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EAST ADD BK 53 LT 10 - ZCPAPPLICATION 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 f_ \ —1150 061-7. (APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.) (OFFICE USE ONLY) STREET ADDRESS: l L /.3 CLASS AND SCOPE OF WORK: SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: LOT: BLOCK: NEW DEMOLITION FOUNDATION TYPE FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: ALTERATION REPAIR SUBDIVISION / SURVEY: ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND O W NCITY R NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: SIZE HEIGHT REINFORCEMENT BOLT SPACING VALUATION: PLAN CHECK FEE: MAILING ADDRESS: & STATE: CRAWL SPACE HEIGHT INCHES OCCUPANCY TOTAL FEE: CRAWL SPACE VENT SQ. FEET GROUP: STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN A B E F H I M R S U DIV. 1 2 3 4 5 6 NO. OF ROOMS STORIES RECEIPT NO: M TELEPHONE: 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 HCITY 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 JOISTS 2ND FLOOR WATER: PUBLIC' PRIVATE I JOISTS 2ND FLOOR TYPE OF CONSTRUCTION & STATE: SEWER: PUBLIC PRIVATE 1 CEILING JOISTS I II III IV V N 1-HR FR H.T. INSULATION TYPE & THICKNESS: EXTERIOR WALLS TELEPHONE: FOUNDATION BEARING WALLS INTERIOR WALLS EXCAVATION STATE LICENSE: WALLS ROOF RAFTERS UNDERGROUND UTILITIES ROOF / CEILING TRUSSES DRIVEWAY PERMIT: SUBMITTED FOUNDATION / SETBACKS IOC T R A C T 0 R NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: FRAMING FLOOR APPROVED ROUGH ELECTRICAL MAILING ADDRESS: WOOD HEATER YES NO TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: FINAL CITY & STATE: ROOF SUBMITTED DATE C.O. ISSUED: 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: APPROVE • 1 2 - -S ROOF STATE LICENSE: EXTERIOR SIDING rs0� APPROVED - BUILDING OFFICIAL: -� INTERIOR WALLS _ NOTES: � 10�Oj` CV J�� 1Qi��e�`� -a ON ¢eG oe\l,o \a� c cosi,,, i ON >4 Cii /hrl ok. Leg Rev. 1 -97 PRINTED IN KCDIAKAM iKA -W�- &A PRINTING, INC. APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 700 Mill Bay Road FORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.) (OFFICE USE ONLY) 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 SUBDIVISION /SURVEY: ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND VALE U A TION: PLAN CHECK FEE: N E R NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT BOLT SPACING OCCUPANCY GROUP: TOTAL FEE: CRAWL SPACE HEIGHT INCHES MAILING ADDRESS: A B E H I M R DIV. 1 2 3 4 5 6 CRAWL SPACE VENT SQ. FEET RECEIPT NO.: CITY & 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 INSPECT ON CALL 486 -8070 NO. OF ROOMS STORIES TELEPHONE : NO. OF FAMILIES GIRDERS TYPE OF BUSINESS GIRDERS A R C H / E N 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 EXCAVATION INSULATION TYPE & THICKNESS: EXTERIOR WALLS FOUNDATION BEARING WALLS UNDERGROUND UTILITIES TELEPHONE : INTERIOR WALLS DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTED FRAMING STATE LICENSE : WALLS ROOF RAFTERS ROOF / CEILING TRUSSES APPROVED ROUGH ELECTRICAL C 0 N T R A C 1 R NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: _ ROUGH PLUMBING ADEC APPLICATION: FINAL FLOOR 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 APPROVED — BUILDING OFFICAL: STATE LICENSE EXTERIOR SIDING INTERIOR WALLS NOTES: KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 204), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -5736, ext. 255 or 254 ZONING COMPLIANCE PERMIT Permit #: C- z- 4> -(:),),I 1. 2. 3. 111 Property Owner /Applicant: :---) gv /c' Z/ tt C/y Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: ) Mailing Address: /j745 �5 ///196—:U 4II V O j r Phone: ‘— ?/5� 6 7 All' (� bL- +1yt)6/ Legal Description: lcl�r' At ,l ?I e L k .c? ,'/9$ i DD /T /A/ Off-street loading requirement: /�/ /.9 Street Address: /'/f //% /r- '/Vec Tax Code #: 4 I D.0 5 3 d 1,00 Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): Description of Existing Property /current zoning: -1 4414_,, Minimum Required Lot Area: Z' G Width: Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): �/. Actual lot Area: J r do0 U Width; Sj, , /WY(R Minimum Required Setbacks: Sides: S � i Front: Rear: /d Coastal Management Program Applicable Polices ((heck appropriate category) - Residential: Business: Maximum Building Height: r? S// _ Industrial: Other (list): Use and size of `` structures on the lot: , /Jt /6'.0Q77 Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No: existing S-LC- o/775)- l-. `Frnic,Tt/ ,ev 3,,F- S ?J . If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ies), describes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No: 4. Description of proposed action (attach site plan): rO oe',T i ie/ , Prgs L'-7 . /‘,I, i/ ,-s -1E e- e 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 property owner. I agree to have identifiable corner markers in place in the field for verification of setbacks. By: 1--e., Date: Title: 'it/ "igr-r Supporting documents attached (check): Site plan: - As -built survey: Other (list): 6. Community Development staff for zoning, by: . / �� 1 I Date: Title: 7. Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) by: Date: 8. Driveway Permit (state, City of Kodiak, Borough) issued by: Date: I 9. Septic system PLAN approved by: Date: Detrihution: File /Building Official /AppticantTHIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED lone 1991 (455 ° /400 "E 50.00') 41 LOT - // 40.2' ■ single story house P5' b (,00•00/ 3 „OO,f'tbois£`S) 5./ covered :t■ !v en tr /6.0' owwwweb 3.5'- O sewer line woterovo/ve LOT-9 cane @y 1 hereby certify that I have surveyed the following described property: .m. 1,iT /r0, B /o,�. s.� -m 1dt ,r..r. Jr!. e 'r' .r,k J k d • :j� R L. TARRAN- 1'47 a • `'' C .. i)ii,,• ' ..,), 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. / ! �( day ofd Dated the ROBERT L. TARRANT Registered Land Surveyor Date : 5.102 .211•11 Scale: Drawn b : 2' ;77 SIZE OF BUILDING HF IL.I 1 BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. CLASS OF WORK LOCALITY NEAREST CROSS ST. K w 0 NEW DEMOLISH ALTERATION REPAIR ADDITION NAME ADDRESS CITY STATE LICENSE NO. NAME ADDRESS CITY STATE LICENSE NO. SUBDIVISION a t, 0 (ir rtk cell t LOT NO. r) BLK. # USE OF BUILDING MOVE NO. OF ROOMS NO. OF FLOORS NO. OF BUILDINGS NO. OF BUILDINGS NOW ON LOT NO. OF FAMILIES SIZE OF LOT USE OF BLDG. NOW ON LOT SPECIFICATIONS FOUNDATION MATERIAL EXTERIOR, PIERS WIDTH OF TOP WIDTH OF BOTTOM DEPTH IN GROUND R.W. PLATE (SILL) SPAIt GIRDERS JOIST 1st. FL. JOIST 2nd. FL JOIST CEILING EXTERIOR STUDS DO NOT WRITE BELOW THIS LINE P. Type of Construction I, II, Ill, IV, V, VI 2. Occupancy Group A, B, C, D, E, F, G, H, 1, J Div. 1, 2, 3, 4, 3. Fire Zone 1 2 3 4 INTERIOR STUDS APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING PERMIT NO. VALUATION s BUILDING FOUNDATION FRAME PLASTER FLUES FINAL ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS ROOF INTERIOR WALLS REROOFING FLUES FIREPLACE FL. FURNACE KITCHEN WATER HEATER FURNACE GAS OIL 1 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 DATE ISSUED BLDG. FEE PLAN CHK. FEE TOTAL PLUMBING ROUGH SEPTIC TANK SEWER GAS FINISH 5 ELECTRIC ROUGH FINISH FIXTURES MOTORS FINAL L A 3N11 Ai iJdOHd PLOT PLAN A I SETBACK 3N11 A1L 3dOad STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY NUMBER OF STORIES r' A, TOTAL HT. AREA OF LOT FRONT YARD SETBACK FROM PROP. LINL SIDE YARD SETBACK FROM PROP. LINE REAR YARD Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR By • By •