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Permits 0 5 -OcIt
Kadfak Island Borough, Community Development Department, 710 Mill Bay Road (Rim 205), Kodiak AK 99615
PH:(907)486-9362 Fax(907)486-9396 http://www.kib.co.kodiak.ak.us
1. Property Owner/Applica : Lc, ar
Mailing Address: / riffn IYELWX Phone:
2. Legal Description: /rd 8k ;f7 1
Street Address:
Tax Code: 11112CA5`100 60
. 3. Description of Existing Property/Current Zoning:
Minimum Required Lot Area: , ,,
Actual Lot Area: 6,("2 (5 qb
Minimum Required Setbacks: Sides: if Rear: ec
Front: &5-'
Width: (210
Width:
Use and size of existing structures on the lot:
425-o
innjm ui1dg H *ght: 3.5-
Number & size of parking spaces required per parking/site plan dated: /4.k
76 PK 1-577
Off-street loadmg 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 yarcK screening, etc)
Coastal Manage ent Program Applicable Policies (check appropriate category)
Residential Business Industrial Other
,
Is the proposed action consistent with the KIB Coastal Management Program: Yes No.
Attachment: Yes No
Description of proposed action (attach site plan):
t i; 1/11171); d 4, I 0 e At
do
2
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ea' /
N:\CD\TempIatesComDevZoning Compliance Permitcloc
Fivto Zoning6sliance Permit Fee
2003 13:48:37
0t006646 . Zoning Crap
PAID
25.00
*** Paid in Full ***
Kodiak Island Boroug
: Kodiak AK 99615
.(907) 486-9324
TlIg-lejRM DOES NOT AUTHCZE 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 atsany time, after the work is commenced, for a period �f 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.
4.. Other: Subd. Case #: Plat #: . -Bldg Permit #:
5. Driveway Permit (State, Borough, City) by/date:
6. 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 o er I agree to have identifiable comer markers in place in the field for
verification of setbacks.
By: Title:
Date: /0/.f/d
Supporting documents attached (check one): Site Plan As-Built Survey:
Other (List):
8. Co m nity Dev op ent stafffor zoning,
By: Title: Date: 5
9. Fire Marshal (UFC) by/date:
10. 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.
N:\CD\TempIatesComDev\Zoning Compliance PermitAloc
Solid Waste Fee-
(Per MB Resolution 2003-2G),-
1tliak Island Borough, Engineering & Facilities Department, 710 Mill Bay Road (Rm. 223), Kodiak, AK 99615
PH:(907)486-9348 Fax(907)486-9394 http://www.kib.co.kodiak.ak.us
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT
OR ZONING COMPLIANCE PERMIT IS REQUIRED
1. Property Owner/Applicant: iglAi 56-Z4A Cy
ra
Mailing Address: 2/3. &,-7/ /9A- wir Phone: fQ #32,
2. Legal Description: 47 * .57 14/00/017
Street Address: 2/ Tax Code: RiZADSIC660
3. Description of proposed action (attach site p an ):
"d4h///tdih danfe CX/14
4. 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 y o er.
By:
Date: 10/6f/i3
Title: 015'1)-€40; 6/;fr
Supporting documents attached (check one): Site Plan As-Built Survey:
Other (List):
8. Solid Waste Disposal Fee: (check one) 250 square feet or less: $250.00 Deposit
500 square feet or less:
(See attached form for details) ir'>500 square feet:
ii)&re303 Oq(
N:\CD\Templates\ComDev\F-Solid Waste Fee.doc
t
,000.00 Depos
FIREGSadIVaMiliAgIsalFee
10/15/2003 13:41:13
010065646 , Cronst Dump
P A I D
1,000.00
*** Paid in Full ***
Kodiak Island Doroug
Kodiak AK 99615
(907) 486-9324
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486 -8070 • 486 -8072 Fax: 486 -8071 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: __
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDINIQ PERMIT N MBE//R•
DATE OF APPLICATION:
L. — Gr -4l
LOT: BLOCK:
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
DATE ISSUED:
C7
/(.` ; T f
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING P RMITFEE:
_^
DEPTH IN GRND
O
W
ki
NAME: -
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION: 7
PLAN CHECK FEE:
j
L l;- '-i -�&
BOLT SPACING
MAILING ADDRESS: ,
/ r fel
CRAWL SPACE HEIGHT INCHES
OCCUPANCYGROUP:
TOTAL FEE:
CRAWL SPACE VENT SQ. FEET
CITY &STATE:
74
SIZE / .- 5...., .. ' HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE: _y �. �_
��i - ,q Ir
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
TYPE OF CONSTRUCTION
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
f
I , ,
WATER:
I
I
JOISTS OOR
CITY & STATE:
SEWER: PUBLIC
PRIVATE
IL 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
NMAILING
V
A
C
T
0
R
NAME: ! /�
>t/
SHEATHING TYPE & SIZE:
FURNACE TYPE:
FRAMING
FLOOR
APPROVED
ROUGH ELECTRICAL
ADDRESS: /
1 .. :, / -
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
FINAL
DATE C.O. ISSUED:
SUBMITTED
CITY & STATE:
r,/
,,
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
i
APPLICANT:
FINAL APPROVAL
TELEPHONE:
/ '
FINISH MATERIAL:
LOCAL FIREMARSHAL REVIEW:
SUBMITTED APPRO '16161749 l9
ROOF
STATE LICENSE:
EXTERIOR SIDING
`-�_- ,'- ^ a.'
APPROVED - BUILDING, OFFICIAL'. V
1003` r°
INTERIOR WALLS
1
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CO ReCeeued
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CAV o ati
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PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK