EAST ADD BK 53 LT 3 - ZCP444.„:114
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•
Permit. (?z- ,2 --�r�
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:
1 . Property Owner /Applicant: L 1 SAL 0 0 0 pot 0 \ r )1ULI E-r L Iz
Mailing Address: ap I SI M EO O F t, 'A k • q47 b /J' Phone: V. - 3494
2. Legal Description: A1nD)1-1tAi
Street Address: (,' 19 WI ILF 0A-V tf
3. Description of proposed action:
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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 fl Solid Waste Removal Requirements R-
STAFF COMPLIANCE REVIEW
/� Parcel No. R.J :.1, ()5T?CO C')
Current Zoning: /L Required Lot Area: `1 act (8;' 4`,
Required Setbacks: Front: IiC /L l4J Building Height: 35
(Setbacks other than zoning district standards to be noted on the attached site plan)
5. Number & size of parking spaces required:
6. Off - street loading requirements:
Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc.)
9kC/ $' ed— —
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.
ACMP Policies: Res. Y Bus. ❑ Ind. ❑ Other ❑ Consistent with KIB CMP: YesCYIVo❑ Attachment: Yes❑ No❑
Zoning Com. ' : ; ', mit Fee
Payabl. n Cas. *r 1 ice
Room
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a "Fee Sc4],c Jk
WW1' .Assei ily R`1tsolution
s . rtf.Julyj,2005)
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F es>�hafl 1!'fs acrd.
ro iv 6,1 j f09 gocres
.A Q1 4600 acres r- 390.00
4ml errior more.g 4120.00
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Construction Dis . osal Deposit
Payabl Cashier office
Room # 104
Fee Schedule:
(per KFfl Assembly Resolution
Rff..luly 1. 2005)
Less than 250 sq. ft. $250.00
251 to 500 sq. ft.
501 or greater sq. ft $1000.00
GARBAGE FICASH
85/85/2646 14:34:52
066615641
PA 1D
1,066.68
* ** Paid in Full * **
Kodiak Island Boroug
Kodiak AK 99615
(967) 466 -4324
PAOP1 /If ;
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 building construction or use is
abandoned at any time, after the work is commenced, for a period of 180 days. Before such work can be
recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration, 1997 UBC) per KIBC 17.03.060.
1. Subd. Case #: Plat #: Bldg Permit #:
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.
,
Title: D ne-Y
By:
O
Date:
Supporting documents attached (check one): Site Plan: ❑ As -Built Survey: ❑
Other (List):
4. Con unity De • to • ment Department
By: L ,�k t Title: Date:
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.
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BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
BUILDING ADDRESS m‘,17
LOCALITY
NEAREST CROSS ST.
w
2
0
U W • C
W
F W Z
U
NAME
MAIL ADDRESS
CITY TEL. NO
NAME
ADDRESS
CONTRACTOR
Z
0
J
• O.
• E
W U
J y,
W
D
CITY
STATE LICENSE NO
NAME
ADDRESS
CITY
STATE LICENSE NO
SUBDIVISION
CLASS OF WORK
NEW
DEMOLISH
ALTERATION
REPAIR
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING HEIGHT
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)
51ZE
SPAN
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO.
BLK.
r
JOIST CEILING
DO NOT WRITE BELOW THIS LINE
IlkType 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 2r1324
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS y.. ( f ROOF
INTERIOR WALLS - ;'fREROOFING
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
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO.
VALUATION
BUILDING
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
DATE ISSUED
BLDG. FE/
PLAN CHK FE_E.
TOIAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
Approved: CHIEF BUILDING OFFICAL
By:
5
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
3N11 A1213dO2:1d
PLOT PLAN
SETBACK
3N11 Al J3dO2ld
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES
AREA OF LOT
nthc� //7//q.///
TOTAL HT. •
FRONT YARD SETBACK FROM PROP. LINE .5e
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD �Z
Approved: ZONING ADMINISTRATOR // ` �'