LEITE ADD BK 1 LT 13A - Building PermitAPPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-8070 700 Mill Bay Road
PLEASE PRINT USE A BALLPOINT PEN AND PRESS FIRMLY.)
(OFFICE USE ONLY)
(APPLICANT TU FILL IN ALL INtUMIVIH I lUIV VVI I rim DULL) LllvLa.
`STREET ADDRESS:
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
LOT
: BLOCK :
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE :
DATE ISSUED:
-
ALTERATION
REPAIR
TYPE./'i
SUBDIVISION
/ SURVEY: 4 -
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
c i q_
DEPTH IN GRND
NAME:
USE OF BUILDING AUTHORIZED BY THIS
PERMIT:
REINFORCEMENT
VALUATION:PLAN
CHECK FEE:
BOLT SPACING
CRAWL SPACE HEIGHT
INCHES
OCCUPANCY GROUP:
TOTAL FEE:
0
Ili
MAILING ADDRESS:
CRAWL SPACE VENT SQ.
FEET
A BEHIMR
DIV. 1 2 3 4 5 6
RECEIPT NO.:
N
E
R
CITY & STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES
& GRADE
SIZE
SPACING
SPAN
EACH OF THE FOLLOWING STAGES OF
CONSTRUCTION REQUIRES INSPECTION
BE REQUESTED & COMPLETED PRIOR TO
PROCEEDING WITH ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
NO. OF ROOMS STORIES
TELEPHONE :
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
A
R
C
H
/
E
NINTERIOR
G
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING
BLDGS
_
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
SIZE OF LOT
JOISTS 2ND FLOOR
I II III IV V
N 1 -HR FR H.T.
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE
& THICKNESS:
EXTERIOR WALLS
EXCAVATION
TELEPHONE :
FOUNDATION
BEARING WALLS
UNDERGROUND UTILITIES
WALLS
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
FRAMING
STATE LICENSE :
WALLS
ROOF RAFTERS
SUBMITTED
ROOF / CEILING
TRUSSES
APPROVED
ROUGH ELECTRICAL
C
�1
IN
T
R
A
C
1
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
,
ROUGH PLUMBING
ADEC APPLICATION:
FINAL
WOOD HEATER YES
NO
SUBMITTED
DATE C.O. ISSUED:
MAILING ADDRESS:
FLOOR
FINAL APPROVAL
WALLS
ALASKA FIREMARSHALL REVIEW:
CITY & STATE:
ROOF
TYPE
I HEREBY ACKNOWLEDGE
THAT I HAVE READ THIS APPLICATION, THAT IT IS
I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS
CONSTRUCTION
SUBMITTED: APPROVED:
TELEPHONE :
FINISH MATERIAL:
CORRECT AND THAT
' REGULATING BUILDING
ROOF
APPROVED -BUILDING OFFICAL:
STATE LICENSE :
EXTERIOR SIDING
INTERIOR WALLS
APPLICANT:
NOTES: