ELDERBERRY HGTS 1ST BK 2 LT 8 - ZCPL4A ZON 4 G C OMPL IAN C, j PERMIT(Page l of3)
Permit # e Z-xcp- 8
Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 99615
PH(907)486 -9362 Fax(907)486 -9396 http: / /www.kib.co.kodiak.ak.us
Required Applicant Information: ,� y � � � � v���
1. Property Owner /Applicant: �1 € l �Y'n €
Mailing Address: (5 pi 0 y' C I I y Phone:
2. Legal Description: E 1Relf rry 17'1 -- I *ilia 81 k a 1../.)-a
Street Address: 55 ('J %'VI V 2G ✓� Cj r
3. Description of proposed action: rc'p
4. Site Plan (page 3 of 3 of this application): to include: Lot boundaries & existing easements, proposed
location of all buildings, access points &vehicular parking areas.
STAFF WILL PROVIDE YOU WITH A COPY OF THE APPLICABLE CODE SECTIONS THAT APPLIES TO YOUR
DEVELOPMENT ACTIVITY
Zoning District 0 Parking Requirements ❑ Solid Waste Removal Requirements D
STAFF COMPLIANCE REVIEW
Current Zoning: Z2.
Parcel No. Li.. ez 02 c;ci
Required Lot Area: ` ?,
Required Setbacks: Front: 9.5. � Side: 5 ` Rear /0 Building Height: A5
(Setbacks other than zoning district standards to be noted on the attached site plan)
5. Number & size of parking spaces required: , 9X(g eta_.
6. Off - street loading requirements:
Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc.)
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.
ACMP Policies: Res. CK-Bus. ❑ Ind. ❑ Other ❑ Consistent with KIB CMP: YeslEtiNlo❑ Attachment: Yes❑ No❑
Zoning Compliance Permit Fee
Payable in ' 's Office
,,, Fee S�ter+iICV�+
(Ecr III3 Assellb Allsolution
o a lc, E(T. l} i (105)
CL 7r p
ttsupan 1►45 acres
g7 64o VOylctrs
c`t ,,0 ;el lab 49.(10 aaeaa 590.00
r o4(0)14T,cj or aaor ; $120.00
Z.
30.
*
*
Construction Disposal Deposit
Payable ' ' . 1 ffice
- 'oom #104
Fee Schedule:
(per KIB Assembly Resolution
Eff. July 1, 2005)
Less than 250 sq. ft. 5250.00
251 0
COI orrrreater sq. It St00Q,(11i
p D
JUN 1 9 �
Kodiak Island Borough —�-�,�
Finance Department / / '
(Page 2 of 3)
* . THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
*EXPIRATION: A zoning compliance permit will become null and void if the building or use authorized by
such permit is not commenced within 180 days from the date of issuance, or if the i uild ng construction or use is
abandoned at any time after the work is commenced, for a period of 180 days. Before ucti..wqrk.efi
.
recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration, 1997 UBC) perK'IBC 7.03.060.
1. Subd. Case #: Plat #: Bldg Permit #: 1'
2. Driveway Permit (State, Borough, City) by /date:
3. Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island
Borough Code and that I have the authority to certify this as the property owner, or as a
representative of the property owner. I agree to have identifiable corner markers in place in the field for
verification of setbacks.
By:
Date: L I
Title: Ce7Y) -j7'c,`f CJY'
Supporting documents attached (check one): Site Plan: ❑ As -Built Survey: ❑
Other (List):
4. Community Dpi lopment Department
By :cc
l
Title:
Dater 3' '
5. Fire Marshal (UFC) by /date:
6. Septic System Plan Approved by /date:
This permit is ONLY for the proposed project as described by the applicant.
If there are any changes to the proposed project, including its intended use,
prior to or during its siting, construction, or operation, contact this office
immediately to determine if further review and approval of the revised
project is necessary.
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRLSS
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAI R
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING
rr
Z
0
NAME
MAIL ADDRESS
SIZE OF BUILDING ! HEIGHT
NO. OF ROOMS
NO. OF FLOORS
CITY
TEL NO.
NO. OF BUILDINGS
VALUATION
S
BLDG. FEE
$
PLAN CHK. FEE
TOTAL
U X
W
W
—
l7
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
OUNDATION
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
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SI /I
SPA.,
SPAN
DESCRIPTION
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
EXTERIOR WALLS
ROOF
INTERIOR WALLS 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
P ,,4/(7c4, e /A-) 53r, P- //C +C?,
Approved: CHIEF BUILDING OFFICAL
3N11 A183dO2Id
A
PLOT PLAN
I
STREET
SETBACK
3N11 Ala3dOiid
PLANNING & ZONING INFO.
)
ZONING DISTRICT ,A A
TYPE OF OCCUPANCY ")y /y
NUMBER OF STORIES 2%
AREA OF LOT 7Jr /14Z�
FRONT YARD SETBACK FROM ROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
TOTAL HT. �Q,
/ e-71 1i1&,
Approved: ZONING ADMINISTRATOR 9-- z-
By: By- // *