ELDERBERRY HGTS 2ND BK 3 LT 5 - ZCPKODIAK ISLAND BOROUGH Community Development
710 Mill Bay Road (Room 204), Kodiak, Alaska 99615-6340 - Phone: (907) 486 -5736, extension 255
ZONING COMPLIANCE PERMIT Permit #: vc Z- c79 -497
1.
Property Owner/Applicant: �, 1
Mailing Address: -P JQ Phone: y ,r6- z s-
2. Legal Description: z = A 1
Street Address: - (Z C't e o-e -,-� a Tax Code #: (�'4/ Z Z o 3 c.) O p _5
3. Description of Existing Propert/curentzoning:
Minimum Required Lot Area: ��
Width: (' 6
Actual Lot Area: S c7 Width: b /0 r
Minimum Required Setbacks: Sides:
Front:
Maximum Building Height:
Use and size of existing structures on the lot
Rear.
4. Description of proposed action (attach site plan):
a. Is mad access available for emergency vehicles? Yes: / ` No:
b. Is the water supply adequate for any structure other than a single-family residence or duplex? Yes:
c (Contact and note confirmation from the appropriate fire chief or note personal knowledge.)
Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: )
X
No:
0v/4
Off- street loading requirement:
Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.):
i9
Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.):
Abniv
Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business:
Industrial: Other (list):
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
conflict(s), and specifies conditions to mitigate the conflict(s). Attachment(s)- Yes: No:
5. 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:
Supporting documents attached (ch . Site plan: As -built survey:
Date: 7- - F Title: nc. „�✓
Other (list):
6. Staff approval:
Distribution:
File
Date:
Building Official
7- - 7
Title:
Applicant
March 1989
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
FLUES GAS
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS OF WORK
LOCALITY
NEAREST CROSS ST.
NEW
DEMOLISH
ALTERATION
REPAIR
cc
w
w
Z
0
NAME
ADDRESS
CITY
STATE LICENSE NO.
NAME
ADDRESS
CITY
STATE LICENSE NO.
SUBDIVISION
LOT NO.
BLK.
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING HEIGHT
NO. OF ROOMS
NO. OF FLOORS
NO. OF BUILDINGS
O. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
SIZE OF LOT
USE OF BLDG. NOW ON LOT
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO
VALUATION
S
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
BUILDING PLUMBING
FOUNDATION ROUGH
SPECIFICATIONS
FOUNDATION
MATERIAL
EXTERIOR,
PIERS
FRAME SEPTIC TANK
WIDTH OF TOP
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
SIZE
SPA.,
SPAN
GIRDERS
JOIST Is FL.
JOIST 2nd. FL.
JOIST CEILING
DO NOT WRITE BELOW THIS LINE
p. 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 2 3 4
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCIIEN WATER HEATER
URNACE
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
PLASTER SEWER
FINAL
FINISH
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
3N11 Ala2dOHd
PLOT PLAN
A
r
SETBACK
3N11 A1N3dOLid
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: By-
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
BUILDING ADDRESS
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
MOVE
w
Z
0
NAME
MAIL ADDRESS
SIZE OF BUILDING HEIGHT
USE OF BUILDING
NO. OF ROOMS
NO. OF FLOORS
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO
CITY
ILL NO
NAME
ADDRESS
0,
F
U
N
z
0
U
CITY
NO. OF BUILDINGS
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
SIZE OF LOT
USE OF BLDG. NOW ON LOT
VALUATION
BUILDING
STATE LICENSE NO.
NAME
ADDRESS
SPECIFICATIONS
FOUNDATION
MATERIAL
EXTERIOR,
WIDTH OF TOP
WIDTH OF BOTTOM
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
CITY
STATE LICENSE NO.
SUBDIVISION
DEPTH IN GROUND
R.W. PLATE (SILL)
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO
BLK
DO NOT WRITE BELOW THIS LINE
f. Type of Construction
I, II, Ill, 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
EXTERIOR WALLS
ROOF-
JOIST CEILING
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
INTERIOR WALLS REROOFINC
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
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 bulling construction.
Approved: CHIEF BUILDING OFFICAL
5
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
3N11 Al2:13dOHd
A
PLOT PLAN
3N11 Ala3dO2ld
SETBACK
STRE i
?7/7' T e<,.e„
PLANNING & ZONING INFO.
ZONING DISTRICT Li
TYPE OF OCCUPANCY_
NUMBER OF STORIES /
AREA OF LOT 4'5202:3 •�/
FRONT YARD SE BACK FROM PROP. LINE
TOTAL HT. ,IPZ,/
SIDE YARD SETBAC K FROM PROP. LINE
REAR YARD t} 7t
Approved: ZONING ADMINISTRATOR
/ ". ya