EAST ADD BK 57 LT 7 - ZCP"IC ZOINV G C OMPLIAN C PERMIT(Page 1 of 3)
Permit # cLZ- Z —
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: �r�� �
1. Property Owner /Applicant: ► C, /
Mailing Address: 0 (1)— Ck ` Cii eh U
2. Legal Description: Er i S t J l� i 81 K 5 7 .r, 7
Street Address:
31 -- C—YI all eilc.,-4
3. Description of proposed action: \eitgazi -d- f 'j IG c e S l eole
Phone: 53C1b0,A5
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
Parking Requirements Solid Waste Removal Requirements
STAFF COMPLIANCE REVIEW Parcel No. R ) (2.05-7_00-4._b
Current Zoning: g i ^ s r �� Required Lot Area: 3(2) a ,
Required Setbacks: Front: 2 S r Side: ( Rear ( Building Height: r S—(
(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.)
o/
KJ-
Other Requirements (e.g. zero lot line, additional het acks, projections into yards, screening, etc.
ACMP Policies: Res.
Bus. ❑ Ind. ❑ Other ❑ Consistent with KIB CMP: Y
(
Zoning Compliance Permit Fee
Payable in Cashier's Office
Room # 104
Fee Schedule:
(per MB Assembly Resolution
Eff. July 1, 2005)
an 1.75 acres
to Mures
5.01 to 40.00 acres
40.01 acres or more
S30.00
$6000
$90.00
5120.00
Construction Disposal Deposit
Payable in Cashier's Office
Roo 104
Fee Schedule:
(per KIB Assembly Resolution
Eff. July 1, 2005
C---es> ss than 250 scLft. $250.00
251 to 500 sq. ft. S500.00
501 or greater sq. ft. $1000.00
Attachment: Yes❑ No[,�i
CAS(
09 :06:25
11168 toning Cep
PAID
30.00
*** Paid in Full ***
Kodiak Island Boroug
Kodiak AK 99615
(907) 486 -9324
���.00 031,0UfC
iltkrp
(Page 2 of 3)
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 olitained. (Sec. 106.4.4 Expiration, 1997 UBC) per KIBC 17.03.060.
1. Subd. Case #:
N 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.
By:
Date:
Title: C..✓y1 T f i=t e7 --
Supporting documents attached (check one): Site P1 • As- Built Survey: ❑
Other (List):
4. Comm tit_yD
By:
ent Department
Title:
ate:
5. Fire Marshal (UFC) by /date: / t/
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.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486 -3224 700 Mill Bay Road
N 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:
Si 1 Tloti
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
O
N
E
R
NAME:
USE OF BUILDING AUTHORIZED BY THIS
PERMIT:
REINFORCEMENT
VALUATION: '
PLAN CHECK FEE:
BOLT SPACING
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
MAILING ADDRESS:
A B E H I M R
DIV. 1 2 3 4 5 6
CRAWL SPACE VENT SQ. FEET
RECEIPT NO.:
CITY & STATE:
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
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
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
bC
fN
T
R
A
C
T
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
`R UG PLUMBING
ADEC APPLICATION:
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: "�r 4.01.1: -�
TELEPHONE :
FINISH MATERIAL:
ROOF
APPROVED- BUILDING OFFICAL•`� -_
STATE LICENSE .
EXTERIOR SIDING
INTERIOR WALLS
NOTES:
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines.
BUILDING ADDRESS
) t c h , c_ -14
LOCALITY
f U�
NEAREST CROg 4
cc
Z
0
NAME
GY�ai� V 1
MAIL Altit35S $ ^ s , i 1
V Litt- N%q(,)-1..
NAME
ADDRESS
CITY
STATE LICENSE NO.
NAME
I.
CLASS OF WORK
NEW
DEMOLISH
ALTERATION
REPAIR
ADDITION
USE OF BUILDING
MOVE
SIZE OF BUILDING
HEIGHT
NO. OF ROOMS
NO. OF FLOORS
NO. OF BUILDINGS
NO. OF BUILDINGS NOW ON LOT G-2-
NO•,OF FAMILIES 1
L-..; .'l +1
SIZE OF LOT
USE OF BLDG. NOW ON LOT
SPECIFICATIONS
FOUNDATION •
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
ADDRESS / "WIDTH OF BOTTOM
l ) I-7 Y-7
CITY
STATE LICENSE NO.
ti
Pit
SPAN
SUBDIVISION
E Ajt; -
i
LOT NO.
-7
' BLK.
s 7
DO NOT WRITE BELOW THIS LINE
1. Type of Construction
I, II, III, IV, V, VI
2. Occupancy Group A, B, E, H, I,
M, R Div. 1, 2, 3, 4
3. Fire Zone 1 2 3 4
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS , - 1
ROOF { ly
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
I 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
buildi ,: constriictiopp�,�
OF OCCUPANCY
BUILDING PERMIT NO.
VALUATION
S
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
71.-ks t''Z.i*2An r-r Is t o
\(.1" CAte_taUie. ; • L (er
3NI1 A1213dO2Jd
PLOT PLAN
I
SETBACK
Approvej_HIPr
PLANNING & ZONING INFO.
3NI1 A1H3dO2Jd
ZONING DISTRICT U
TYPE OF OCCUPANCY L.NrL -0-SL.
NUMBER OF STORIES -�f �( TOTAL HT.
AREA OF LOT l7 I ( 7�
FRONT YARD SETBACK FROM PROP. LINE ! ^
SIDE YARD SETBACK FROM PROP. LINE I 1
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
.57.
CLASS OF WORK
NEW
LOCALITY
DEMOLISH
ALTERATION REPAIR
NEAREST CROSS ST
Ct
0
'l'1 ,
NAME f �^. -
MAIL ADDRESS (� �/
725/
ADDITION MOVE
USE OF BUILDING
SIZE OF BUILDING "V y LS- HEIGHT
BUILDING PERMIT NO.
DATE ISSUED
NO. OF ROOMS
NO. OF FLOORS
CITY TEL. NO
NAME
NO. OF BUILDINGS /
VALUATION
BLDG. FEE
PLAN CHK. FEE
TOTAL
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
CITY
SIZE OF LOT / ■7/: f,
USE OF BLDG. OW ON LOT
FRAME
SEPTIC TANK
FINISH
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
1 INAL
FINISH
FINAL
NAME
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SPA., .
SPAN
-J
0
J
DESCRIPTION
SUBEFVISION
LOT Nu
% -
GIRDERS
BLK.
7
JOIST 1st. FL.
JOIST 2nd. FL.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
ItType of Construction
I, 11, 111, 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 2 3 4
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS
REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
I 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
Approved: CHIEF BUILDING OFFICAL
By:
3N11 Ala3dQLid
A
PLOT PLAN
SETBACK
3N11 Al2:13dOHd
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT Z7/..-
/ ' ''///
TYPE OF OCCUPANCY ty
NUMBER OF STORIES q/
AREA OF LOT &,
FRONT YARD SETBACK FROM PROP. LINE // A %'0941.. e rC
SIDE YARD SETBACK FROM PROP. LINE,,"'/
REAR YARD ,L '`a /1.11y.
Approved: ZONING ADMINISTRATOR iii` /�fF
TOTAL HT.
SS ;vnt
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines. OF OCCUPANCY
BUILDING ADDRESS
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
ys"' 76
DATE ISSUED
/8/7,?-'
USE OF BUILDING
K
W
Z
0
NAME
SIZE OF BUILDING HEIGHT
MAIL ADDRESS
NO. OF ROOMS
NO. OF FLOORS
CITY TEL. NO
NO. OF BUILDINGS
VALUATION
BLDG. FEE
PLAN CHK. FEE
TOTAL
Ct
• W
• Z
U
Ct Z
Q
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
FRAME
SEPTIC TANK
FINISH
CITY
USE OF BLDG. NOW ON LOT
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO
FOUNDATION
FINAL
FINISH
FINAL
CONTRACTOR
NAME
MATERIAL
EXTERIOR, PIERS.
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
^l
\(.:. 1 et, ,t /4
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPA.,
SPAN
a
J
DESCRIPTION
SUBDIVISION
/,,[�_ �//
£� s G� . ,._ 4`/ 4 C 'TL
!3 Ai
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO.
BLK.
7
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
1. Type 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 23 4
INTERIOR STUDS
ROOF RAFTERS
A
BEARING WALLS
x1
COVERING
EXTERIOR WALLS •770 3i .4,,
ROOF
INTERIOR WALLS S, R' REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
I 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
/° X fs A (ids c.V A S pet p /AN.
77554 e`icc�L•
3N11 Ai I3dO2id
A
PLOT PLAN
SETBACK
3NI1 A183dO2id
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES TOTAL HT.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By
,/. N"Ad t
By