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KODIAT. REC
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REOUESTED BY
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CLASS OF WORK
DEMOL ISH
BUILDING ADDRESS
ALTE RAT ION REPA I R
BUILD!NG PERM!T NO
LOC AL IT Y
ADDIT ION MOV E BLDG. FEE SNEAREST CROSS ST
USE OF BUILDING
SIZE- OF BUILDING HE IGHT PLAN CHK. FEE
NO. OF ROOMSMAIL ADDRESS
NO. OF FLOORS
VALUATlON
5
TOTAL f
NO. OF BUI LOINGq BUILDING PL UMBI NG ELECTRIC
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Bo C ITY
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'FOUNDATION ROUGH ROUGH
NO. OF FAMILIES F RAME SEPTIC TANK FIN ISH
SIZE OF LOT PLASTER SEWE R F lXTURESADD R ESS
USE OF BLDG. NOW ON LOT FLUES GAS MOTORSC ITY
SPECIFICATIONS F INAL F IIJ ISH FINAL
FOUNDATION
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STATE LICENSE NO
MATE R IA L EXTER IOR PIERS
NAME
WIDT H OF TOP
WIDTH OF EOTTOMADDRESS
DEPTH IN GROUND
CITY
R.W. PLATE (StLL)
SI ZE SPA SPAN
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U STATE LICENSE NO.
GIRDERS
JOIST lst. FL.
JOIST 2nd. FL.
SUBDIV IS ION
JOIST CEILING
EXTE RIOR STUDS
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LOT NO.BLK
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COV ER IN G
EXTERIOR WALLS ROOF
INTE RIOR WALLS REROOFING
FLUES
F I REPLACE FL. FURNACE
WATER HEATERK ITCHEN
FURNACT GAS orL
DO NOT WRITE BELOW THIS LINE
1. Type of Construction
l, l!, lll, lv, v, vl
2. Occupancy Group A, B, C, D, E,
F, G, H, l, J Div. 1,2,3, 4,
3.FireZonel234
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f hereby acknorvledge 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
BUTLDTNG DEPARTMENT - C|TY I BOROUGH OF KODTAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
DATE ISSUED
ZONING DlSTRICT
PLOT PLAN
PLANNING & ZONING INFO.
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TYPE oF occuPANCY '- . _- \ .r ,L .t" r r 4--
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AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SlDE YARD SETBACK FROM PROP. LtNE
REAR YARD
Approved: CHIEF BUILDING oFFlcAL Approved: zoNtNG ADM|N|STRATOR
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