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ERSKINE ADD BK 10A FIRE DEPT - ZCP� - 654.19" .... ....,,. Yy / /9.33" U.5. 5L/RV s 2537 -8 os 7o - - - - - -- =-,:-.:- - 0.-5.-vg-%.44-4.--\5-6, 2- -- -� - -- 139 6,5.0 :,,,,• 1 --S 89'59 SBsE == e �= L ;1.e "I( 128.82° N89 °S8'44"E \:04.45' L" 3(Q.45' 1/77k /rY EA5EME/yr J, R46 24/ 2d cGwSTRUc7-s®. ' .gut /A 7 NANCi 6A4CMi vT (Por oFAv...a) HAT Nf 77-.Z4 °I 11. 0.5 - o l' 50'45 5 /9' i 2 I. 0 8 76.46 _ N89'5 "58 "w & OO' 94'04,08„ 20.00' 32.84' 4_ 5„4.,,J. 61b1--(A-- 2w Ptj 6(2 i/ BLOCK I 90./41 31.44. 2. D70± Acres l y2 11 : O/ 41'34 u 7: Gs4. 9 " <' 9. 3. /L_OT 2 , r 00. , & D C /5 200-R-. �1, 5 k (�(/ .z 't4, Ova Nit, a V ,(% 2. \ e • „®V'Va `�. h 61' k 30A_ 9 5 0 ,� N - 0444-iv AQ , _______2________t30''? o- r 99 V�4 h �/39 N0 NI- h ∎.9 ^v 0 V b' -.2..._. 3 3 c I v A - -i.,,.. Ad C a .� IV �' � i7'. ,, 11 it OS Q o 7. °O k N N R , . .9 o -d - 65 00 94-19 3LOC /OA D(TQIL NO 5c,4LE fro1Q51J /(M F C[DAP /NT .E'5(C 770A1 Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Print Form [ Submit by Email 1 152 69 Permit No. C22015-057 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: The following information is to be supplied by the Applicant: CITY OF KODIAK PO BOX 1397, KODIAK, AK 99615 907-486-8040 JMULLICAN@CITY.KODIAK.AK.US Subdv: ERSKINE ADD 219 LOWER MILL BAY RD Block: 10A Lot: FIRE STATION Description of Proposed Action: REPLACE BROKEN WINDOW W/ NEW EGRESS WINDOW Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Current Zoning: Public Use KIBC 17.130 PROP JD 15269 Lot Area: 2.03 ACS Lot Width: 60' Bld`g Height: 50' Front Yard: 25 ' Rear Yard: 20 ' Side Yard: ' 25 ' Prk'g Plan Rvw? # of Req'd Spaces: :::•.:‘ .i - Staff Compliance Review Notes: Plat / Subdivision Requirements? Subd Case No. Plat No. Bldg Permit No. Does the project involve If YES, do you have an EPA Return Receipt of an EPA defined facility? NO Notification? "Permit will not be issued until receipt is submitted to Driveway Permit? Septic Plan Approval: Fire Marshall: Applicant Certification: 1 hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that have the authority to certify this as the property owner, or as a representative of the property owner. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: Apr 1, 2015 iJ,J Signature: DAVID BILLINGS (for CoK) 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. 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 anytime, 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 17.15.060 A. ** CDD Staff Certification Date: Apr 1, 2015 CDD Staff: Martin Lydi Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office oom # 1 Pay y 104 Main floor of Borough Building MD APR m 1 2USApplicable Less than 1.75 acres: KODIAK ISLAND 09i U,r� acres: FINANCE DEPAFt 5.01 to 40.00 acres: 40.01 acres or more:. After - the -Fact 2X the published amount ❑ moo ❑ moo ❑ $30.00 ❑ $60.00 $60.00 ❑ $120.00 ❑ $90.00 ❑ $180.00 ❑ $120.00 ❑ $240.00 Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Print Form IL Submit by Email , IU IIIIIIII1ILIIIIIl 15269 Permit No. CZ2014 -016 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: The following information is to be supplied by the Applicant: City of Kodiak PO Box 1397, Kodiak, AK. 99615 Subdv: Erskine Add 219 Lower Mill Bay Rd. Block: 10A Lot: n/a Police Station Description of Proposed Action: 1: Demolition of Police Station 2: Includes elec & seismic improvements to Fire Station in order to facilitate demolition Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Lot Area: 88,227 sqft Front Yard: Prk'g Plan Rvw? No Current Zoning: Public Use Staff Compliance Review Notes: Plat / Subdivision Requirements? KIBC 17.130 PROP ID 15269 Lot Width: Rear Yard: # of Req'd Spaces: Bld'g Height: Side Yard: Subd Case No. Plat No. Bld'g Permit No. Does the project involve an EPA defined facility? Driveway Permit? Septic Plan Approval: Fire Marshall: YES If YES, do you have an EPA Return Receipt of Notification? "Permit will not be issued until receipt is submitted to KW" Applicant Certification: I hereby certify that 1 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 for verification of building setback (yard) requirements. . Attachments? List Other: Date: Oct 30, 2013 Signature: Lori Ryser for Golden State 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. ** 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 17.15.060 A. ** CDD Staff Certification Date: Oct 30, 2013 Payment Verification CDD Staff: Martin Lydick Zoning Compliance Permit Fee Payable in Cashier's Office1ioom # 104 - Main floor of Borough Building Not Applicable Less than 1.75 acres: 1.76 to 5.00 acres: 5.01 to 40.00 acres: 1315 $0.00 $30.00 $60.001 k. ° $90.00 40.01 acres or more: ❑ $120.00 OCT 30 2013 KODIAK ISLAND BOROU FINANCE DEPARTMENT After- the -Fact 2X the published amount El $0.00 El $60.00 E $120.00 El $180.00 El $240.00 Golden Alaska Excavating From: Pavitt, John <PavittJohn @epa.gov> Sent: Wednesday, October 30, 2013 11:59 AM To: mlydick @kodiakak.us Cc: Golden Alaska Excavating (rlryser @gci.net); Elisabeth Subject: RE: Kodiak EPA Notification Dear Mr. Lydick, EPA has received advance notification from Eastside Contracting Company to begin asbestos removal from the old police station and Mission Road building. Please let me know if you have any questions, John Pavitt EPA Region 10, Alaska Operations Office (907) 271 -3688 For general information on asbestos, see EPA's National website: http: / /www2.epa.gov /asbestos Notifications for projects in Alaska, Idaho and Tribal Lands should be mailed to: Asbestos NESHAP Coordinator US EPA, Region 10 (OCE -127) 1200 Sixth Ave., Suite 900 Seattle, WA 98101 • OCT 3 0 2013 From: Elisabeth [mailto:elisabeth @eastsidecarpet.com] Sent: Wednesday, October 30, 2013 11:44 AM To: Pavitt; John Cc: Golden Alaska Excavating (rlryser @gci.net) Subject: Kodiak EPA Notification Hi Mr. Pavitt, The Kodiak island Borough requires notification from your office that you have received Eastside Contracting Company's 10 day notification for the police station and mission road demo. Can you please e-mail Mr. Martin Lydick at the following address (mlydick @kodiakak.us) to let him know that you have received the notification and the revision. Thank you very much. ECisateth `1NFieeles Eastside Carpet Company/ Eastside Contracting Company 700 W Intl Airport Rd #2 Anchorage, AK 99518 Phone: (907) 562 -7444 1 Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907)486 - 9362 Fax (907)486 - 9396 http://www.kodiakak.us Zoning Compliance Permit r Print Form 1 Submit by Emai 1111111111,1!11111111 Permit No. g3,6?Oici-o/6, Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: The following information is to be supplied by the Applicant: City of Kodiak PO Box 1397, Kodiak, AK. 99615 486-8065 gmelvin@city.kodiak.ak.us Subdv: Erskine Add 219 Lower MW Bay Rd. Block: 10A Lot: n/a Use & Size of ExistingStructures: Police Station:: Description of Proposed Action: Demblition Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Lot Area: 88,227 sqft Front Yard: Prk'g Plan Rvw? No Current Zoning: Public Use Staff Compliance Review Notes: Plat / Subdivision Requirements? KIBC 17.130 PROP_ID 15269 Lot Width: Rear Yard: # of Rued Spaces: Bld'g Height: Side Yard: Subd Case No. Plat No. BId'g Permit No. Does the project involve YES If YES, do you have an EPA Return Receipt of an EPA defined facility? Notification? "Permit will not be issued until receipt is submitted to KIB" Driveway Permit? Septic Plan Approval: Fire Marshall: N/A N/A N/A Applicant Certification: 1 hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that 1 have the authority to certify this as the property owner, or as a representative of the property owner. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: .10/ 4/r' Signature: This permit is only for the proposed project as described by the applicant I i ere 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. ** 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 anytime, after the work is commenced, fora 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 17.15.060 A. ** CDD Staff Certification Date: CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building Not Applicable Less than 1.75 acres: 1.76 to 5.00 acres: 5.01 to 40.00 acres: 40.01 acres or more: n so.00 [ j $30.00 IT $66.00 f i $90.00 l; $120.00 After- the -Fact 2X the published amount ✓ moo E $60.00 in $120.00 El $180.00 [I $240.00 NOTIFICATION OF DEMOLITION AND RENOVATION Operator Project ft Postmark . — -- - Date Received 1. T , • of Notiflcadon 4:::Or1 ! Ina! R=Revised C=Canceled 0 H. FACILITY INFORMATION Identl owner, removal contractor and other 0. erator OWNER NAME: City of Kodiak Addis= 217 Lower Mill Bay Road c :Kodiak a ,, 99615 Contact Tel: (907) 486-8065 REMOVAL CONTRACTOR: Eastside Contracting Company, Inc. Address: 700 West International Airport Road #2 c. Anchorage state; Alaska zi ,:99518 Contact : Don Gamer Tel: (907) 562-7444 - OTHER OPERATOR: Address: 1,111■1=11•11111111•111=1=111111•111 Contact EIIIIIIMIMIIIII III. TYPE OF OPERATION D=Demo 0= Ordered Demo R=Renovation E=Emer. Renovation D IV. IS ASBESTOS PRESENT? Yes/No Yes V. FACILITY DESCRIPTION nclude bulldln name number and floor or room number Bid!. Name: Kodiak PoIiceStation Address:217 Lower Mill Bay Road - ci :Kodiak 115132 coun : Kodiak Island Borough Site Location: Old Kodiak Police Station building Buiklin • sin; Appx. 6675 SQ FT te of Flom: I A . e In Years: 63+ Present Use: Unoccupied prior Use: Police Station. VL PROCEDURE, INCLUDING ANALYTICAL METHOD, IF APPROPRIATE, USED TO DETECT THE PRESENCE OF ASBESTOS MATERIAL: Bulk sampling VII. APPROXIMATE AMOUNT OF ASBESTOS INCLUDING: 1. Regulated ACM to be Removed 2. Category I ACM Not Removed 3. , Category II ACM Not Removed RACM To Be Removed Nonfriable Asbestos Material Not To Be Removed Indicate Unit of Measurement Below MI LnFt 140 Ln Pd: n19180 Vol RACM Off FaciT Com . anent ' VIII. SCHEDULED DATES ASBESTOS REMOVAL MM/DD start 9/6/13 corn . lee: 11/6/13 IX. SCHEDULED DATES DEMO/RENOVATION MM/DD Start 9/6/13 Corn. into: 11/6/13 • X DESCRIPTION OF PLANNED DEMOLITION OR RENOVATION WORK, AND METHOD(S) TO BE USED Removal of AC flooring & mastic, gypsum board, cement asbestos board, TSI, and roofing. Wet methods, HEPA Vac, & containment. XI. DESCRIPTION OF WORK PRACTICES AND ENGINEERING CONTROLS TO BE USED TO PREVENT EMISSIONS OF ASBESTOS AT THE DEMOLITION OR RENOVATION SITE: Wet methods, HEPA Vac, & containment. XIL WASTE TRANSPORTER Name : Eastside Contracting Company, Inc. • Add ; 700 West international Airport Road #2 city : Anchorage Awe; Alaska Zip: 99518 Contact Person: Don Garner Tel: (907) 562-7444 WASTE TRANSPORTER #2 Name: Address: City: State: Zip: Contact Person: Tel: XIII. WASTE DISPOSAL SITE Name: Kodiak Island Borough Landfill Address; 1203 Monashka Bay Rd. City: Kodiak s :AK Zip:99615 Tea: (907) 486-9345 . XIV IF DEMOLITION ORDERED Y A GOVERNMENT AGENCY, PLEASE IDENTIFY THE AGENCY BELOW: Name: Title: Authority: Date of Order (MMIDD/YY): Date Ordered to Begin (MMIDDNY): XV. FOR EMERGENCY RENOVATIONS: Date and Hour of Emergency (MM/DDNY): Description of the sudden unexpected event: Explanation of how the event caused unsafe conditions or would cause equipment damage or an unreasonable financial burden: xin. DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED ASBESTOS IS FOUND OR PREVIOUSLY NONFR1ABLE ASTESTOS MATERIAL BECOMES CRUMBLED, PULVERIZED, OR REDUCED TO POWDER: Wet methods, HEPA Vac, & containment XVII. I CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF THIS REGULATION (40 CFR PART 61, SUBPART M) WILL BE ON- SITE DURING THE DEMOLITION OR RENOVATION, AND EVIDENCE THAT THE REQUIRED TRAINING HAS BEEN ACCOMPLISHED BY THIS PERSON WILL BE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HOURS. Aget44.--- 81,94/ 6 (Signature of Owner/Operator) (Date) XVIH. 1 CERTIFY THAT THE ABOVE INFORMATION IS CORRECT: / 1 L / ..,..,,,,,A.,..6...gA ■-.4. ....L.4160111K , (Signature of OwnerlOperator) (Date) Kodiak Island Borough Community Development Department 710 MiII Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit . Print Fornri `1 Submit by Email 15269 Permit No. CZ 2012 -26 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc Legal Description: Street Address: The following information is to be supplied by the Applicant: City of Kodiak P.O. Box 1397 486 -8040 Block 10A Erskine 219 LOWER MILL BAY RD Use & Size of Existing Structures: City of Kodiak Firehouse Lot Area: 2.03 Front Yard: Not Applicable Lot Width: Not Applicable Bld'g Height: Not Applicable Rear Yard: Not Applicable Side Yard: Not Applicable Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:, Plat / Subdivision Requirements? Does the project involve an EPA defined facility? NO If YES, do you have an EPA Return Receipt of Notification? "Permit will not be issued until receipt is submitted to KIB” NO Description of Proposed Action: Post Replacement Lower Bay Door Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: 7,,h111\1I. o „kl..- „— Derc AL, 1 CIAO Lot Area: 2.03 Front Yard: Not Applicable Lot Width: Not Applicable Bld'g Height: Not Applicable Rear Yard: Not Applicable Side Yard: Not Applicable Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:, Plat / Subdivision Requirements? Does the project involve an EPA defined facility? NO If YES, do you have an EPA Return Receipt of Notification? "Permit will not be issued until receipt is submitted to KIB” NO Construction Disposal Deposit Payable in Cashier's Office Room # 104 AID OCT 3 ak Isla ance D Coastal Policy Not Applicable Subd Case No. Driveway Permit? Septic Plan Approval: Fire Marshall: Nals Consistent? Not Applicable Attachment? No Plat No, BId'g Permit No. 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. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? Not Applicable List Other: Date: Oct 3, 2011 Signature: 7TQ 71./r-e 0/e/cs/—/-0--1.— This permit is only for the proposed project as described by the applicant. lf 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. ** 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 NBC 17.03.060." CDD Staff Certification Date: Oct 3, 2011 CDD Staff: Bud Cassidy Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 Fee Schedule Less than 1.75 acres $30.00 Kod Fir Fee Schedule 2011 Borough e Ppt Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak Al( 99615 Ph. (907)486 9362 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Permit No. The following information is to be supplied by the Applicant: Property Owner if Applicant; etYti 6 f Mailing Address: 14 1 Low. t rt.-3 Phone Number: 061 ) zen- re6 Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: Description of Proposed Action: Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: ZONING: PACSNo. Lot Area: Lot Width: Bld'g Height: Front Yard: Rear Yard: Side Yard: Prk'g Plan Rvw? # of Reced Spaces: Plat / Subdivision Requirements? Does the project involve If YES, do you have an EPA Return Receipt of Notification? an EPA defined facility? "Permit will not be issued until receipt is submitted to NB" Coastal Policy Consistent? Subd Case No. Plat No. Driveway Permit? Septic Plan Approval: Fire Marshall: Attachment? Bld'g Permit No. Applicant Certification: I hereby certify that 1 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 represeintaiiveof the property owner. I agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: Signature: 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 thisoffice immediately to determine if further ,review and-approval of the-revised = project is- necessary. ** EXPIRATION: A zoning compliance permit will become null and void if the building or use authorized by such permit is not commenced within 780 days from the date of issuance, or if the building construction or use is abandoned time; after the work is commenced, fora period of 780 days. Before such work can be recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration. 7997 UBC) per NBC 17.03.060.' CDD Staff Certification Date: CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 Fee Schedule Construction Disposal Deposit Payable in Cashier's Office Room # 104 Fee Schedule Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Print Form 1111 11 11 1 15269 111 Submit by Email 11 Permit No. CZ2013-040 1 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: The following information is to be supplied by the Applicant: City of Kodiak P.O. Box 1397, Kodiak AK 99615 907-486-8460 Subdv: Erskine Block: 10A Lot: 219 Lower Mill Bay Road Fire Station Description of Proposed Action: Replace front door with new entry door. Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Current Zoning: Public Use KIBC 17.130 PROP_ID 15269 Lot Area: 2.03 Acres Lot Width: 60 Bldg Height: Not Applicable Front Yard: Not Applicable Rear Yard: Not Applicable Side Yard: Not Applicable Prk'g Pan Rvw? Not Applicable # of Req'd Spaces: Plat / Subdivision Requirements? Does the project involve an EPA defined facility? If YES, do you have an EPA Return Receipt of Notification? N / A N/A "Permit will not be issued until receipt is submitted to KIB" Subd Case No. NA Driveway Permit? Septic Plan Approval: Fire Marshall: Plat No. NA Bld'g Permit No. Pending. NA "NA NA 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 for verification of building setback (yard) requirements. Attachments? Not Applicable List Other: Date: Oct 26, 2012 Signature: Aimee Kniaziowski, City Manager 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. ** 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 780 days. Before such work can be recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration. 7997 UBC) per KIBC 17.15.060 A. ** CDD Staff Certification Date: Oct 26, 2012 CDD Staff: Duane Dvorak Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building Not Applicable Less than 1.75 acres: 1.76 to 5.00 acres: 5.01 to 40.00 acres: 40.01 acres or more: After - the -Fact 2X the published amount n $0.00 r$0.00 E $30.00 4?Crr(// ❑ $60.00 [; $60.00 [l $120:00 r $90.00 Alt) [J $180.00 ❑ $120.00 OCT 2'6 201Z E $240.00 (ourolsrettlLoutal ciniflr p fl nIffmQn Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 http://vvww.kib.co.kodiak.ak.us Zoning Compliance Permit - --r-Print Form Submit by Email 1111111111111111111111111111111111111111111 R1140101200 Permit No. CZ2008-067 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: The following information is to be supplied by the Applicant: City of Kodiak P.O. Box 1397, Kodiak Alaska 99615 907-486-8800 Block 10A, Erskine Sub. 219 Lower Mill Bay Road Use & Size of Existing Structures: Fire Station and related facilities Description of Proposed Action: Fire rated wall 'separating engine bay from upper (future) sleeping area in north bay. Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: ZONING: Public Use Parcel No. R1140101200 Lot Area: 88,227 Sq. Ft. Lot Width: 60' Bld'g Height: 50' Front Yard: 25' Rear Yard: 25' Side Yard: 25 ' Prk'g Plan Rvw? Not Applicable , # of Req'd Spaces: Plat / Subdivision Requirements? Other Requirements? NA Other than lot area information above is code not actual setback or building height measurements. Coastal Policy Other Subd Case No. NA Driveway Permit? Septic Plan Approval: Fire Marshall: NA Consistent? Plat No. Yes Attachment? No NA BId'g Permit No. Pending NA NA Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that l 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 for verification of building setback (yard) requirements. Attachments? Other Date: Jan 17, 2008 List Other: Floor Plan Diagrams Signature:._ -- �l ina -Rre` ed, K9diak City Manager 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. ** 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. ** CDD Staff Certification Date: Jan 17, 2008 CDD Staff: Duane Dvorak Payment Verification Zoning Compliance Permit Fee Payable in CashiR's:Office Room # :04 `-`:'. I -- r•) r, e.:22 [u c,rti -Fee Schedule ; r' r . *1 I CL't1 u9 Less :75 acres $30.00 * Construction Disposal Deposit Payable in Cashier's Office Room # 104 Fee Schedule 251 to500sgft -5e8 Q -OD F ! :1 *ry g= : Paid in Full " Y,e iak i! land Bo: 14h Ivy f; l5 ( 4t16-932+ E 1 ■ 1 ■■ e, -Z r _o)‘g/1) far (3�1 li ■ ■■ S f 11 111 1 FINN= 1111 r■ • 40,oaizt4, 6a _ ■ i, 1 or f # ft 3 firj _ ire iv rap &' R re ,Cfi�fi� v� �, i� ■ • • au �vc� ilc Fire Dept EMERGENCY EVACUATION ROUTE FRONT O F . STATION Kodiak Island B �gh Community Deveiopmerit �`epartment 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 http://vvww.kib.co.kodiak.ak.us Zoning Compliance Permit r Print Form 6 Submit by Email IIIIIIiIIIIIIIIIIIIIIIIIIIII1III 111 111 R1140101200 Permit No. CZ2008 -051 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: The following information is to be supplied by the Applicant: CITY OF KODIAK P.O. BOX 1397, KODIAK, AK. 99615 ERSKINE ADD BK 10A 219 LOWER MILL BAY RD., KODIAK, AK 99615 Use & Size of Existing Structures: PUBLIC USE FACILITY, POLICE DEPT., FIRE STATION Description of Proposed Action: INSTALL NEW PRIVACY DOOR - FIRE HALL Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, acce s points, and vehicular parking areas. Staff Compliance Review: Lot Area: 88,227 SQFT Front Yard: 25' Prk'g Plan Rvw? Plat / Subdivision Requirements? Other Requirements? ZONING: Public Use Parcel No. R1140101200 Lot Width: 60' Bldg Height: 50' Rear Yard: 25 Side Yard: 10' # of Req'd Spaces: NON - CONFROMING GRANDFATHERED Coastal Policy Other _ <_onsistent? Yes � _ Achment? Bld'g Permit No. Subd Case No. Plat No. Driveway Permit? Septic Plan Approval: Fire Marshall: Applicant Certification: I hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that l 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 for verification of building setback (yard) requirements. Attachments? List Other: Date: Nov 8, 2007 Signature: 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. ** 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. ** CDD Staff Certification Date: Nov 8, 2007 CDD Staff: Martin Lydic Payment Verification Zoning Compliance PeI rrolt Fee Payable in Cashier' Lce -Room # 104 §V," n Xe Q Ul V ica [u '4 cn A •� Fee-,5 "the ule �• ILrI o Xc $60.00 1.76 to 5 actes -9 a Construction Disposal Deposit Payable in Cashier's Office Room # 104 T 1i 708/2 7 i 9 :5a: Fee Schedule P1111) U T 1L PR't PR1D 250. D Paic in FL Less than 250 sq ft $250.00 ;adi.11;45d, JV :4T 11 * orpunh G3 Al 5 Al5 CI� Al5 AI5 CI WATERPROOF FOUNDATION WALL5 TOOL AREA A3 GENERATOR/ DOILER ROOM Al2 A3 A9 FITNE55 AREA STACK (2) EMT VEHICLE5 FIRE DAY 1 1 IKITCHEN AI5 DREAK AREA MEN5 DUNK ,AI3 A7 Z Lu Z Lc Q IA1" E z A 44" AI5 RADIO/ CONTROL5 Al5 ENTRY/ RECEPTION /1/eu.36` /9ari,', N.— EXI5TING RETAINING WALL FIRE DAY 2 tl It 11 11 II II All 12 Al 5 CLA55ROOM C1 IRAI IJ /1111111, i_! LIB. LLL Aid MODIFY STAIR EM5 TORAG FIRE DAY 3 A HO5E TOWER AI O NEW 32'-0" RE5CUE VEHICLE F1-OOI? PI -AN I - I?FVI517 CONtITION5 1/16" - I' -O" ZONG COMPLIANITE PERMILagei Permit # e Z-Pen/i -051 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:' KoAch Mailing Address: .2 1 41 rikiJ3 F Phone: Ve(c) -80/0 • rt.- V '10 11 ,..._ Street Address: ca II / oc, -ers Of\ 't 1 \ \O A 3. Description of proposed action: J4-.1 J ISO P L.,-) firs'iv...,... ckipag, 5 Co 4. Site Plan (page 3 of 3 of this application): to include: Lot boundaries & existing easemenis, p--fposca 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 0 Solid Waste Removal Requirements 0 STAFF COMPLIANCE REVIEW Current Zoning: Parcel No. R Required Lot Area: Required Setbacks: Front: Side: Rear Building Height: (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.) Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc. ACMP Policies: Res. 0 Bus. 0 Ind. 0 Other 0 Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 Fee Schedule: (per KIB Assembly Resolution Eff. July 1, 2005) Less than 1.75 acres 1.76 to 5.00 acres 5.01 to 40.00 acres 40.01 acres or more 530.00 $60.00 $90.00 5120.00 rnn Temnlatec/Formd7rmina rnmnlianee Annlie.atinn Consistent with KIB CMP: Yes0 No0 Attachment: Yes0 No0 Construction Disposal Deposit Payable in Cashier's Office Room # 104 Fee Schedule: (per KIB Assembly Resolution Eff. July 1, 2005) Less than 250 sq. ft. $250.00 251 to 500 sq. ft. 5500.00 501 or greater sq. ft. 51000.00 Paael of 1 (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 obtained. (Sec.,106.4.4 Expiration, 1997 UBC) per KIBC 17.03.060. . Subd. Case #: Plat #: Bldg Permit #: 2. Driveway Permit (State, Borough, City) by/date: 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: p.,;7;zt., xepfrt e /40 APT cc f. Date: Title: Supporting documents attached (check one): Site Plan: D As-Built Survey: El Other (List): 4. Community Development Department By: 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. cnn Temnlatec/Frwmc/7rmino rnmnlianop A nniir.stinn Pace') of ZO1rTNG COMPLIANT = -E PERMILage 1 of3) Permit ## e —73 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: C; ' cNck IA k Mailing Address: 1?, 13°i7 Phone: IN,(- E56Ya 2. Legal Description: E44r,.e /-rills . ,8 /OA Street Address: j°1 l �,i1,0,z 07-1f &y C F,R(. sWioN D .-. 3. Description of proposed action: c e,p lige 4 Sc) (3-C SI 1q i is , ILI 5`1eP5 t ;1 h h &4&1 ,M /5 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 Zoning District 0'- Parking Requirements Solid Waste Removal Requirements 0 STAFF COMPLIANCE REVIEW Current Zoning: ,O(. Parcel No. R.1_,NOL 010100 Required Lot Area: Required Setbacks: Front: /Jffj- [cSIui5 74.--(0•J Rear Building Height: (Setbacks other than zoning district standards to be noted on the attached site plan) S. Number & size of parking spaces required: 0C' d dx6 tN7 6. Off - street loading requirements: Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan rev etc.) ew,. Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc. ACMP Policies: Res. yls. R" Ind..❑ Other ❑ Consistent with KIB CMP: YesCA"-No❑ Attachment: Yes❑ No0 - - i+. al F-a COay 4.1-“Re Schell Ki 445 Assembl}' R iieVtion aft.July-1, ompliancecre�unit Fee ' : ' Office :rr.-s ca IFeissti`an 1.75 acres I./ t:5.00 acres 5.01 to 40.00 acres 40.01 acres or more $60.00 $90.00 $120.00 Min Trmnlatec/Fnrmc/7nnino rnmnlianee Annliratinn Construction Disposal Deposit Payable i ' ' Office Fee Se edule: (per KIB Assembly Resolution Eff. July 1, 2005) Less than 250 sq. ft $250. 0 251 to 500 sq. ft. $. 00 501 or greater sq. ft. $1000.00 Pavel of 1 (Page 2 of 3) THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED "EXPIRA.TION: 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 verificat. n of setbacks. By: Date:_5/, C7 Title:n/53 CM P Supporting'clocantents attached (check one): Site Plan: El As-Built Survey: 0 Other (List): 4. Commu tyineye o ent Department 7 ' OF By: k.-, Title: -e"------. Date: 741/- A 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. rnn Temnintec/Fnrtne/7nnino rnmnlianre Annliratinn Pacre? nf 1 Kodiak Island, Alaska Real Estate Information A1-101,0,1,200 „„„, In KODIAK, CITY OF AtX,ee,t, NuimAe,r, ni,t gj-XY 219 LOWER MILL BAY RD KODIAK Jurisdict:, 01 Citv of Kodiak Sch Dist. KISD Activity : 4000 Function :, 6000 Subdiv. ERSK ERSKINE Structure:, 4000 ,Lot # : 00000 Nbhd dd. Sale Zone:. Site : 6000 Ownership: 6000 Zone Type: PL PUBLIC LANDS Prop Use : IST Value By : C CAMA Mass Appraisal Old Parc : (More...) PROP20 Please enter the parcel or account number (or press desired 5/01/07 09:29:27 AP01020 Z± po1e 99615 function) F1=Add F2=Change F3=Exit F4=Prompt F7/F8/F17/F18=Scroll F24=More Keys KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -9362 ZONING COMPLIANCE PERMIT FEE: Permit #: 20.00 Property Owner /Applican( `l'14 Mailing Address: 0- ©► �(L_ Legal Description: Phone: 4ef34 -6 o 5© C.1 '' t 4t 4 c,r� Street Address: Tax Code #: i11 CD1c1 2c5 Description of Existing Property /current zoning: =tt_ • .)e7t 1c— Minimum Required Lot AArea: , i _Width: LoQi pL� Actual Lot Area: ) ) 22...-}-41 Minimum Required Setbacks: Sides: Front: Maximum Building Height: Width: Rear: Use and size of existing structures on the lot: Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: Y ) Off - street loading requirement: 1J i Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): -r Other requirements (e.g., zero of line, adolifional setbacks, projections into yards, screening, etc.): Coastal Management Program Applicable Polices (check appropriate category) - Residential: Industrial: Other (list): Is the proposed action consistent with the KIB Coastal Management Program? - Yes: Business: ✓ v/ 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 - Yes: No: . Description of proposed action (attach site plan): 1--.15%Tr@-cA _ r�- .(�Z --� *°ova ��J �—TL � — t 1 r9 .*- U- 2aLGELQT3 e3z t / elf 0S c.�- r M � - t�tir 12E -S_ 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 with 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 shall be first obtained to do so. (Sec. 303 (d) Expiration, 1991 Uniform Building Code) per KIBC 17.03.060 . 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 repro tativr• of the noperty owner. I agree to have identifiable corner markers in place in the field for verification of setbacks. By: Titk Date: Supporting do ments attached (chi. }: Site plan: As -built s ee . Other (list): 0000030 000010331 8/02/94 16:21:14 Linda PAID 20.00 ZCP rc9 FREE FORM LINE 8442 1 . Community Development staff for "zon 23 • Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) by: ib4 Date: Driveway Permit (State, City of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: Di•tribution: File (original) / Building Official / Applicant / Assessing luly 1, 1994 KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -9362 ZONING COMPLIANCE FEE: $15.00 PERMIT Permit #: Z- — '7( ?/ _7 I. . Property Owner /Applicant: K0d f u k �0 �t { De ail-Me/1 Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: Address: I �, c. / ilk) Phone: Mailing Add �? I� � � l . � LE 6 ` -6) O 0 aii xlbr tE � Legal Description: toc .. - An / _ <'s14 -,,✓ �`,,t i3 Lj . / Off-street loading requirement: I\1 / 14 ,3 ) Street Address: .-( 7 Lov✓(.� /"" ) J Tax Code #: 1 1 14 1(Z' 1 i g 0 Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): 3. Description of Existing Propertyicurrentzoning: PL. N( A_ Minimum Required Lot Area: W{l Width: /vU'2( Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): Actual Lot Area: (f(-)-7 _ -- Width: 1 CA/ Q / Minimum Required Setbacks: Sides: //4– t .a O ki' Ai Front: / - Rear: - Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Maximum Building Height: / ,O ( Industrial: Other (list): f= 7 Use and size of existing structures on the lot: (7/ t Gfl (//7 /Ii%/ TOT A. ,5,,,tO /-? 0t Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No: 0 (6.e L✓ �6[r/` jt/t v 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 - Yes: No: C../ Description of proposed action (attach site plan): 7i e dvf e i d e/s o I' 1,4k tD I2e 49av -1// / i //5I Tb hv /,/I of/a1 F " 74.6( te., ,t e.r -%-j 710 se a/ air .� - e urea-- o it. 1- >. - �, �� r V .-a -Z a rem tv -/l le v,s-eii Qi ,, a / n / a/14,,,, &/ /ze Dea 41114 64- �► 1 r v 3 Applica 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 t. - identifiable • rner markers in place in 1 - field for verification of setbacks. © ti By: Date: Q /."Z - > Title: :2_;4 • gy: r ; • Supporting d •. uments attached (check): Site plan: As -built survey: Other (list): p(ift{it}�O #I1)Of14513 2 PAID ., �. _ FREE f� $ �� Date: �� Title: 1C lYj/Z/1!� #j2 Ci. COmmunity Development staff for zoning, by: . Fire Chief [City of Kodiak, Fire District #1 (Bayside), Woolens Bay Fire District] ..72,2q� 4 p by: ///�� . _ . i • , Date: 4�r ,43 approval for UFC ections 10.207 and 10.301 �. Driveway Permit (State, City of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: Distribution: File /Building Official / Applicant/ AssessingTHIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED February, 1993 KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -9362 ZONING COMPLIANCE FEE: $10.00 PERMIT Permit #: C Z- 1. ' 3. Property Owner /Applicant: C I �� G Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: ) Mailing Address: 'LJ©)< 13cl 7 Phone: MI/ ��r ,e Legal Description: 1--sr 5-16- 1 QLcQcQ 1 oI is 10 �9 l_l :)Y(,(% Off - street loading requirement: - N) /g , Street Address: rj lC( 1r(3 LI,CJ(' IM-11I Qc0 „ Tax Code #: Rt t LAO OI 2,00 Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): Description of Existing Prropertyicurrentzonin : PL 111Id- Minimum Required Lot Area: 1.72.0e) ZQf) Width: 60( Other requirements (e.g., zero lot line, additional setbacks, projections i to yards, screening, etc.): re(i Actual Lot Area: `J l2 7 Width: .fi /1//i' } Minimum Required Setbacks: Sides: , % % /� Front: / y Rear: Coastal Management Program Applicable Polices (check appropriate catego ) - Residential: Business: Maximum Building Height: ` Industrial: Other (list): [-1. and size of existing structures on the lot: 1 1ri^A..�r 6(x-1 ll/1 Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No: XUse 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 - Yes: No:___7r Description of proposed action (attach site plan): cV0K, -- CDmQ\i- 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 agre * r .ve identifiab - •rner markers in place in 1 • field for verification of setbacks. By � -.. , ' i &___ Date: Title: Supporting d• uments attached (check): Site plan: As -built survey: ' Other (list): 0000n30 011M3'375- 6. .40 4/06/93 9:17:51 Bob PAID 14.00 1CP Community Development staff for zoning, by: /; /J o i - ■ Date: Title: FREE FORM LIKE 41 VA %. Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) D3 by: Date 8. Driveway Permit (State, City of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: Distribution: Fite / Building Official / Applicant / AssessingTH IS FORM DOES NOT AUTHORIZE CONSTRUCTION HEN A BUILDING PERMIT IS REQUIRED July1992 KODIAK ISLAND BOROUGH Community Development 710Mill Bay Road (Rrn_205),_Kodiak, Alaska_99615-6340 - Phone: (907)486-9362- — ZONING-COMPLIANCE-PERMIT • FEE: $10.00 47 Permit-#: Z- 7 1. 2. 3. C_ Property Owner/Applicant: L-1_, OF f<C)C- 9,0 ,CC Number and size of parking spaces required (onsite identification of parking spaces is required - Yes:_No: X ) \ _ --) Mailing Address: C15)\ 1 _..2 I / Phone: ii)e, Legal Description: er sk,k7,A__Q___, Aziatx._ 6 V..... I --A (L/Fify4/14 Off-street loading requirement: 4/4 A , ,_, nN Street Address: 1C‘ Lour AkemA & ec-,() Tax Code #: Ps• \4 0 t 0 \ 2-0'0 Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): Description of Existing Property/Current Zoning: PL- A) /A Minimum Required Lot Area: ?lIN,Cr1? Width: 6 0 i Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): Actual Lot Area: F-7- -e— 2_ 7 Width: ) Minimum Required Setbacks: Sides: / Y1 e,JoYe , Front: Rear: Coastal Management Program Applicable Polices (check appropte category) - Residential: Business: Maximum Building Height: Industrial: Other (list): Use and size of existing structures on the lot: I'. V . a. - Is the proposed action consistent with the KIB Coastal Management Program? - Yes: r 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 - Yes: No: /r • 4. 5. Description of proposed action (attach site plan): '\REY1A- ISIAf., 46AcT LA- IQ \ tRovv Rco_f . --i--- P. P‘RAF ( ik) CARPORT. kN bc..),R_ k ii 116,117,:tia)__ 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 e identifi. ble corner markers in pia. - in the field for verification of setbacks. -.. --. By: .400 Date: --S; ( 9 ? 2-- Tide: Supportin documents attached (check): Site plan: As-built survey: Other (list): . Community Development staff for zoning, by: -17./ Date: Title: 7. Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District) approval for UFC (Sections 10.207 and 10.301C) by: Date: 8. Driveway Permit (State, Gty of Kodiak, Borough) issued by: - ' Date: 9. Septic system PLAN approved by: 'I' LI I C. r" en, rm • • on, •-••-e• 1. ,••■•r a 1 L_I r"1 1'1 I- i•-■ A. I t, fl I I e"-r• r-• h. I • it' r • 1 • rig Ivo rseklr• nrnasirr_rtr• nreN1 r- KODIAK 710 Mill ISLAND BOROUGH Community Development r - I - A N C E -PERMIT Permit #: CZ 4 /_ o r Z--- Bay Road (Room 204), Kodiak, Alaska 99615 -6340 - Phone: (907) 486-5736, extension 255 or 254 ZONING C O M-P L -- - - -�/:nu _ - 1. 2. 3. Number and size of parldrg spaces required (onsite identification of parking spaces is required - Yes: No: /r I Property Owner/Applicant: (,L_ c� C f- t-- Mailing Address: 9. (. °I (-0--u.) err on ti r G Phone: 17zPO\— RCS `f (> e_ -,,,,, v—� f.-e_ ` _,�� . �i-� - ,el (v 4- Off- street loading requirement: N�,J QTj Legal Description: (L`) Street Address: 1 (<<Tz.._)-P,v (AA 61 Code W: -15- ((ci 6 ( ©( 2-6 C7 Plat related - . Irome:its (e.g., plat notes, easements, subdivision conditions, etc): 2_ C dv15t', 'Tax Description of Existing Property/Currentzoning: PL - PLJ (K2-- Use- L 4 . Q Q. , _ `�_ �G� - Mlnlmum Requlred Lot Area: �l 2 ) Width: p� Other requirements (e.g., zero lot line, additional selba projec t•ns into yards, screening, etc.): Actual Lot Area: � _ /f 76 Width: & C.) -f - MktimumRequiredSetbacke: Sides:: 2--S- URear: Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Front: c�'S� - 9 cg- -' �/ Maximum Building Height: 2---5— _ - �E -f�' ('45,1c. es 5 5 �1_1 Industrial: Other (list): Use and sloe d existing structures on the lot � `�� ---_--51,--t-- f f- - �' n^- Is the proposed action consistent with the KB Coastal Management Program? - Yes: No: LciiJ ✓u,v If the proposed action conflicts with the Coastal Management Program policies, attach a shoat that notes the policy(ies),`doss-aibes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No: jX I 4. Description of proposed action (attach site plan): 7 3 . - . ,/, � _ _ / if 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 • a {donut a corner markers in place in the field for verification of setbacks. / .y .._e --� BY: _--- !�../ Date: 6j 9 q / Title: /Gt- /•�'~Z� Supporting � "owmenta attached (check): Site plan: As -built survey Other (list): 6.a..+- �4-. lXv A e� w, �1,.� -�'V� ,� � fi. Community Development staff for zoning, by: z � Date: Z� G Title: 14-- -C d G`" ZG,. r� Y P 7. Fire Chief pity of Kodiak, Fire District #1 (Bayside), Womens Bay fire District) approval for UFC (Sections 10.207 and 10.301C) by: Date: 8. Driveway Permit (State, City a Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: Kodiak Island Borough Community Development Department ZONING COMPLIANCE PERMIT 1. Property Owner /Applicant 1391- Name: Mailing address' Zoning Compliance #: G g g - (('3� Telephone #: `Ic-s x-22 t 2. Zoning Requirements for New Construction - Description of Proposed Action (attach site plan) Use of proposed structure(s): -r 5 T) I- Lf -1i3 '� 2'1 t�J A1A— 'Qi 39A-rL Road access for emergency vehicles: Yes x No Date �, '-►��p�� (contact Fire Chief for confirmation) Water supply adequate for public use, institutional use. commercial, and residential structures larger than a triplex: Yes (contact Fire Chief for confirmation) Lot area: Z. t . to d- Lot width- No Date Minimum setbacks - Front: Rear. Sides - Left: R .•ht: Maximum building height: Maximum lot coverage: Number and size of parking s•. es require& Off- street loading requi ent: Plat related requirements. Other (e.g. zero lot Ii e, additional setbacks, projections into ya screening, etc.): 3. Legal Description of Property Street address. 31.1 t S �� r L4. `i uj.: to �,(t.fl ,.NE Lot, Block, Subdivision: Survey, other (e.g. Township /Range): Tax Code #: t t 4 D 1 01 }D 4. Description of Existing Property �.?-DOiiI Zoning: PH Minimum Area: Minimum Lot Width" Use and size of existing buildings on the lot 1 Pe�.ic l:. ►�t2,kww�_ tc�341.P ) 5. Consistency with Coastal Management Program Applicable policies - Residential: Business: • 1' Industrial* Other. Proposed action consistent with Borough Coastal Management Program - Yes: X No- 11 proposed action conflicts with Coastal Management Program policies, attach a sheet that notes the policy(ies), describes the conflict(s), and notes the condition(s) attached to the consistency approval to mitigate these conflicts. Attachment - Yes No 2S 6. Applicant Certification I hereby certify that I will compl with all .rovisions of the Kodiak Island Borough Code and that I have the authority to certify this as owner, or represef tive of e owner, of t e property involved. I agree to have corner markers in place for verification of setbacks. Signed' Owner. Support Documents Attached - Site Pian' As Built Survey Other. Date* ( 7. Borough Staff Approval JJJ Title: G � °res -� Date: 3- • 0- Signed: THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED Distribution: White to File Yellow to Building Official Pink to Applicant Kodiak Island Borough Community Development Department 710 Mill Bay Road (Room 204), Kodiak, Alaska 99615 -6340. Phone (907)486 -5736, extension 255. July 1, 1988 /9. 33' U.5. SURVEY 7537 -B �"-5 89'59'5"&'E = =/28.82' N B9'5-8 f4 ; 204.45' (—&sr 0 ( - 6(2-4 V89.5 a (r) r 0/.41.34" 42: /9.3/9' LOT /9.33' o h a V 0 Vw VIM t IOC/z' /5 c 65.00 G 0 IQs f,o.0 2 , '919 Ls 94- s. /.39 A: • . NZ9p144f "W an .310ce /0A � -q�K DX -TAIL NO 44.4L6 TL/0,Q5LI/. M F CfDQP /NTIESEC T /ON MOn AID 4 Lr/7 /(L i'O CI o{ Z TA ACC This , a// S, amts aces, Acce' �h/s- 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 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: PUILDING PERMIT NUMBER: DATE OF APPLICATION: LOT: BLOCK: ham" NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: ALTERATION REPAIR TYPE SUBDIVISION / SURVEY: „ .k. , •t, ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND O (W N E R NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING CRAWL SPACE HEIGHT INCHES OCCUPANCY TOTAL FEE: MAILING ADDRESS: GROUP: f, CRAWL SPACE VENT SQ. FEET A R E F H I M R S U DIV. 1 2 3 4 5 6 CITY & STATE: SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS STORIES RECEIPT NO: TELEPHONE: *,` t NO. OF FAMILIES 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 TYPE OF BUSINESS GIRDERS A R C HCITY E I 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 PRIVATE JOISTS 2ND FLOOR TYPE OF CONSTRUCTION 1 II III IV �/ N 1-HR FR H.T. & STATE: SEWER: PUBLIC PRIVATE CEILING JOISTS INSULATION TYPE & THICKNESS: EXTERIOR WALLS TELEPHONE: FOUNDATION BEARING WALLS EXCAVATION INTERIOR WALLS STATE LICENSE: WALLS ROOF RAFTERS UNDERGROUND UTILITIES ROOF / CEILING TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTED FRAMING LC T R A T T 0 R NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: FLOOR APPROVED ROUGH ELECTRICAL WOOD HEATER YES NO TYPE ROUGH PLUMBING MAILING ADDRESS: ADEC APPLICATION: FINAL WALLS SUBMITTED DATE C.O. ISSUED: 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 ALASKA FIREMARSHAL REVIEW: SUBMITTED: APPROVED: FINISH MATERIAL: ROOF APPROVED - BUILDING OFFICIAL: STATE LICENSE: EXTERIOR SIDING INTERIOR WALLS NOTES: V l / 15 Rev. 1 -97 PRINTED IN KODIAK, ALASKA BY C&A PRINTING, INC. 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 (APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.) (OFFICE USE ONLY) STREET ADDRESS: j/ // :l % g..L.�.Ir�'# l7/// �l CLASS AND SCOPE OF WORK: SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: C LOT: BLOCK: `r, - - .---:•?: A „�� NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMP,L NCE: DATE ISSUED: A / /// ALTERATION REPAIR TYPE SUBDIVISION / SURVEY: ., L `eS`: t ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND O W N R NAME` • /! / p+; r "ey ". A USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING MAILIIGG ADDRESS: '..se ar !� Ale i!"/yy�� 1' 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 CITY & STATE: e� , /.#4e .lie SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS STORIES RECEIPT NO TELEPHONE: "7 4'r &bi-", 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 MAILING ADDRESS: SIZE OF LOT JOISTS 2ND FLOOR WATER: I PUBLICI PRIVATE I JOISTS 2ND FLOOR TYPE OF CONSTRUCTION I II III IV V N 1 -HR FR H.T. CITY & STATE: SEWER: PUBLICI PRIVATE l 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: FOUNDATION / SETBACKS SUBMITTED FRAMING 0 0 Z F m Q 0 I-- 0 CC NAME: SHEATHING TYPE & SIZE: 1 FURNACE TYPE: 1p/ j�`•r1,"0. f FLOOR APPROVED ROUGH ELECTRICAL MAILING ADDRESS: WOOD HEATER YES 6.6 TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: FINAL SUBMITTED CITY & STATE: ROOF DATE C.O. ISSUED: 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: -'` '1.1 > +1}1 FINAL APPROVAL TELEPHONE: FINISH MATERIAL: KODIAK FIREMARSHAL REVIEW: SUBMITTED: APPROVED: ROOF STATE LICENSE: EXTERIOR SIDING APPROVED BUILDING OFFICIAL: INTERIOR WALLS _ NOTES: ./ -- ! 'e PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH Telephone: 486 -8070 710 Mill Bay Road - BUILDING DEPARTMENT (OFFICE USE ONLY) (APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.) STREET ADDRESS: 31 °1 t Vik ti At •-\ CLASS AND SCOPE OF WORK: SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: Q. bc1 1.0 n0 Lk LOT: BLOCK: 'O& NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: TYPE ALTERATION REPAIR SUBDIVISION / SURVEY: C�:K //U� - -- ,. I ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND O W NCITY R NAME: C. , l„ • .1 r(• USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING MAILING ADdfESS: 4, r CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: CRAWL SPACE VENT SQ. FEET A B E H I M R 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 H E N G NAME: f �, c• '' 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' PRIVATE JOISTS 2ND FLOOR TYPE OF CONSTRUCTION CITY & STATE: i SEWER: PUBLIC I PRIVATE i CEILING JOISTS I II III IV V N 1 -HR FR H.T. INSULATION TYPE & THICKNESS: EXTERIOR WALLS TELEPHONE: FOUNDATION BEARING WALLS INTERIOR WALLS A .- 4.1 : t .',.�� ;; EXCAVATION STATE LICENSE: WALLS ROOF RAFTERS I UNDERGROUND UTILITIES ROOF / CEILING TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS ON T R A T 0 R NAME: SHEATHING TYPE & SIZE: _ FURNACE TYPE: SUBMITTED FRAMING FLOOR APPROVED ROUGH ELECTRICAL MAILING ADDRESS: ( - Gf Ll ?Ci(,C WOOD HEATER YES NO TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: FINAL CITY & STATE: -t _ - "` �i - t� i_ . 1 t" I(.. ROOF SUBMITTED DATE C.O. ISSUED: 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 r� APPLICANT��"" ;�F ,lc,.. ..� FINAL APPROVAL TELEPHONE: -; • !... <:- 1 (.- FINISH MATERIAL: ALASKA FIREMARSHAL REVIEW: SUBMITTED: APPROVED: ROOF STATE LICENSE: - - EXTERIOR SIDING APPROVED - BUILDING OFFICIAL;_. INTERIOR WALLS r% NOTES: SYSTEM DEVELOPMENT FEE WATER $ DATE SEWER $ RECEIPT # TOTAL $ CASHIER Printed in Kodiak, Alaska by C & A Printing Inc. APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH Telephone: 486 -8070 710 Mill Bay Road - BUILDING DEPARTMENT (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: U 1 NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: . ALTERATION REPAIR TYPE SUBDIVISION / SURVEY: - E ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: C — ' - DEPTH IN GRND IGt --v` "� - mZ�O NAME: _ USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: c_t r BOLT SPACING CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: MAILING ADDRESS: A '$> E H I M R DIV. . 1 3 4 5 6 CRAWL SPACE VENT SQ. FEET CITY & STATE: L ' SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS STORIES RECEIPT NO: TELEPHONE: i NO. OF FAMILIES 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 TYPE OF BUSINESS GIRDERS 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 JOISTS 2ND FLOOR TYPE OF CONSTRUCTION I II III IV N i 1 -HR FR H.T. -✓ & STATE: SEWER: PUBLIC PRIVATE I CEILING JOISTS INSULATION TYPE & THICKNESS: EXTERIOR WALLS BEARING WALLS TELEPHONE: FOUNDATION INTERIOR WALLS EXCAVATION STATE LICENSE: WALLS ROOF RAFTERS UNDERGROUND UTILITIES ROOF / CEILING TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTED FRAMING O O Z H m Q U H O m NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: FLOOR APPROVED ROUGH ELECTRICAL WOOD HEATER YES NO TYPE ROUGH PLUMBING MAILING ADDRESS: 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 ALASKA FIREMARSHAL REVIEW: SUBMITTED: APPROVED: TELEPHONE: 7 '` FINISH MATERIAL: ROOF APPROVED - BUILDING OFFICIAL: t, STATE LICENSE: EXTERIOR SIDING INTERIOR WALLS NOTES: SYSTEM DEVELOPMENT FEE WATER $ DATE SEWER $ RECEIPT # TOTAL $ CASHIER Printed in Kodiak, Alaska by C & A Printing Inc. APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 710 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: i^\.1- ..E iffC CLASS AND SCOPE OF WORK: SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: LOT: BLOCK: KZ 1.0 NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: C_ ) ALTERATION REPAIR TYPE SUBDIVISION / SURVEY: E_ 41%12) ADDITION MOVE DIMENSIONS VALUATION BASIS; BUILDING PERMIT FEE: - (t DEPTH IN GRND O W NCITY 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 1 MR DIV. 1 2 3 4 5 6 CRAWL SPACE VENT SQ. FEET & STATE: SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO OF ROOMS STORIES RECEIPT NO: TELEPHONE: NO. OF FAMILIES 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 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 MAILING ADDRESS: SIZE OF LOT JOISTS 2ND FLOOR WATER: PUBLIC' 111 I PRIVATE I JOISTS 2ND FLOOR TYPE OF CONSTRUCTION I II III IV V N 1-HR FR H.T. CITY & STATE: SEWER: PUBLIC PRIVATE CEILING JOISTS INSULATION TYPE & THICKNESS: EXTERIOR WALLS BEARING WALLS TELEPHONE: FOUNDATION INTERIOR WALLS EXCAVATION STATE LICENSE: WALLS ROOF RAFTERS UNDERGROUND UTILITIES ROOF / CEILING TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTED FRAMING 1 OOZ! -iI <O) ' NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: FLOOR APPROVED ROUGH ELECTRICAL WOOD HEATER YES NO TYPE ROUGH PLUMBING MAILING ADDRESS: ADEC APPLICATION: FINAL DATE C.O. ISSUED: WALLS 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 ALASKA FIREMARSHAL REVIEW: SUBMITTED: APPROVED: TELEPHONE: FINISH MATERIAL: ROOF APPROVED - BUILDING OFFICIAL: STATE LICENSE: EXTERIOR SIDING INTERIOR WALLS NOTES: UTILITY CONNECTION FEE WATER $ DATE SEWER $ RECEIPT # TOTAL $ CASHIER APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 710 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 O OW ECITY R NAME USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE; BOLT SPACING MAILING ADDRESS: CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: AB E H 1 MR DIV. 1 2 C, 1 4 5 6 CRAWL SPACE VENT SQ. FEET & STATE: SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS STORIES RECEIPT NO: TELEPHONE: NO. OF FAMILIES GIRDERS STAGES OF CONSTRUCTION EACH OF THE FOLLOWING REQUIRES INSPECTION BE REQUESTED & COMPLETED PRIOR TO PROCEEDING WITH ANY FURTHER WORK: FOR INSPECTION CALL 486 -8070 TYPE OF BUSINESS GIRDERS 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 PRIVATE JOISTS 2ND FLOOR TYPE OF CONSTRUCTION I II III 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: FOUNDATION / SETBACKS SUBMITTED FRAMING C NMAILING T R A C T O R NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: FLOOR APPROVED ROUGH ELECTRICAL ADDRESS: ;' r ',! f i [ CtC-- WOOD HEATER YES NO TYPE ROUGH PLUMBING ADEC APPLICATION: FINAL DATE C.O. ISSUED: WALLS 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 / /./4! /7 APPLICANT: FINAL APPROVAL ALASKA FIREMA SHAL REVIEW: SUBMITTED: • G� f APPROVED: TELEPHONE: FINISH MATERIAL: ROOF APPROVED - BUILDING OFFICIAL: STATE LICENSE: EXTERIOR SIDING INTERIOR WALLS NOTES: UTILITY CONNECTION FEE WATER $ DATE SEWER $ RECEIPT # TOTAL $ CASHIER APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 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: TYPE -1 i .>--) •) ALTERATION Jar REPAIR SUBDIVISION /SURVEY: \ :.r'1' •.,\1 ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND �.. O E R NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALE U� ATION: . PLAN CHECK FEE: BOLT SPACING -. MAILING ADDRESS: CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: CRAWL SPACE VENT SQ. FEET A B E H I M R DIV. 1 2 3 4 5 6 CITY & STATE: SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN RECEIPT NO.: NO. OF ROOMS STORIES EACH OF THE FOLLOWING STAGES OF CONSTRUCTION REQUIRES INSPECTION BE REQUESTED & COMPLETED PRIOR TO PROCEEDING WITH ANY FURTHER WORK: FOR INSPECTION CALL 486 -8070 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 TELEPHONE : FOUNDATION BEARING WALLS UNDERGROUND UTILITIES FOUNDATION /SETBACKS INTERIOR WALLS DRIVEWAY PERMIT: STATE LICENSE : WALLS ROOF RAFTERS SUBMITTED FRAMING ROOF / CEILING TRUSSES APPROVED ROUGH ELECTRICAL C T R A C 1 0 R NAME: 1 \ ' SHEATHING TYPE & SIZE: FURNACE TYPE: ROUGH PLUMBING FLOOR , ADEC APPLICATION: FINAL DATE C.O. ISSUED: MAILING ADDRESS: e- LA'I, WOOD HEATER YES NO TYPE SUBMITTED WALLS FINAL APPROVAL CITY &STATE: I� ROOF ALASKA FIREMARSHALL REVIEW: SUBMITTED: APPROVED: 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: "- 14., A—, TELEPHONE : FINISH MATERIAL: ROOF APPROVED— BUILDING OFFICAL: -- r STATE LICENSE . EXTERIOR SIDING INTERIOR WALLS NOTES: 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 : s BLOCK : NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE : DATE ISSUED: fi ALTERATION REPAIR TYPE SUBDIVI Q ON SURVEY: 1Sf- (1k-11-i , ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND O E R NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING MAILING ADDRESS: CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: A B E H 1 M R DIV. 1 2 3 4 5 6 CRAWL SPACE VENT SO. 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 111 IV V N 1 -11R FR H.T. WATER: PUBLIC PRIVATE I JOISTS 2ND FLOOR CITY & STATE: SEWER: PUBLIC PRIVATE I 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 I APPROVED ROUGH ELECTRICAL C 0 T R A C T 0 R NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: ROUGH PLUMBING ADEC APPLICATION: FINAL 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: TELEPHONE FINISH MATERIAL: ROOF APPROVED— BUILDING OFFICAL: STATE LICENSE EXTERIOR SIDING INTERIOR WALLS NOTES: APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -3224 700 Mill Bay Road NFORMATION 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 0 E R NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL L 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 / N G NAME: NO. OF BLDGS NOW ON LOT JOISTS 1ST FLOOR USE OF EXISTING BLDGS JOISTS 1ST FLOOR TYPE OF CONSTRUCTION I II III IV V N 1 -HR FR H.T. SIZE OF LOT JOISTS 2ND FLOOR WATER: PUBLIC , PRIVATE l 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 C 0 T R A C T 0 R NAME: _ / r if , ,_ r 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 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: - ; A A / TELEPHONE FINISH MATERIAL: ROOF APPROVED— BUILDING OFFICAL: 1/ itl .16/111 STATE LICENSE EXTERIOR SIDING INTERIOR WALLS NOTES: 0/t ..-,j---------- . BUILDING DEPARTMENT - KODIAK ISLAND BOROUGH APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY (APPLICANT TO FILL IN ALL INFORMATION WITHIN HEAVY LINES. PLEASE PRINT, USE BALL -POINT PEN, AND PRESS FIRMLY.) BUILDING PERMIT NUMBER DATE ISSUED SUBDIVISION /SURVEY LOT NO BLOCK NO. STREET ADDRESS CLASS AND SCOPE OF WORK NEW 1 ALTERATION DEMOLISH REPAIR ADDITION MOVE NEAREST CROSS STREET re Z 0 NAME MAILING ADDRESS USE OF BUILDING SIZE OF BUILDING NO, OF ROOMS NO. OF FAMILIES NO. OF BUILDINGS NOW ON LOT USE OF BUILDINGS SIZE OF LOT VALUATION: (BASIS) HGT FLOORS AMOUNT BLDG PERMIT FEE PLAN CHK FEE TOTAL INSPECTION SCHEDULE BUILDING WATER: PUBLIC PRIVATE FOUNDATION ROUGH PLUMBING CITY, STATE TELEPHONE SEWER: PUBLIC PRIVATE FRAME SEPTIC TANK SPECIFICATIONS PLASTER/BD SEWER ELECTRICAL ROUGH FINISH F c, U W W Z K Q NAME FOUNDATION EXT PIERS TYPE FLUES FINAL GAS FIXTURES MOTORS FINISH FINAL ADDRESS CITY, STATE DEPTH IN GND !t" HGT FIN GRACIE P.T. PLATE (SILL) STRUCTURAL STATE LICENSE NO. GIRDERS SIZE SPA. SPAN K 0 F u F z 0 NAME ADDRESS JOISTS IST FLR. JOISTS 2ND FLR. JOISTS\CLG EXT STUDS EACH OF THE ABOVE INSPECTIONS MUST BE REQUESTED AND THAT WORK APPROVED PRIOR TO ANY ADDITIONAL WORK PROGRESSING BEYOND THAT POINT, AS REQUIRED BY UBC SECTION 305. FOR EACH INSPECTION, 24 HOURS NOTICE IS REQUIRED. TELEPHONE THE KODIAK ISLAND BOROUGH ENGINEERING DEPARTMENT, 486.5736, EXT. 273. NOTES: INSTALLATION OF (MINIMUM) 18 -INCH BY 20 -FOOT CULVERT IS REQUIRED AT EACH DRIVEWAY ACCESS TO THE PROPERTY. CITY, STATE STATE LICErySE NO. 4 `" INT STUDS ROOF RAFTERS SANITATION PLAN APPROVAL BY AN ADEC- CERTIFIED INSTALLER I5 REQUIRED PRIOR TO ISSUANCE OF A BUILDING PERMIT WHERE PUBLIC WATER AND /OR SEWER 15 NOT AVAILABLE FROM A CERTIFICATED MUNICIPAL SYSTEM. INSTALLER'S PLAN APPROVAL RECEIVED INSTALLER TRUSSES BEARING WALLS INSULATION, FNDN (FOR OFFICE USE ONLY CIRCLE) 1. OCCUPANCY GROUP A B E H I M R DIVISION 1 2 3 4 5 2. TYPE OF CONSTRUCTION I I I I I I I V V FR 1 -HR. N H.T. WALLS ROOF /CLG SHEATHING, WALLS /EXT ROOF FLOOR FINISH, EXT WALLS ROOF FLUES, FIREPL WOOD HTR KITCHEN WATER HTR FURNACE, TYPE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT 1S CORRECT, AND THAT I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION. APPLICANT PRIOR TO THE ISSUANCE OF A PERMIT, EITHER THE OWNER OF THE PROPERTY OR HIS AUTHORIZED AGENT MUST SIGN THIS APPLICATION OR GRANT OTHER WRITTEN PERMISSION FOR THE DESCRIBED WORK TO BE PERFORMED. TAX LOT NO DATE OWNER PER OWNERSHIP TRANSFERRED, IN PROCESS, TO PE R CLOSING DATE, DEED RECORDED (BY) APPROVED, BUILDING OFFICIAL PLOT PLAN (A SITE PLAN MAY ALSO BE REQUIRED) REAR PROPERTY LINE SIDE PROPERTY LINE FRONT PROPERTY LINE SIDE PROPERTY LINE STREET NOTE. APPLICANT SHALL SHOW BUILDING SETBACKS FROM PROPERTY LINES, AS PERPENDICULAR DISTANCES FROM PROPERTY LINES TO BUILDING. DIMENSIONS OF STRUCTURE SHALL BE SHOWN ON THE PLAN. ZONING CODE COMPLIANCE ZONING DISTRICT TYPE OF OCCUPANCY NO. OF STORIES TOTAL HGT AREA OF LOT SETBACKS FROM PROPERTY LINES: FRONT REAR SIDE (L) SIDE (R) REQ'D OFF-STREET PARKING C.U.P. OR VARIANCE APPROVED, ZONING OFFICER BY BY BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. BUILDING ADDRESS LOCALITY NEAREST CROSS ST. Z 0 MAIL ADDRESS J.Sr /$ ?/ ADDRESS i5J STATE LICENSE NO. ce 0 ce U 1- 1- z 0 U Z 0 J a w U J N 0 ADDRES ok ,e3 CITY . /, �!1/t ,fIS -�S7 STATE LICENSE NO. SUBDIVISION 4l/2 LOT NO. BLK. 1 �-1 /) 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, 55 WIDTH OF TOP WIDTH OF BOTTOM DEPTH IN GROUND R.W. PLATE (SILL.) GIRDERS APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING PERMIT NO VALUATION S y 4 BUILDING FOUNDATION FRAME PLASTER FLUES FINAL JOIST 1st. FL. JOIST 2nd. FL. JOIST CEILING EXTERIOR STUDS DO NOT WRITE BELOW THIS LINE k. 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 INTERIOR STUDS ROOF RAFTERS BEARING WALLS COVERING LXTERIOR 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 DATE ISSUED /c ' BLDG. FEE PLAN CHK. FEE TOTAL PLUMBING ROUGH SEPTIC TANK SEWER GAS FINISH Approved: CHIEF BUILDING OFFICAL s ELECTRIC ROUGH FINISH FIXTURES MOTORS FINAL By: 3N1'1 A1Li3d0Hd A PLOT PLAN 3N11 Al2i3d02:id 4,A bt,k; /t 1 1.‘ iffy 5b, STR e ). U m w 1 PLANNING & ZONING INFO. ZONING DISTRICT (5/C. ' S.j' ( .' TYPE OF OCCUPANCY /1/21CL raj /I NUMBER OF STORIES TOTAL HT.% AREA OF LOT . .77 (,(u3- FRONT YARD SETBACK FROM PROP. LINE ,L( ifs" SIDE YARD SETBACK FROM PROP. LINE ,y REAR YARD ,/` Approved: ZONING ADMINISTRATOR .41, /Z % / By• c 1L( C- • -� BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. CLASS OF WORK BUILDING ADDRESS LOCALITY NEAREST CROSS ST. cc 0 ll 0 U z 0 U NAME MAIL ADDRESS CITY TEL. NO. NAME ADDRESS NEW DEMOLISH ALTERATION REPAIR ADDITION MOVE z 0 J Q a l7 � U J N 0 CITY STATE LICENSE NO NAME USE OF BUILDING /r- ;0„).<. ,.,. SI7E OF BUILDING S`'X /' HEIGHT NO. OF ROOMS NO. OF FLOORS NO. OF BUILDINGS J0. OF BUILDINGS NOW ON LOT NO. OF FAMILIES SIZE OF LOT USE OF BLDG. NOW ON LOT SPECIFICATIONS FOUNDATION MATERIAL EXTERIOR. PIERS ADDRESS CITY STATE LICENSE NO. -y SUBDIVISION j�rS��f Sv/?vG LOT NO. BLK. /b DO NOT WRITE BELOW THIS LINE Type of Construction I, II, HI, 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 WIDTH OF TOP WIDTH OF BOTTOM DEPTH IN GROUND R.W. PLATE (SILL) S1 SPA_ SPA', GIRDERS JOIST 151. FL. JOIST 2nd, FL. JOIST CEILING EXTERIOR STUDS 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 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING PERMIT NO VALUATION s /,5746).oa BUILDING FOUNDATION FRAME PLASTER FLUES FINAL DATE ISSUED BLDG. FEE PLAN CHK. FEE PLUMBING ROUGH SEPTIC TANK SEWER GAS FINISH ELECTRIC ROUGH FINISH FIXTURES MOTORS FINAL f �i /2G r1. i' //9 • iic/yit /a 1. Q. Sc.,4A/ riPc V =.5;4)5- " IN /v 6) �°i4 t c. A SIX /1 R (7c7 (z. /i?Q %)G+�°-.y�v/ 24. /a .At/r/ A' /'e ..P.T Rl� 4 4,7' i / /a i+F rt.,se gL AS /.v A 040 / T cc i 47 177e iu.0 -r-%R r. c 7'%04.1 c; f' 7-' c c ,4 //A // ,,Joi, , o.c/ (/314,7;0---. ,'O. -. ! -l.S) . �IC /a 7 h r /�c' \Tvc!T ,60/$9. ie d. ck m Approved: CHIEF BUILDING OFFICAL By: 3N11 Al2i3dOHd A PLOT PLAN SETBACK 3NI1 Al2:13dO2ld STREET PLANNING & ZONI(FG INFO. ZONING DISTRICT • of: TYPE OF OCCUPANCYj'7"D • .5 ,�,Si_� NUMBER OF STORIES a TOTAL HT(/' AREA OF LOT t ' 2 -Z, Ld 4//3 t FRONT YARD SETBACK FR M PROP. LINE L' /�, / SIDE YARD SETBACK i.ROM PROP. LINE /A'"� REAR YARD j f/S /C— Approved: ZONING ADMINISTRATOR /G /7(?*,/ v• BUILDING DEPARTMENT — CITY OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE Applicant to fill in between Heavy lines. OF OCCUPANCY BUILDING ADDRESS CLASS OF WORK NEW I I DEMOLISH LOCALITY ALTERATION I I REPAIR ADDITION I I MOVE I NEAREST CROSS ST. USE OF BUILDING PERM ITTEE NAME SIZE OF BUILDING HEIGHT NO. OF ROOMS MAIL ADDRESS NO. OF FLOORS CITY TEL. NO. NO. OF BUILDINGS NOW ON LOT NO. OF FAMILIES RCNITECT ENGINEER NAME SIZE OF LOT ADDRESS USE OF BLDG. NOW ON LOT CITY SPECIFICATIONS FOUNDATION STATE LICENSE NO. MATERIAL EXTERIOR ! PIERS CONTRACTOR NAME WIDTH OF TOP I WIDTH OF BOTTOM I ADDRESS DEPTH IN GROUND I CITY R.W. PLATE (SILL) SIZE 1 SPA. SPAN STATE LICENSE NO. GIRDERS LEGAL DESCRIPTION SUBDIVISION JOIST IST FL. JOIST 2ND FL. LOT NO. BLK. JOIST CEILING EXTERIOR STUDS 1. District ' IType of Construction I, II, III, IV, V, VI 3. Occupancy Group A, B, C, D, E, F, G, H, I, J Div. 1, 2, 3, 4, 4. Use Zone: 5. 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 ... ..... ._.. .. BUILDING PERMIT NO. VALUATION DATE ISSUED BLDG. FEE $ PLAN CHK. FEE TOTAL BUILDING PLUMBING ELECTRIC FOUNDATION FRAME PLASTER FLUES FINAL By: ROUGH SEPTIC TANK SEWER ROUGH GAS FINISH FINISH FIXTURES MOTORS FINAL Approved: CHIEF BUILDING OFFICIAL By: 3N11 Al2i3dO2Jd A PLOT PLAN SETBACK 3N11 Al2J3dO2:1d STREET MAP NUMBER No. ASSIGNED BY FIELD CHECK BY DATE PLANNING & ZONING INFO TYPE OF OCCUPANCY TOTAL FLOOR AREA NUMBER OF STORIES AREA OF LOT TOTAL HT. FRONT YARD SETBACK FROM PROP. LINE SIDE YARD SETBACK FROM PROP. LINE REAR YARD NEW CONSTRUCTION ALTER CHANGE OF OCCUPANCY FROM To