HOLLAND AC 1ST BK 1 LT 1A - ZCPKodiak Island (7 igh Community
Developm>.-.....-)epartment
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9362 Fax (907) 486 - 9396
http://www.kib.co.kodiak.ak.us
Zoning Compliance Permit
Print i'brilr?-71 7-S' 66:61.1i' by Email
R7415010011
Permit No. BZ2008-061
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:
STREIFEL, TOM & DELAPHINE
P.O. BOX 2070, KODIAK, AK. 99615
907 486 3994
HOLLAND AC 1ST BK 1 LT 1A
2931 MILL BAY RD
Use & Size of Existing Structures: DUP
Description of Proposed Action: REROOF (cover only)
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: 20,578 SQFT
Front Yard: Not Applicable
Prk'g Plan Rvw?
Plat / Subdivision
Requirements?
Other
Requirements?
ZONING: Business Parcel No. R7415010011
Lot Width: Bld'g Height:
Rear Yard: Not Applicable Side Yard: Not Applicable
# of Req'd Spaces:
Coastal Policy Business
Subd Case No.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
onsistent? Yes _achment?
Plat No.
BId'g Permit No.
Applicant Certification: 1 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: Apr 17, 2008 Signature: CHRIS KOSTELECKY for TOM STR• FEL
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.
706.4.4 Expiration. 1997 UBC) per KIBC 77.03.060. **
CDD Staff Certification
Date: Apr 17, 2008 CDD Staff: Martin Ly
Payment Verification
-n
Zoning Compliance pe`r t Fee
Payable in Cashier" ffrce
om #d04''0
lL o pr U
4.1
rCL x W 47 NJ
?'RIe Scheduleg�v
4rwm� w
no Cr. a .■• -o ...
Cn o *
Less than 1.71 acres $30.00 "
Construction Disposal Deposit
Payable in Cashier's Office
Room # 104
FICASH FICASH
4/17/2008 8:46:
080012835 UTIL PAY
Fee Schedule
251 to500sgft
500.00
*** Paid. in Fu
$500.00 Kodiak Island
Kodiak AK 9
(907 ?' 486 -9
4T
1*
orough
3615
24
ZON' TG C OMPLIANC' PERMIT(Page 1 of3)
Permit # £ z io& 0 /
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:
..,•
dni
ivialiin6 r�uulwa. I/v (- pi--c/ /v /`v �i gr-C ruuii . CO ' 7 -/ !�
7-
2. Legal Description: f%471» /T- l s t 73 /k r L� /4
-5
Street Address: , 06 `3 ( / �"4"-' 7( ' c
3. Description of proposed action: lei- - 4./--,7c._. A944-
4. Site Plan (page 3 of 3 of this application): to include: Lot boundaries & existing easements, proposed
location of all buildings, access points &vehicular parking areas.
STAFF WILL PROVIDE YOU WITH A COPY OF THE APPLICABLE CODE SECTIONS THAT APPLIES TO YOUR
DEVELOPMENT ACTIVITY
Zoning District ❑ Parking Requirements 0 Solid Waste Removal Requirements
STAFF COMPLIANCE REVIEW Parcel No. R
Current Zoning: 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. ❑ Bus. ❑ Ind. ❑ Other ❑ Consistent with KIB CMP: YesD No❑ Attachment: Yes❑ No❑
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
$30.00
$60.00
$90.00
$120.00
'flf) Temnlatec/Pnrmc /7nnino f mmnlianrr Annlinatinn
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. $500.00
501 or greater sq. ft. $1000.00
Paor.1 nf
(Page 2 of
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 b'
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
verification of setbacks.
By: }71e-6_ e%P5 GE—ei
Date:
Title: ?,e-tgrItOf/1.17-
Supporting documents attached (check one): Site Plan: 0 As-Built Survey: D.
Other (List):
4. Community Development Department
By:
5. Fire Marshal (UFC) by/date:
6. Septic System Plan Approved by/date:
Title:
Date:
This ermit is ONLY for the o osed o ect as described b the a
• •
licant.
If there are an
chan es to the
ro osed
ro'ect includin
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.
fl fl Tprnr,latpc/Fnrrnc/7nnina rnmrsliannp
Paap7 nf •
44,
.4' .
.4erl.A.V.49".1.1M144,1a..t.:=:=.41+NV.24=114141.1,...V.Z=4:4M44,"1416,4d4=4=e44.
i
efivaintg-L4t of 7guitbiit m4iertion
This Certificate issudpt ii:S-u
ai to- th
lt, 44tifi irements Of Section 306 of the
. ....-,. ,
Uniform Building Codeceriifiiinilhaf at theAirne Ofissuance this structure was
...„, ,,. .-..,...,
in compliance with the varioti=8e.dinances otxtlifaxEity regulating building
. .
,- ,,,...
construction or use For the following::
,......,
Use Classification Duplex Res.- 4. Business.L. Bldg. Permit No... = April 18, 1983. (Structure) .-
R-1 , -1 ' ' : Type V 1-Hour
Group FinaZono
Use .Zon B '
Tom and Delaphine Streifel P.O. Box 2070 - Kodiak. AK' 99615
Owner of Building ' Address
,•,, ,
d Acres 1st Addition
..,., .
Post In A Conspicuous Place
NOTE: Occupancy is approved for top two floors only; basement floor is unfinished.
$114
.00-4
Poorikno
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.)
SUBDIVISION /SURVEY
CLASS AND SCOPE OF WORK
DEMOLISH
BUILDING PERMIT NUMBER
DATE ISSUED
PLOT PLAN -
(A SITE PLAN MAY ALSO BE REQUIRED)
BLOCK NO.
STREET ADDRESS
ALTERATION
ADDITION
VALUATION: (BASIS)
BLDG PERMIT FEE,
USE OF BUILDING
SIZE OF BUILDING
NEAREST CROSS STREET
tSt.-L.RD.
NAME
AILING ADDRESS
AMOUNT
xia-r
$ *32-2. 780 --
TOTAL
NO. OF BUILDINGS NOW ON LOT O
USE OF BUILDINGS
SIZE OF LOT /0 8
INSPECTION SCHEDULE
BUILDING
FOUNDATION
ROUGH
CITY, STATE
TELEPHONE
SPECIFICATIONS
NAME
ADDRESS
CITY, STATE
STATE LICENSE NO.
NAME
FOUNDATION
MOTORS
DEPTH IN GND
HGT FIN GRADE
STRUCTURAL
GIRDERS
JOISTS 1ST FLR.
ADDRESS
CITY, STATE
STATE LICENSE NO.
(FOR OFFICE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
JOISTS 2ND FLR.
JOISTS CLG
EXT STUDS
INT STUDS
ROOF RAFTERS
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.
SANITATION PLAN APPROVAL BY AN ADEC-CERTIFIED INSTALLER I5
REQUIRED PRIOR TO ISSUANCE OF A BUILDING PERMIT WHERE PUBLIC
WATER AND /OR SEWER IS NOT AVAILABLE FROM A CERTIFICATED
MUNICIPAL SYSTEM.
INSULATION, FNDN
WALLS ROOF /CLG
INSTALLER'S PLAN APPROVAL RECEIVED
INSTALLER
PRIOR TO THE ISSUANCE .F A PERMIT, EITHER HE 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:
ROOF FLOOR
DIVISION
FLUES, FIREPL WOOD HTR
2. TYPE OF CONSTRUCTION
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
PER
CLOSING DATE, DEED RECORDED (BY)
�rGrr -S�.
F3.2e -1(T ‘0,6,. 5 (55u c' ( .Q VO L \ TtoU
Skt5w7,.)) FoL1eJD6.1Tc31..3 C
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Gor�i377 .c.Tto&) . C. 6 . 1550eO (p/24783�
,�. �F Fix=1:5- t--)L_,X •
5;c:1 5c 1T7nc-. @, 37 ' K ( = 25�, —
2 BF•-- 50.155 S
S1 7O 4.
36, 2 '780
APPROVED, BUILDING - OFFICIAL
BY .__ /C/2-4/
STREET (5�1,,_10 1_4(4.E.
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 8 \�/ )/�55
TYPE OF OCCUPANCY .i5tN R�5
NO. OF STORIES 3 TOTAL HGT 5=11 ,C,(6
AREA OF LOT
SETBACKS FROM PROPERTY LINES:
FRONT 55/ REAR
SIDE (L) 1J_ i.. .. (R) Ii) g ,eQC)
REQ'D OFF - STREET PARKING 6
C.U.P. OR VARIANCE
5 F' ►-ccT e Iz . 5E32
APPROVED, ZONING OFFICER
BY /S /'¢) • € 40 5
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRESS
„rS /n,0 41-f.
LOCALITY A- t,4 j Q k
EAR ST CROS
CLASS OF WORK
NEW
DEMOLISH
ALTERATION
REPAIR
cc
z
0
NAMEi2. (1,
MAIL ADDR�S ^ O ?
4/Y ` (J1�
CITY
Oa
ADDITION
USE OF BUILDING
SIZE OF BUILDING . p.0 0 HEIGHT 579 /VO•
NO. OF ROOMS
MOVE
BUILDING PERMIT NO.
DATE ISSUED
NO. OF FLOORS
TEL. NO.
-379
NAME
NO. OF BUILDINGS
NO. OF BUILDINGS NOW ON LOT a
NO. OF FAMILIES llll,,,
VALUATION
.3,(9e,3
BLDG. FEE
/ GF
PLAN CHK. FEE
TOTAL
69,-/
BUILDING
PLUMBING
ELECTRIC
FOUNDATION
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
CITY
USE OF BLDG. NOW ON LOT
FRAME
SEPTIC TANK
FINISH
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
NAME
MATERIAL
EXTERIOR
PIERS
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SPA.•.
SPAN
DESCRIPTION
SUBDIVISION
He t(a c9
USS 3a18 /9cres
LOT NO.
/1�
BLK.
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
DO NOT WRITE BELOW THIS LINE
Type of Construction
I, 11, III, IV„ VI
2. Occupancy Group A, B, C, D, E,
F, G, H,DJ Div. 1, 2, 3, 4,
3. Fire Zone 1 2 3 4
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
2 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 regulat' g buildi construction.
Applicar Vow
seetoP
Fe-ifkl- 0607
Approved: CHIEF BUILDING OFFICAL
Bytoe
3N11 A1L13dOL1d
PLOT PLAN
/
/Ita°/ • ,4P\
A6
`7 STR C /�i�
.�CL�cc K'
3N11 A.L 3dOLld
p
/ 7, 5' ?"Z &((Z ).et ,
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES
ecj /`GC's
fLC`�S'
C= [
TOTAL HT.
Z t.1
AREA OF LOT .2,e2
FRONT YARD SETBACK FROM PROP. LINE W �3
SIDE YARD SETBACK /!v FROM ,PROP. LINE
YARD D1_5: c- to T
Approved: ZONING ADMINIS RATOR
By
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Designed and/
BUILDING DEPARTMENT CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
_OF OCCUPANCY -
sTREETADDREss
qT60 ii Lke P6e
LOCALITY
ALTERATION
REPA 1 R
CLASS OF WORK
NEW
DEMOLISH
"AATe9.2& ,/47ez///0:77
0
MAIL ADDRESS
ADDITION
OVE
UILDING PERMIT NO.
DATE ISSUED
F-3
.n F4
USE OF BUILDING ALUATION
X2'.6i,r1/0 705LeeXav-TC
SIZE (11' BIJILDING
NO. OF ROOMS
X HEIGHT
CITY
NAME
8g-'21797
NO, OF FLOORS
NO. OF BUILDINGS
9C
4 BLDG. FEE
PLAN
TOTAL
4)
9 a
00
70
NO, OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO, OF FA ES e7
FOUNDATION
ROUGH
OUGH
SIZE OF LOT
0'2.5
FRAME
SEPTIC TANK
FINISH
USE OF BLDG. NOW ON LOT
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
0
z
0
MATERIAL
X../Yebir.„5, WIDTH OF TOP
EXTERIOR,
PIERS
OTH OF BOTTOM
CITY
0 PTH IN GROUN
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPA...
SPAN
0
SUBDIVISION
033 3
LOT NO.
(7-1-
DO NOT WRITE BELOW THIS LINE
Type of Construction
I, II, Ill, IV, V,
2. Occupancy Group A, 8, C, D, E,
F, G, H, I, J Div. 1, 2, 3, 4,
3. Fire Zone 1 2 3 4
GIRDERS
JOIST 1st. FL.
0 ST 2nd. FL.
JOIST CEILING
EXTERIOR STUDS
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUE
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
1 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 regul st uction.
Applica
Each above inspection must be requested and the work
approved prior to any additional work progressing
blond that point (UBC 1979 S.305b,d). 24 hours'
notice is required for each inspection. 486-5736,
KODIAK ISLAND BOROUGH ENGINEERING DEPARTMENT.
NOTES: ADEC prelim. sanitation approval:
Installation of 18" x 20' (min.) culvert is required
at each driveway access to the property.
cyr-e-00-1/4k0-4- 0
/
oisobtif fc(
Prior to issuance of a permit, the owner
of the property or his authorized agent
must either sign this application or grant
other written permission for the work to
be performed.
OWNERSHIP VERIFICATION, R#
Name
by , per ; pr/out
OWNERSHIP TRANSFERRED/IN PROCESS to:
per
Closing/recording date
Approved: CHIEF BUI
ZONING DISTRICT
TYPE OF OCCUPANCY
tfi5 ,i,t-0-1-t" d 6,4 ill
WI\ r - 4 v 515
PLANNING & ZONING INFO.
tc,,,-es-
ez..5.4.)e5-.5 71' ,__C/LeAlke
NUMBER OF STORIES •X53e15.S.. TOTAL HT..it5
AREA OE LOT g7g,
FRONT YARD SETBACK FM PROP. LINE
a
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
DING
BUILDING DEPARTMENT - KODIAK ISLAND BOROUGH APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
PLEASE PRINT, USE BALL-POINT PEN, AND PRESS FIRMLY.)
(APPLICANT TO FILL IN ALL INFORMATION WITHIN HEAVY LINES.
SUB V1SION/SURVEY
I 2 t-
CLASS AND SCOPE OF WORK
:plEW
DEMOLISH
LOT NO. BLOCK NO.
14
ALTERATION
REPAIR
BUILDING PERMIT NUMBER
DATE ISSUED
ADDITION
MOVE
STREET ADDRESS
2P....Cr") !
NEAREST CROSS STREET
fi L?..11)
USE OF BUILDINGjm1q \ s,4"
SIZE OF BUILDING— -
.""
NO. OF ROOMS
FLOORS
NO. OF FAMILIES
z
0
•
I- cc
ZWW
I —
I.) a
Z
NAME ,
1 ,,C7rPt=-
NO. OF BUILDINGS NOW ON LOT
VALUATION: (BASIS)
Cr=
AMOUNT
—
$
BLDG PERMIT FEE
PLAN CHK FEE
TOTAL
USE OF BUILDINGS
INSPECTION SCHEDULE
MAILING ADDRESS
.
CITY, STATE
A F--'
SIZE OF LOT ,
BUILDING
PLUMBING
ELECTRICAL
WATER: PUBLIC PRIVATE
FOUNDATION
ROUGH
ROUGH
TELEPHONE
SEWER: PUBLIC
SPECIFICATIONS
--. PR IVATE
.=4
FRA
E
SEPTIC TANK
FINISH
PLASTER/BD
SEWER
FIXTURES
NAME
FOUNDATION
EXT
PIERS
TYPE
FLUES
GAS
MOTORS
FINAL
FINISH
FINAL
ADDRESS
DEPTH IN GN
HGT FIN GRADE
CITY, STATE
P.T. PLATE (SILL)
STRUCTURAL
SIZE
STATE LICENSE NO.
GIRDER
JOISTS 1ST F R.
NAME
JOISTS 2ND F R.
- JOISTS CLG
ADDRESS
EXT STUDS \
INT STUDS
CITY, STATE
ROOF RAFTERS \
TRUSSES
TATE LICENSE NO.
BEARING WALLS
INSULATION, FNDN
(FOR OFFICE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
A B E H
DIVISION
1 M
3 4 5
2. TYPE OF CONSTRUCTION
WALLS
ROOF'
SHEATHING, WALLS/EXT
SPA. I
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
\\,4ISLAND BOROUGH ENGINEERING DEPARTMENT, 486.5736, EXT, 273.
OTES:
\ TALLATION OF (MINIMUM) tit-INCH BY 20-FOOT CULVERT IS REQUIRED
'EACH DRIVEWAY ACCESS TO THE PROPERTY.
6 /
ROOF FLOOR
'AT PLAN Np BPI oL AB NT TO ISSUANCE BOYF AAN B uA on_Eoci-Ncg RBTEI FR IMEIDT NHSETBAEL L PUBLIC
\AND/OR SEWER IS NOT AVAILABLE FROM A CERTIFICATED
AL SYSTEM.
\
PLAN APPROVAL RECEIVED
..(............ki'f PP. .1.;-"' E.:"...ii_ .A711.4 _ ,47.E.01c-e- 1,7‹, ,/z-le .:---)
.a ISSUANCE CiF A PERMIT, EITHER THE OWNER OF THE
_....-0-4 HIS AUTHORIZED AGENT MUST SIGN THIS APPLICATION OR
OTHER WRITTEN PERMISSION FOR THE DESCRIBED WORK TO BE
.,
oRMED.
TAX LOT NO DATE
OWNER PER
OWNERSHIP TRANSFERRED, IN PROCESS, TO
FINISH, EXTWALLS
ROOF
FLUES, FIREPL WOOD HTR
KITCHEN WATER HTR
FURNACE, TYPE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE
READ THIS APPLICATION, THAT IT IS
CORRECT, AND THAT I AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS
REGULATING BUILDING CONSTRUCTION.
APPLICANT
PER
CLOSING DATE, DEED RECORDED (BY)
7,7 (LEc t -4) vesc_bi-Tri
t_u4.0 FLI,LitYZ.:77'c::11.-_.) Of-x.4
1-4.F'PeoVeC> 4/( /5Lit
re,70.3 75-724.0_CSPC...)a C . 15"51.AtEC, fc.:1217/E-.)S
7U RF F-7 (5,
-d-: -151 "3-7 5'" )4
'"-x:) ?4.. 1
APPROVED, BUILDING OFFICIAL
BY 67/ 77—)
_ _ PLOT PLAN
(A SITE PLAN MAY ALSO BE REQUIRED)
REAR PROPERTY LINE
z
E PROPER
FRONT PROPERTY LINE
Cis
14,
STREET
a.
0
a.
NOTE. APPLICANT SHALL SHOW BUILDING SETBACKS
FROM PROPERTY LINES, AS PERPENDICULAR DISTANCES
FROM PROPERTY LINES TO BUILDING, DIMENSIONSOF
STRUCTURE SHALL BE SHOWN ON THE PLAN.
ZONING CODE COMPLIANCE
ZONING DISTRICT 6 _
TYPE OF OCCUPANCY,eyfyht.37e4E.
NO. OF STORIES ) TOTAL/H GT
AREA OF LOT ,2,c)
SETBACKS FROM PROPERTY LINES:
FRONT 35, REAR
SIDE (L)
REQ'D OFF-STREET PARKING
C.U.P. OR VARIANCE
Ktc.) . 2 -
APPROVED, ZONING OFFICER
BY 1576.) ..>
cotnot
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:
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
W
NCITY
R
NAME:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
GROUP:
CRAWL SPACE VENT SQ. FEET
A B E F H I M R S U
DIV. 1 2 3 4 5 6
& STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
NO. OF FAMILIES
GIRDERS
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: PUBLICI
t
I PRIVATE
I
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
I II III IV V
N 1 -HR FR H.T.
& STATE:
SEWER: PUBLIC
I l
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
T
R
A
C
T
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
FLOOR
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
FINAL
DATE C.O. ISSUED:
SUBMITTED
CITY & STATE:
ROOF
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION,
THAT IT IS CORRECT AND THAT I AGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION
APPLICANT:
FINAL APPROVAL
TELEPHONE:
FINISH MATERIAL:
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPROVED:
ROOF
STATE LICENSE:
EXTERIOR SIDING
APPROVED - BUILDING OFFICIAL:
INTERIOR WALLS
NOTES:
Rev. 1 -97
PRINTED IN KODIAK, ALASKA BY C&A PRINTING, INC.