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1
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\ AS - BUILT SURVEY
OF
10" 149
• ea:a)yme
fs•
; Roy A. Ecklund •
NO. 16384 r
1 It' ;07a air le "1:1 PAP
1 hereby certify that 1 h ve surveyed the following cscribed property:
LCT /o, bi� /, Le��4z Add;fior7,
11.5. 54/r1/ey /6,8/.
Pien4 /7Urnb0_r ¢3 -a'
and that the improvements situated thereon are within the property lines
and do not overlap or encroach on the property lying adjacent thereto.
that no improvements on property lying adjacent thereto encroach on
the premises in question and that there are no roadways, transmis-
sion lines or other visible easements on said property except as indi-
cated hereon.
Dated this
c.
day of _ c >/ . 19 �2.—
RO A. ECKLUND
%stercd Land Surveyor
Scale: /" = 20 reef
1 Drawn by: 6415/ rman I Date: /4 NovvmbQr1.96B
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 I I MOVE
NEAREST CROSS ST.
USE OF BUILDING
W
WF
NAME
SIZE OF BUILDING HEIGHT
NO. OF ROOMS
i
MAIL ADDRESS
NO. OF FLOORS
W
d
CITY TEL. NO.
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
I-
NAME
SIZE OF LOT
W tt W
F W
ADDRESS
USE OF BLDG. NOW ON LOT
_Z
OZ
W
DiU
CITY
SPECIFICATIONS
FOUNDATION
STATE LICENSE NO.
MATERIAL
EXTERIOR 1PIERS
E
NAME
WIDTH OF TOP
WIDTH - OF BOTTOM
I
U
ADDRESS
DEPTH IN GROUND
I
1,..
Z
CITY
R.W. PLATE (SILL)
SIZE I
SPA.
SPAN
Q
STATE LICENSE NO.
GIRDERS
Z
0
<LL
SUBDIVISION
JOIST Isr FL.
JOIST 2ND FL.
W C
JO
w
0
LOT NO. BLK.
-
JOIST CEILING
EXTERIOR STUDS
1. District
Ir. Type of Construction
I, II, III, IV, V, VI
3. Occupancy Group A, B, C, D, E,
F, G, H, I, J Div. 1, 2, 3, 4,
4. Use Zone:
5. Fire Zone 1 2 3 4
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS
REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE GAS OIL
[ 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.
7�
VALUATION
DATE ISSUED
BLDG. FEE $
PLAN CHK. FEE
TOTAL
BUILDING
PLUMBING
ELECTRIC
FOUNDATION
ROUGH
ROUGH
FRAME
1
SEPTIC TANK
FINISH
PLASTER
FLUES
SEWER
GAS
FIXTURES
MOTORS
FINAL
FINISH
FINAL
3NI1 Ai2:13dO2Jd
PLOT PLAN
SETBACK
3NI1 AiH3dO2id
STREET
MAP NUMBER
No. ASSIGNED BY
FIELD CHECK BY
DATE
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:
BUILDING DEPARTMENT - KODIAK ISLAND BOROUGH APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
(APPLICANT TO FILL IN ALL INFORMATION WITHIN HEAVY LINES. PLEASE PRINT, USE BALL-POINT PEN, AND PRESS FIRMLY.)
SUBDIVISION/SURVEY CLASS AND SCOPE OF WORK BUILDING PERMIT NUMBER DATE ISSUED PLOT PLAN
NEW
DEMOLISH
LOT NO. BLOCK NO.
STREET ADDRESS
ALTERATION
REPAIR
ADDITION
MOVE
USE OF BUILDING
VALUATION: (BASIS)
SIZE OF BUILDING HGT ,
NEAREST CROSS STREET
w
Z
0
H �
U W
wW
z
W
Q
NO. OF ROOMS FLOORS
NO. OF FAMILIES "
NAME
NO. OF BUILDINGS Is OW ON LOT
MAILING ADORES.
CITY, STATE TELEPHONE
USE OF BUILDINGS
SIZE OF LOT
WATER: PUBLIC PRIVATE
SEWER: PUBLIC PRIVATE
SPECIFICATIONS
AMOUNT
`1
BUILDING
FOUNDATION
FRAME
BLDG PERMIT FEE
PLAN CHK FEE
TOTAL
INSPECTION SCHEDULE
PLUMBING
ROUGH
SEPTIC TANK
NAME
ADDRESS
FOUNDATION
TYPE
EXT PIERS
CITY, STATE
STATE LICENSE NO.
NAME
DEPTH IN GND
HGT FIN GRADE
PLASTER/BD
FLUES
FINAL
P.T. PLATE (SILL)
STRUCTURAL
SIZE
SPA.
SPAN
GIRDERS
JOISTS 1ST FLR.
JOISTS 2ND FLR.
JOISTS CLG
ADDRESS
CITY, STATE
STATE LICE ISE NO.
(FOR OFFICE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
A BEH IM R
DIVISION 1 2 3 4 5
2. TYPE OF CONSTRUCTION
II III IV V
FP 1 -7 -IR. N H.T.
EXT STUDS
INT STUDS
SEWER
ELECTRICAL
ROUGH
FINISH
FIN ISH
FIXTURES
MOTORS
FINAL
EACH OF THE ABOVE INSPECTIONS MUST BE REQUESTED AND THAT
WORK APPROVED PRIOR TO ANY ADDITIONAL WORK PROGRESSING
BEYOND THAT POINT, AS REQUIRED BV UBC SECTION 305. FOR EACH
INSPECTION, 24 HOURS NOTICE I5 REQUIRED. TELEPHONE THE KODIAK
ISLAND BOROUGH ENGINEERING DEPARTMENT, 486.5736, EXT. 273.
NOTES:
INSTALLATION OF (MINIMUM) 18•INCH BY 20.FOOT CULVERT 15 REQUIRED
AT EACH DRIVEWAY ACCESS TO THE PROPERTY.
SANITATION PLAN APPROVAL BY AN ADEC-CERTIFIED INSTALLER IS
REQUIRED PRIOR TO ISSUANCE OF A BUILDING PERMIT WHERE PUBLIC
WATER AND/OR SEWER IS NOT AVAILABLE FROM A CERTIFICATED
MUNICIPAL SYSTEM.
INSTALLER'S PLAN APPROVAL RECEIVED
INSTALLER
ROOF RAFTERS
TRUSSES
BEARING WALLS
INSULATION, FNDN
WALLS ROOF/CLG
SHEATHING, WALLS/EXT
ROOF FLOOR
FINISH, EXT WALLS
ROOF
FLUES, FIREPL WOOD HTIt
KITCHEN WATER HTR
FURNACE, TYPE
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
PRIOR TO THE ISSUANCE OF A PERMIT, EITHER THE OWNER OF THE
PROPERTY OR HIS AUTHORIZED AGENT MUST SIGN THIS APPLICATION OR
GRANT OTHER WRITTEN PERMISSION FOR THE DESCRIBED WORK TO BE
PERFORMED.
TAX LOT NO DATE
OWNER PER
OWNERSHIP TRANSFERRED, IN PROCESS, TO:
PER
CLOSING DATE. DEED RECORDED (BY)
APPROVED, BUILDING OFFICIAL
(A SITE PLAN MAY ALSO BE REQUIRED)
REAR PROPERTY LINE
—4111 -1111P -
SIDE PROPERTY LINE
FRONT PROPERTY LINE
SIDE PROPERTY LINE
STREET
NOTE- APPLICANT SHALL SHOW BUILDING SETBACKS
FROM PROPERTY LINES, AS PERPENDICULAR DISTANCES
FROM PROPERTY LINES TO BUILDING. DIMENSIONS OF
STRUCTURE SHALL BE SHOWN ON THE PLAN.
ZONING CODE COMPLIANCE
ZONING DISTRICT
TYPE OF OCCUPANCY
NO. OF STORIES TOTAL HGT
AREA OF LOT
SETBACKS FROM PROPERTY LINES:
FRONT REAR
SIDE (L) SIDE (R)
REQ'D OFF-STREET PARKING
C.U.P. OR VARIANCE
APPROVED. ZONING OFFICER
Kodiak Island Borough Community Development Department
ZONING COMPLIANCE PERMIT
1. Property Owner/Applicant r lk` CIN bi IQ Oc f JL
ud S h
Name:
Zoning Compliance #:
Mailing address:
f ,A ? oO 9
Telephone #: UFA�'��
2. Zoning Requirements for New Construction - Description of Proposed Action (attach site plan)
Legal Description of Property
Street address'
Lot, Block, Subdivision' Lel- /0, alk 1j L0_ 4c,
Survey, other (e.g. Township/Range)' Tax Code #' g(2..000/0/0-6
o L
Use of proposed structure(s)' ` s
4. Description of Existing Property
ad Sir-ra Ver UI't(
( c -r Zoning: 2 � — Minimum Area: 00 Minimum Lot Width' G-6/
Road access for emergency vehicles: Yes No Date Pk Use and size of existing buildings on the lot'
(contact Fire Chief for confirmation)
Water supply adequate for public use, institutional use, commercial, and residential
structures larger than a triplex: Yes No Date
contact Fire Chief for confirmation)
.Lot area:
,Minimum setbacks - Front:
Sides - Left:
Maximum building height'
Maximum lot coverage:
Lot width'
/yk-
Rear: U/
Right: 5
N
Number and size of parking spaces required:
ve..•q inti. ��✓
Off-street loading requirement' OA-
Ape-
Plat
A-
Plat related requirements' Signed'
s f 1c 2-0/
SF/e._ -- 73 2-
5. Consistency with Coastal Management Pro r
Applicable policies - Residential: Business: Industrial'
Other
Proposed action consistent with Borough Coastal Management Program - Yes: No'
If proposed action conflicts with Coastal Management Program policies, attach a sheet that notes the policy(ies), describes
the conflict(s), and notes the condition(s) att c ed to the consistency approval to mitigate these conflicts.
Attachment - Yes No
6. Applicant Certification
I hereby certify that I will comply with all provisions of the Kodiak Island Borough Code and that I have the authority to
certify this as owner, or representative of the owner, of the property involved. I agree to have corner markers in place for
verification of setbacks.
Other (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.):
PA-
) -•-k
A-
•. >s
r
7. Borough Staff • p oval
Owner
Date n - (` cn
Support Documents Attached - Site Plan: As Built Survey: Other
4x4-44 .- '' Set, vr.}
Signed: `�� / ^��- Title: P/4 At $✓ Date'
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
Distribution: White to File - Yellow to Building Official - Pink to Applicant
Kodiak Island Borough Community Development Department
710 Mill Bay Road (Room 204), Kodiak, Alaska 99615-6340. Phone (907) 486-5736, extension 255.
July 1, 1988
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRESS
► t l / //e) /)
LOCALITY
CLASS OF WORK
NEW
}L„
DEMOLISH
ALTERATION
REPAIR
NEAREST CROSS ST.
1
ADDITION
74.
MOVE
BUILDING PERMIT NO.
�If
DATE ISSUED
c/hVg
/
USE OF BUILDING ti f � ; 1� {`(7.0 :-.�
CCw
Z
0
U
w
F w
I Z
--19
Z
w
IC
0
1-
u
Ir
}-
0 0
U
NAME
/) c-/C-
.$J.ZE OF BUILDING 9 14. / /� - ` HEIGHT
MAIL ADDRESS„,
NO. OF ROOMS
NO. OF FLOORS
IT/
TEL. NO.
NO. OF BUILDINGS
VALUATION
fo 6cx), 4
BLDG. FEE
kaeq
PLAN CHK. FEE
TOTAL
a
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
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
NAME
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
ADDRESS 1 p 1" 'v"-..
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPA.,
SPAN
J
l7
J
Z
0
1-
tn
tlla
IY
U
0
1
SUBDIVISION
.? �=
"7-p
GIRDERS
JOIST 1st. FL.
'2.
JOIST 2nd. FL.
LOT NO.
/1:0
BLK.
JOIST CEILING
Q
r
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
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 f
�1 11 cat:
ROOF RAFTERS
BEARING WALLS
: L /, t
LIyf Jif'
COVERING
EXTERIOR WALLS t/ (2�' v
ROOF 1/x, /7/E,
INTERIOR WALLS
REROOFING .i'
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 build,/iig construction.
Applicants>-, 4 `%
ly�
3N11 £L I3dOLJd
PLOT -PLAN
A
U
1—
W
N
3NI1 A1. 3dOHd
STREET
/),aI _ /7z9 ,�-, �,1: Stec/ �f �-,�-
C r/vv sc._.
Approved:
%CHIEF BUILDING OFFICAL
� i
c ?C
f•_ me f� F / 37
PLANNING 8c ZONING INFO.
ZONING DISTRICT 1f%!
TYPE OF OCCUPANCY off„�i i�•�r�
NUMBER OF STORIES / TOTAL HT.
AREA OF LOT fjJ{ ,iX, (1,')
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE / /
REAR YARD
Approved: ZONING ADMINISTRATOR "V/7"--11.7
% �;;
By. „,.427
BUILDING DEPARTMENT CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRESS
14/ /5A4A1(
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
n IA et
ALTERATION
REPAIR
N EAR SLC R 0,5Sk
ADDITION
MOVE
BUILDING PERMIT NO.
4s6s)
DATE ISSUED
USE OF BUILD I NG <=7„,
uJ
z
U CC
• W
W
Z
U
NAME
/—.LCOLY alieie..6.7-7-
SIZE OF BUILDING HEIGHT
MAIL ADDRESS430)( 85(
NO, OF ROOMS
CITY
r..C,C>
TEL. NO.
4eG-5/6F15
NO. OF FLOORS
1
NO. OF BUILDINGS
NAME
NO. OF BUILDINGS NOW ON LOT s...3
VALUATION
BUILDING
NO. OF FAMILIES
FOUNDATION
BLDG. FEE
PLAN CHK, FEE
TOTAL
PLUMBING
ROUGH
141.- i.ec.h
ELECTRIC
ROUGH
CITY
SIZE OF LOT K-, 03 tY2
FRAME
SEPTIC TANK
FINISH
USE OF BLDG. NOW ON LOT 7,r
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE<CENSE NO,
FOUNDATION
FINAL
FINISH
FINAL
NAME
MATERIAL
EXTERIOR.
PIERS
WIDTH OF TOP
<F3X5
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPA..
SPAN
z
0
—I R.
0
0
• U
Ln
SUBDIVISION
dsz)/._)
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO. BLK.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
Type of Construction
I, II, 111, 1V,67N/1
2. Occupancy Group A, 8, C, D, E,
F, G, H,Cj)Div. 1, 2, 3, 4,
3. Fire Zone 1 201
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
Ft REPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
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 Aep...6.-7-7-
Approved: CHIEF BUILDING OFFICAL
By: /A/ L.
3NI-1 Ala3c10?:id
A
PLOT PLAN
(0
os
G
3N11 AIH3dOeld
1--
w
in
STREET
/LMjLt,"
PLANNING & ZONING INFO.
ZONING DISTRICT 04,_p (c7:1 --,,(P\
TYPE OF OCCUPANCY 4- cf...n.5-- r-;\
NUMBER OF STORIES TOTAL*fIT. /
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE ,C4cf
SIDE YARD SETBACK FROM PROP. LINE .,.-•••N f C
REAR YARD etr"7 /
Approved: ZONING ADMINISTRATOR xr-/F:4;17
By: //7/.1..}. E ZiL
/
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRESS
<S/14//oL)
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
4--,
/ /K
ALTERATION
REPAI R
NEAREST CROSS ST.
16
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING
Z
0
NAME/ //3
/'/c
. cA A -I /rte %2 ri 27
.SIZE OF BUILDING � X ?, I . HEIGHT • .r
MAIL ADDRESS' 13 .4.. �� J
NO. OF ROOMS
v _ /
/
NO. OF FLOORS
CITY � // TEL. NO. / �J
Ir-" ,1 /l , Irk-& ,/
NO. OF BUILDINGS
VALUATION
BLDG. FEE
C.)
PLAN CHK. FEE
TOTAL
v-471 e9 6
€
ENGINEER
NAME
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
BUILDING
FOUNDATION
PLUMBING
ELECTRIC
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
FRAME
SEPTIC TANK
FINISH
CITY
USE OF BLDG. NOW ON LOT rir^n,, ep
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
NAME
ADDRESS
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
WIDTH OF BOTTOM
4''
CITY
/
�^ 1-A/
1
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPAN
J
0
titJ
DESCR IPTION
SUBDIVISION
r=
///
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO. BLK.
0 /
JOIST CEILING
l7
EXTERIOR STUDS
1
DO NOT WRITE BELOW THIS LINE
. Type of Construction
I, II, III, IV BVI
2. Occupancy Group A, B, C, D, E,
F, G, H,<2Div. 1, 2, 3, 4,
3. Fire Zone 1 4
INTERIOR STUDS
ROOF RAFTERS
1l
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
2 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 regulating2building construction.(
Applican \
)7.....A..:7oved: CHIEF BUILDING OFFICAL
By
3N1"1 AiN3dOHd
PLOT PLAN
A
6'
3NI1 A1n13dOHd
STREET
/5-4/AZ �. 57',
PLANNING & ZONING INFO.
ZONING DISTRICT . -/// )
TYPE OF OCCUPANCY �C°`SS , .;2.724,(5.1"/-5-72.&/,) /
NUMBER OF STORIES / TOTAL HT,. 'fes
AREA OF LOT ,. �/ '27)
—
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
�i>// /
REAR YARD /� / / /
Approved: ZONING ADMINISTRATOR .�8//b*Z--•
—
B
-
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH
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.)
- BUILDING DEPARTMENT
(OFFICE USE ONLY)
STREET ADDRESS:
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
f ,'-i11
LOT : BLOCK :
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE :
DATE ISSUED:
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
O
lry
E
R
—I
NAME:
USE OF BUILDING AUTHORIZED BY THIS
PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
CRAWL SPACE VENT SQ. FEET
A BEHIMR
RECEIPT NO.:
CITY & STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES
& GRADE
SIZE
SPACING
SPAN
DIV. 1 2 3 4 5 6
EACH OF THE FOLLOWING STAGES OF
CONSTRUCTION REQUIRES INSPECTION
NO. OF ROOMS STORIES
TELEPHONE
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
A
R
C
El
/
F
NUNDERGROUND
G
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
BE REQUESTED & COMPLETED PRIOR TO
SIZE OF LOT
JOISTS 2ND FLOOR
;
I II III IV V
PROCEEDING WITH ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
N 1 -HR FR H.T.
EXCAVATION
TELEPHONE :
BEARING WALLS
FOUNDATION
UTILITIES
INTERIOR WALLS
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
STATE LICENSE :
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
APPROVED
ROUGH ELECTRICAL
T
R
A
C
1
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
ROUGH PLUMBING
FLOOR
ADEC APPLICATION:
FINAL
SUBMITTED
DATE C.O. ISSUED:
WOOD HEATER YES NO
TYPE
MAILING ADDRESS:
FINAL APPROVAL
WALLS
ALASKA FIREMARSHALL REVIEW:
SUBMITTED: APPROVED:
CITY & STATE:
ROOF
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:
TELEPHONE
FINISH MATERIAL:
ROOF
.7– r
APPROVED–BUILDING OFFICAL:
STATE LICENSE :
EXTERIOR SIDING
INTERIOR WALLS
NOTES:
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