CRESTVIEW LT 4A - ZCPR 739 3-o00o ya
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
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.
(OFFICE USE ONLY)
STREET ADDRESS:
`Z V 17 t-4-t 12 e :,-C-
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
LOT: BLOCK:
Li (3
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
DATE ISSUED:
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY:
a I 3 7V1 V t+•%
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
]JmzO
NAME:
`} t_ 1%-4r, g11eA 44, ,
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
-•ti /`Z
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
GROUP:
CRAWL SPACE VENT SQ. FEET
A B E F H I M R S U
DIV. 1 2 3 4 5 6
CITY & STATE:
1
ii /4.3lj�
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO
TELEPHONE:
•: - 1-7)et'/ / 6P "9349' )
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
PRIOR TO PROCEEDING WITH
ANY FURTHER WORK:
FOR INSPECTION CALL 486 -8070
A
R
C
H
E
N
G
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
MAILING ADDRESS:
SIZE OF LOT .
? f,0 S /,
JOISTS 2ND FLOOR
WATER: PUBLIC
I PRIVATE
I
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
I 11 111 IV V
N 1 -HR FR H.T.
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
TELEPHONE:
FOUNDATION
BEARING WALLS
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
C
O
N
T
R
A
C
T
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
FLOOR
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
FINAL
DATE C.O. ISSUED:
SUBMITTED
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:
FINAL APPROVAL
TELEPHONE:
FINISH MATERIAL:
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPROVED:
ROOF
STATE LICENSE:
EXTERIOR SIDING
APPROVED - BUILDING OFFICIAL:
INTERIOR WALLS
NOTES:
PRINTED IN KODIAK, ALASKA BY PRIN.- MASTERS OF KODIAK
KODIAK ISLAND BOROUGH Community Development Department
710 Mill B4 Road (Rm. 205) Kodiak, Alaska 99615-6430 (907)486-9362 ZONING COMPLIANCE PERMIT
FEE: $20.00
Permit #..L_ZO_Z-06-,
.;)
1. Property Owner/Applicant: Pt 9....-1--L t i ; kAA k k i
Mailing Address: 0 / / at
_Phone• I,,, - 4,5-' 3L/)
2. 2. Legal Description:,// .-V/ C'E's7i.ie a L.,...i.
Street Address: ,_-?-26, Vi R coc—rz. cz-Si 1.--, e., u...1 c_Tax Code #: F 73F-32:1:20(k)
• Description of Exiting Property/current Zoning: iZ -2
Minimum Required Lot Area: P-COie) Width: 604
Width:
Actual Lot Area: S 0 1 lO
1[inimum Required Setbacks: Sides:
Front:
Rear: 70
Maximum Building Height:
Use and size of existing structures on the loti.khrie
Number & size of parking spaces required per parking/site plan dated:
Peibcrioxi-e)
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.)
Coastal Management Program Applicable Policies (check appropriate category) Residential:
Business: Industrial: Other:
Is the proposed action consistent with the KM Coastal Management Program: Yes No
If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the
policies, describes the conflicts, and specific conditions to mitigate the conflicts. Attachment: Yes No /
4. Description of proposed action (attach site plan
IVA • \A '1\
7
cs
L.—, %cc-) Jo 717
5. —then Subd. Case #: Plat #: Bldg. Permit #:
6. Driveway Permit (State, Borough, City) by/date:
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
EXPIRATION:, A zoning compliance permit will beciime 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 building construction or use is
abandoned at any time, after the work is commenced, for a period of 180 c1a)t. Before such work can be recommenced, a new permit must first be obtained. (Sec. 106.44 Expiration, imoug) per 1{4B„G;j17.03.060.
FIRE') • Zonine Up 1324:05
PAID
$20.0)
** Paid in Full **
odiak island Doroush
Date: gi<corje-,(' Kodiak AK 99615 -
007) 4S6-93P4
Title: /.5"D‘c.J.e-e—e
s-built survey: Other (list):
7. 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 pro erty owner, I agree to have identifiable corner markers in place in the field for verification of setbacks.
By: W.
Supporting documents attached (check one): Site Pl.n
8. Community Development staff for zoning, by:
9. Fire Marshal (UFC) by/date:
10. Septic System Plan Approved by/date:
Date:
S. 89' 53. 00" E. \
7t50
-L t07()
O
0
as
LOT LINE
VA CA TED. THIS PL A T
10•
S 89' 53' 0C" . 182.47
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CABLES I
UTLITY
EASEMENTS
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G� vE P AS
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9" / / / / j / /// P'OLETY I OGa• 1N.
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LOT
PLAT 76 -22
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50'
P%
s
LOT 5
PLAT 76 -22
.CERTIFICATE OF APPRO VA1
1r w' WITH 18 AAC 72.065 AND IS APPROVED,
THIS SUBDIVISION HAS BEEN REVIEWED It
r ANY NOTED RESTRICTIONS.
I. .
0/4'1 \ Z7 &e i 199rE
- - ' DATE.
CREST .VIEW SUBDIVISION