NO.
J VI
w
D
GIRDERS
JOIST lst. FL.
JOIST 2nd. FL.
BLK
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
0 Type of Construction
INTERIOR STUDS
ROOF RAFTERS
SHEARING WALLS
COVERING
EXTERIOR WALLS 1 ROOF
3N11 .112j3dO2dd
PLOT PLAN
A
SETBACK
3N11 A1M3dO2id
STREET
I, II, III, 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 WALLS RLROOI INL
FLUES
!REPLACE FL. FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
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 regulating building construction.
Applicant
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
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By:
By:
BUILDING DEPARTMENT — CITY OF KODIAK
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
CLASS OF WORK
NEW I I DEMOLISH
LOCALITY
ALTERATION I I REPAIR
ADDITION MOVE
NEAREST CROSS ST.
I I
USE OF BUILDING
W
NAME Q
,4 LC
SIZE OF BUILDING HEIGHT
W
MAIL ADDRESS ,'
NO. OF ROOMS
X
NO. OF FLOORS
W
a.
CITY TEL. NO.
NO. OF BUILDINGS NOW ON LOT
NAME
NO. OF FAMILIES
F
SIZE OF LOT
U
ADDRESS
W
F W
USE OF BLDG. NOW ON LOT
Z
IiiZ
CITY
SPECIFICATIONS
<W
STATE LICENSE NO.
FOUNDATION
MATERIAL
EXTERIOR 1 PIERS
I
NAME
WIDTH OF TOP
I
re
OF
ADDRESS
WIDTH OF BOTTOM
I
U
<
re
F
Z
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
U
STATE LICENSE NO.
SIZE I
SPA.
SPAN
SUBDIVISION
GIRDERS
Z
0
.Jr-
JOIST 1ST FL.
< a.
W C
LOT NO. BLK.
JOIST 2ND FL.
Ja)
W
JOIST CEILING
G
1. District
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
2. Type of Construction
BEARING WALLS
ir
I, II, III, IV, V, VI
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS
REROOFING
3. Occupancy Group A, B, C, D, E,
FLUES
F, G, H, I, J Div. 1, 2, 3, 4,
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
4. Use Zone;
FURNACE GAS OIL
5. Fire Zone 1 2 3 4
I 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 regulating building construction
Applicant
BUILDING PERMIT NO.
VALUATION
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
BUILDING PLUMBING
ELECTRIC
FOUNDATION
ROUGH
ROUGH
FRAME
SEPTIC TANK
FINISH
PLASTER
FLUES
SEWER
GAS
FIXTURES
MOTORS
FINAL
FINISH
FINAL
3NI1 Al2i3dOHd
PLOT PLAN
A
SETBACK
3N11 Alti3dO2id
STREET
MAP NUMBER
NO. ASSIGNED BY - - -
FIELD CHECK BY
DATF
PLANNING & ZONING INFO
TYPE OF OCCUPANCY
TOTAL FLOOR AREA
NUMBER OF STORIES TOTAL HT.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
NEW CONSTRUCTION ALTER
CHANGE OF OCCUPANCY FROM
By: To
Approved: CHIEF BUILDING OFFICIAL
By: