LEITE ADD BK 5 LT 4 - Building PermitLIKODIAK IS BOROUGH CASE #
PLANNING & ZONING REQUEST APPLICATION D
Final Disposition:
Remarks:
Type .of Request:
Description of Land:
Addn:
Lot:
Block:
Person Submitting App icationt
Mailing Address
Covering letter submitted:
Referred fro :
Survey #
Plat Submitted:
Person or Representative
Present Zoning:
Proposed Zoning:
Reason for Request:
0.111•••••••••=11=1••••••••••=mia.••••Y
to attend meeting:
(Name)
Unusual Circumstances:
Approved:
Remarks:
Not Approved:
Remarks:
Borough Assembly Approval:
Remarks:
Oa
Mr. Phillip Dinglasa requested approval of abuilding permit. Comm Sutliff made the
motion to Iapprove Mr. Dinglasa's request which was seconded by Commissioner Kraft!
and unanimously carried. bly a voice vote.
P ij Z 6/17/64
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
PLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.
(OFFICE USE ONLY)
STREET ADDRESS:
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
ZONING COMP I NCE:
DATE ISSUED:
LOT: BLOCK:
J
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
/l/
(C I f' j c� ,. +- --
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY:
• LA., t
ADDITION
MOVE
DIMENSIONS
VALUATIO BASIS'
BUILDING PERMIT FEE:
4 N.
-2) 1 C! .:)
DEPTH IN GRND
NAME:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FE4:
/ "'^'
BOLT SPACING
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
O
W
MAILING ADDRESS
` } 3 , -
GROUP:
CRAWL SPACE VENT SQ. FEET
A B E F H I M R S U
N
E
CITY & STATE:
/__- .
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
r iL
x,�-- ? T 1
NO. OF FAMILIES
GIRDERS
_ l
DIV. 1 2 j f4 5 6
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
TYPE OF BUSINESS
GIRDERS
A
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
R
C
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
WATER: PUBLICI
I PRIVATE
r
I
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
I II III IV (/
H.T.
ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
HCITY
E
& STATE:
SEWER: PUBLICI
PRIVATE
I
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
BEARING WALLS
N
G
TELEPHONE:
FOUNDATION
N 1 -HR FR
EXCAVATION
INTERIOR WALLS
UNDERGROUND UTILITIES
STATE LICENSE:
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
FRAMING
C
NAME:SUBMITTED
• ij� `
til ll q s/ \
SHEATHING TYPE & SIZE:
FURNACE TYPE:
APPROVED
ROUGH ELECTRICAL
FLOOR
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
OILING
N
ADS:
�� � ADDRESS: ��
ADEC APPLICATION:
FINAL
WALLS
SUBMITTED
DATE C.O. ISSUED:
R
CITY S TE: PROOF
& r• ir- /�',.\
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 CONSTRUCTION
APPLICANT:
FINAL APPROVAL
^
ALASKA FIREMARSHAL REVIEW: A234J6�8
SUBMITTED: OVED:
C
T
O
TELEPHONE: 7 �
t ; , >?C/L.�
FINISH MATERIAL:
ROOF
R
STATE LICENSE:
: 1 3C7
EXTERIOR SIDING
INTERIOR WALLS
APPROV - Ult.
NOTES:
cV r:• 0 O
0 0�
- o ,�44
dei' no
\sem �'' 60
Ni
`iZOZ6�V
Rev. 1-97
RINTED IN KODIAK, ALASKA BY PM
RINT ASTE
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
LOCALITY
NEAREST CROSS ST.
CLASS OF WORK
NEW
DEMOLISH
ALTERATION
REPAIR
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING
cc
w
w
Z
0
NAME
SIZE OF BUILDING III I(l1 l
MAIL ADDRESS
NO. OF ROOMS
CITY TFL NO
NO. OF FLOORS
NO. OF BUILDINGS
VALUATION
5
BLDG. FEE
5
PLAN CHK. FEE
TOTAL
H �
U w
-
— Z
U
Z
Q
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
CITY
USE OF BLDG. NOW ON LOT
RAME
PLASTER
SEPTIC TANK
FINISH
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
INAL
FINISH
FINAL
NAME
MATERIAL
EXTERIOR.
PIERS
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPA._
SPAN
SUBDIVISION
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO. BL.K.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
1. Type of Construction
I, II, III, IV, V, VI
2. Occupancy Group A, B, 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
FXTFRIOR WALLS
R001
INTERIOR WALLS REROOFING
FLUES
FIREPLACE 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
3N11 AiH dOdd
PLOT PLAN
A
STREET
3N11 Al2j3dO2id
SETBACK
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•