EAST ADD BK 57 LT 5 - ZCP•
•
kK ISLAND BOROUGH Community Development
Road (Room 204), Kodiak, Alaska 99615-6340 - Phone: (907) 486-5736, extension 255
1. Property Owner /Applicant:
Mailing Address: 4 -0 S, MAO c4
2. Legal Description: Zor
ZONING COMPLIANCE PERMIT Permit #:r-- C- Z- 9 /
M9Y471 Lrti Pp //t.)1 c , 7r'
Phone:
Street Address: f js l / ( Y✓l e cm
3. Description of Existing Pro y /current Zoning:
Minimum Required Lot Area:
Actual Lot Area:
x, 7 `7
Minimum Required Setbacks: Sides:
Front 2�
Maximum Building Height:
Use and size of existing structures on the lot:
/9/P.o/7) oyi <«eP•_
Tax Code #: (� / / a a'j D D i5 ()
r1
Width: 6
Width:
Rear.
4. Description of proposed action (attach ttsiteplan): Fi b ,
5.
6.
a is road access available for emergency vehicles? Yes:
b.
c
No:
Is the water supply adequate for any structure other than a single- family residence or duplex? Yes: v No:
Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No:
(Contact and note confirmation from the appropriate fire chief or note personal knowledge.)
A2)
Off- street loading requirement:
Plat related requirements je.g ., plat notes, easements, subdivision conditions, etc.):
Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.):
Coastal Management Program Applicable Polices (oieck appropriate category) - Residential: Business
incustria: Other (iist)_
Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No:
If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ies), describes the
No:
conflict(s), and specifies conditions to mitigate the conflict(s). Attachment(s) - Yes:
Applicant Certification
I agree to have id tit la . comer marke
BO(
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.
field for verification of setbacks.
Supporting d
ments attach '" : ck): Site plan:
As -built survey:
Date: Title:l
Other (list):
Staff approval:
Distribution:
File
Date:
Building Official
Title: f W"
Applicant
March 1989
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
1 hereby certify that I have surveyed the (oli(o in described property:
Lot g, b /0C-k 57s 4st AcdI /Ion
!J. 5, 6JRVOY 2538-13••
P /at no. 18-2
and that the improvements situated thereon are within the property lints
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.
Dated this day of 19
ROY A. ECKLUND
Registered Land Surveyor
Scale:
a
Zo fed
Drawn b : 9. Austerfrlen Date: /4 444Y /98b
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
(OFFICE USE ONLY)
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.
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:
LAST A 16,tti'01 ,
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
O
/W
ECITY
R
NAME:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
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
& STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
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'
I PRIVATE
I
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
I 11 111 IV V
N 1 -HR FR H.T.
& 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:
SUBMITTED
FOUNDATION / SETBACKS
/C
T
R
A
C
T
O
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
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: ,-, 1n-
SUBMITTED: APPROVED <?
�V'p
ROOF
STATE LICENSE:
EXTERIOR SIDING
..
APPROVED - BUILDING OFFICIAL;��
INTERIOR WALLS
NOTES: a)
oB�i?9�9�f� v
ch Finance Department
a'cx City of Kodiak .,
ev. 1-
PRINTED IN KODIAK, ALASKA BY C &A PRINTING, INC.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486 -3224 700 Mill Bay Road
APPLICANT TO FILL IN ALL INFORMATION 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
IPERMIT:
W
E
R
NAME:
USE OF BUILDING AUTHORIZED BY THIS
REINFORCEMENT
VALUATION: UAT�
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE: c
A B E H 1 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 INSPECTION CALL 486 -3224
NO. OF ROOMS STORIES
NO. OF FAMILIES
GIRDERS
TELEPHONE :
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 11 111 IV V
N 1 -HR FR H.T.
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
CITY & STATE:
SEWER: PUBLIC
PRIVATE _
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
EXCAVATION
BEARING WALLS
TELEPHONE :
FOUNDATION
UNDERGROUND UTILITIES
INTERIOR WALLS
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
STATE LICENSE :
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
APPROVED
ROUGH ELECTRICAL
VNAME:
O
N
T
R
A
C
T
0
R
4.7 .,-7 _.
SHEATHING TYPE & SIZE:
FURNACE TYPE:
ROUGH PLUMBING
ADEC APPLICATION:
FINAL
FLOOR
SUBMITTED
DATE C.O. ISSUED:
WOOD HEATER YES NO
MAILING ADDRESS:
FINAL APPROVAL
WALLS
ALASKA FIREMARSHALL REVIEW:
SUBMITTED: APPROVED:
CITY & STATE:
ROOF
TYPE
1 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: , jtase' 6. 1 f /'l,uC�E (JC_
TELEPHONE :
FINISH MATERIAL:
ROOF
;t ') --7/ _ �i
APPROVED- BUILDING OFFICAL:
STATE LICENSE
EXTERIOR SIDING
INTERIOR WALLS
NOTES: