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HOSPITAL BK 1 LT 2A-1 - ZCP (3)General Notes: EXISTING CONC. SIDEWALK PAVING W /EXP. JT & SEALANT PROVIDE THREE (3) TELEPHONE CONNECTIONS (EACH WITH HUBBELL PH -6595 INLET AND PH -6624 CONNECTOR BODY) AND CABLE (HUBBELL PH -6599) TO TELEPHONE TERMINATION POINT. INSTALL 1' CONDUIT FROM TRAILER TO MAIN BUILDING ACCESSIBLE CEIUNG. PROVIDE THREE (3) DATA CONNECTIONS (EACH WITH RJ -45 OUTLETS) AND CABLE (CAT -5E) TO DATA TERMINATION POINT. INSTALL 1' CONDUIT FROM TRAILER 10 MAIN BUILDING ACCESSIBLE CEIUNG. VERIFY AND COORDINATE WITH BUILDING IT STAFF, TELEPHONE /DATA DEVICE AND EQUIPMENT LOCATIONS, TESTING, LABEUNG, TERMINATIONS, PATCHES, AND EQUIPMENT REQUIREMENTS, ETC.. TRANSITION CONDUITS FROM BELOW GRADE AT OUTSIDE EDGE OF TRAILER SUPPORT PAD. INSTALLATION SHALL BE COMPLETE AND FUNCTIONAL CORRIDOR EXISTING ASPHALT PAVING TRANSCRIPTS O1LE 103 ELEVATC LOBBY LIVING R MEDICAL RECORDS ROLL -OVER CURB DETAIL KITCHEN CLOSET J.C. CORRIDOR CORRIDOR RED BAG ROOM CORRIDOR ELECTRICAL POLYPROPLENE FIBER REBAR #5 0 12" EA. WAY 6" FORMED RADII", TYP. WHERE SLAB PR("RUDES FROM ASPHALT PROVIDE FIRE ALARM DEVICES IN TRAILER (COMPLY WITH NFPA 72 REQUIRMENTS), CONNECT CIRCUIT /S TO EXISTING HOSPITAL FIRE ALARM SYSTEM (NOTIF1ER 5000). ROUTE CABUNG IN 1' CONDUIT. INSTALLATION SWILL BE COMPLETE AND FUNCTIONAL 4 12/0, 1 12/0 GND. IN 2' C., FROM MRI TRAILER 10 EXISTING PANELBOARD 'DP4' (PROVIDE NEW 150/3 CIRCUIT BREAKER). FEEDER TO BE INSTALLED IN CEILING SPACE AND UNDERGROUND OUTSIDE OF THE BUILDING. COORDINATE ROUTING WITH EXISTING PIPING, DUCTWORK, ETC.. INSULATED GROUND CONDUCTOR SHALL BE CONNECTED TO THE MRI SYSTEM GROUND BUS. GROUNDING SHALL BE PER CODE AND RECOMMEND'D BY MRI TRAILER MANUFACTURER. PROVIDE POWER QUATLITY ANALYZER DRANETZ MODEL 658 OR 656A, BMI 3630, OR RPM. VERIFY LOCATION OF ANALYZER WITH BUILDING MAINTENANCE ENGINEER. PROVIDE PERMANENT HARDWIRE CONNECTION. MOUNT FIBERGLASS DISCONNECT ON 8x8x10'(5' BELOW GRADE) WOOD POST AT EDGE OF TRAILER SUPPORT PAD. CONNECT POWER TO TRAILER. PROVIDE TRAILER SEISMIC T1E - -DOWN ASSEMBLY BY MANUFACTURER SEE MANUF. LITERATURE AND ANCHOR DETAIL 13 THIS SHEET. TRENCH SUPPORT PAD SUBGRADE DRAIN SYSTEM AS INDICATED ON DETAIL 12 THIS SHEET TO NEAREST AREA DRAIN. THESE DRAWINGS REFERENCE AK SPECIAI.TY VEHICLES, MOBILE MRI SYSTEM, WITH PHILIPS iNTERA 1.OT/1.5T MAGNET ONLY. SEE SITE PLANNING GUIDE FOR FURTHER INSTAL ATION DETAILS AND SPECIFICATIONS. SURFACE OF CONCRETE PAD 10-MED R EXISTING ASPHALT PAVING EXISTING ASPHALT PAVING WHERE OCCURS POLYPROPILENE F `3ER REBAR 15 0 12" EA Wt." TIE -DOWN ANCHOR (FURN. BY MANUF.) TELECOMMUNICATION EQUIPMENT ROOM I122B A ?:WINTAIN LEVEL TOP OF CONCRETE PAD AIR- ENTRAINED CONCRETE W /POLYPROPILENE RE NE Jr fer r� ?I •,„, ,,,.....,........0 FUTU'E CORRIDOR WALLS (N.I.C.) UNFINISHED SPACE MECHANI AL TUNNEL BELOW MOP SINK F.B.O. 6" 0 PERFORATED DRAIN TILE WRAPPED IN FILTER FABRIC AROUND PERIMETER. CONNECT TO EXISTING STORM DRAINAGE SYSTEM. SEE NOTE 5/8'0 ANCHOR NOTE: SEE MANUF. LITERATURE FOR ADDITIONAL INFORMATION REQUIRING TOP OF CONCRETE ELEVATION TOLERANCES STRUCTURAL DRA° FILL W/ LOW PLASTIC UM & FREE OF ORGANICS. COMP:':CT TO 90% PROCTOR ER DEPAR1MEN BUILDING OUTLINE ABOVE VERTICAL TRANSITION. (TYP.) ELECTRI MRI FOOTING DETAIL TIE DOWN ANCHOR DETAIL MKCHANIC_AL F123 GENERATOR ROOM 123C I SCALE: 3" = CONCRETE CURB & SIDEWALK ABOVE MECHANICAL Dei ( 123A Of O.% EXISTING HOSPITAL LOWER LEVEL UTILITY CONNECTIONS ROUTING PLAN SCALE: 1i16" =, —r TRUE PLAN NORTH NORTH '7//?P EXISTING HOSE BIBB EDGE OF EXISTING BUILDING EXISTING DOOR TO IMAGING DEPARTMENT EXISTING ST EXISTING HANDRAIL EXISTING BOLLARD EXISTING SIDEWALK TO REMAIN EXISTING SIDEWALK TO REMAIN Providence Kodiak Island Medical Center RELL -OVER TYPE CURB - SEE DETAIL ABOVE N E W M R I I N S T A L L A T I O N EXISTING CI'I;13 NEW SIDEWALK CONCRETE PATCH 0 U.G. UTILITY CONNECTIONS 191 5 E. REZANOF DRIVE KODIAK, ALASKA EXISTING ASPHALT PAVING NEW 6'0 PIPE BOLLARDS TO MATCH EXISTING W/24'0 x 72' DP CONC. FTNG. OUTLINE OF TRAILER VERIFY 3' -4 1/2' r VERIFY EXISTING SIDEWALK PLATFORM LIFT (W/TRAILER) MAGNET CENTROID SUPPORT STAND (2 TYPICAL) TELE /DATA /FA /POWER NDERGROUND CONDUITS GRATE INLET W/15.0 STORM IN AND OUT (VER.) -- SEE NOTE fl REPRODUCTION - THIS DOCUMENT AND THE INFORMATION CONTAINED HEREIN MAY NOT BE REPRODUCED OR EXCERPTED FROM WITHOUT THE EXPRESS WRITTEN PERMISSION OF PROCHASKA & ASSOCIATES. UNAUTHORIZED COPYING, DISCLOSURE OR CONSTRUCTION USE ARE PROHIBITED BY COPYRIGHT LAW. © COPYRIGHT 2006 PROCHASKA & ASSOCIATES, INC. EXISTING SQUARE CURB (T EXISTING AMBULANCE CANOPY ABOVE ROLL -UP DOOR TRAILER LANDING LEGS TRAILER RE-DOWN (4 TYP.) SEE NOTE 0 5' -0 "0 'EXCLUSION ZONE" FROM MAGNET CENTROID (SEE SPECS) 8x8 WOOD POST FIBERGLASS DISCONNECT EMERGENCY DOOR Planning Architecture Engineering Prochaska & Associates NEW C.ACR SUPPo E P. SEE N :1E Interiors & Facility Management 11317 Chicago Circle Omaha. Nebraska 88154 -2633 Phone: (402) 334-0755 Fac (402) 334 -0888 E —Map: ma110prochaska.us MRI TRAILER LOCATION PLAN AND CONDUIT ROUTING PLAN EXISTING LANDSCAPED ISLAND TRAILER 11E -DOWN SPACING OUTI INE OF OPTIONAL CONCRETE SUPPORT PAD EXISTING ASPHALT PAVING MRI TRAILER LOCATION PLAN TRUE PLAN NORTH NORTH Date: Designed By Drawn By Checked By 9 -17 -07 Project No. CAF /KFN CAF /KFN CAF /BGW 070702 ■■■ 0 \ 05 dCk \ 2 / 0° •\())(' ()Cr N 0 \\ 0°'" MATCH EXISTING GUTTER LINE. J / / / / / INTERSECTION N 5050.7 30 -73 CONNECT TO EXISTING CURB & GUTTER TRANSITION VALLEY TO CURB IN 5 FOOT REMOVE EXISTING CURB & GUTTER NOTE; ELECTRICAL GOES UNDERGROUND AT THIS POLE 14MITORIP *ELL =g3.06 - I.E. =88.3 -04C2 BUILDING C.c1/4, •.."1//v4...c„s, SAN. SEW. M.H. RIM EL=93.74 I.E.=85.50 S.S. C.O. • APPROXIMATE LOCATION 6" SAN. SEW. LINE FROM HOSP. MAINTENANCE PLANS ROAD C. I N 479 .6792 E 514-3.90 0 • \ 0 0 30'R / ____„,.;""I-2''S\ \ TOP OF CONCRETE ...„, 4. \ RETAINMENT 'NALL x ......,„... .,4 c...)c..., . L. = 100.26 ).'---'>' 0- ' 0 °‘v -•-''''' C\ Teti 0\‘-_,__------------ "-4-1;‘4•41.63- I.E. =89.79 •'-'"\ U.G. ELEC. \ \ \- ---. -T1 0 -0 4" . FROM HOSP. AS-B 00 (•\ MONITORING 0 WELL / / / / 5'R \t4N ROAD C.L. P. -- 5080. 824 E 5 .O8.684 162.84, •r__- 11111111111111111111111111111111111111111111111111111111111111 20'R CONNECT T- EX■57NC, MH 91EXISTING C.B. TOP=95.35 I.E.=90.78 0 C.B. TOP-96.56 I.E.=91.44 (12" C.M.P. TYP.) FIELD VERIFY LOCATION OF EXISTING CATCH BASIN. MODIFY AS NECESSARY TO PROVIDE CATCH BASIN IN GUTTER LINE. CONNECT TO EXISITING CATCH BASIN HOSPITAL B,ILDING F.F. EL=98.00 (BASIS OF ELEVATIONS) 75° 20'R 4 \LC sels* <b. # r 1 \ 0, 23.83' N6851'43"E 0 co. 1/ eli s e-C) ‘-`• CD\ \\\N\ ,c 0 , o ;.. \ ■ \ •\-\' ./ _ ) - „--- „---- --- 6"C' 9S • % „ .■ Nei ' /c,F.° %°' ' . N‘ --,- --------- • C.) , O. 97.5 \ CP os 7 • Gikos ,,),03sc" CP \ 0. \ 7 97.5\ 04. • SHED _ . • .;,':Vroa ligg:•04, 44:44.• / '4047. • ••ir OWNERS TO REMOVE SHOP ONE STORY WOOD FRAME HOUSE \ 3, \k 0- 0 0 .■ • INTERSECTION N 5176.8080 E 5545.7320 6" PCC CURB THRU CANOPY 'kJ\ $110.80 11.3 0 \ . % 2.5'R ...•••••• ••• 6" PCC / cb. CURB (/ 5'R C.L. P.I. ' N 521 70 E5227.0270 R:6539..2477 L=63.27' S.) 0 6" FCC CURB 1/ TERSECTION 31.3684 ,c) 6941<, )• <4. SD INLE7 • 26 _.F. 18" CVP CONNECT TO/ EXSTING CURB &/GUTTER TRANSITION VALLEY TO curB IN 5 FOOT RE• •VE EXISTIN • RB & CUTT MAT4 EXISTING GUTTER LINE. .;. / / 2.5'R .. ROAD C.L. P.I. 1 <I- '-,.. I5(103 2 'Iu ---. ,‘'C'0,0 \ E 5640.1780 ct) WOODEN PORC -0 ND STEPS TWO WIRE ANTE LA C),/ (-); 1/ 5'R • ,17' 2.33'46" N - -- SAN. SEW. M.H. IN -FROM HOUSE=97.51 I.E8 OUT TO ADMIN. BLDG.=95.81 o• CON ADMINISTRATION BUILDING F.F.-98.61 RECONSTRUCT STEPS DR 6,5, 3. '(89 6 .)1 3538'24" NNJ 00 4111654:•... • • • . --. /0 .1 IL. 11 I- •`: t".• Poop . _ erg• , . . . . . , _ _,,t1 7.441; 1-1i' • ...- ofire or` // ,," 614/.6 •••744 •01,„• • es •_.4-•• • • • 6414. ',cos / • A° • 4- .. itiff. .47;141. • •P' 6' - 046400 7 • • Ll v EL • . • a e• as • 0 • 0 0 1.714"a4- "-10, crietzi• cd••• •••■ CAP W/THR BLOC • jr. WO' ••• • •••,••• - °\ig,c0CFP PiOtP OP OP4•1. ii3c-/ 0/••• • 0,C0-,_,C10401.41DIS•P•Wri• 44111•1°. a so. • RC'-'''' (7)0"'". .„ or- • 644-4•47,.• • _000 - .• -OPP' • 000cpc): ••• ••• ■•••• •-•is .• • 0..... 441.°41. ■( 141P.Sit 0 • 1.404.P.' .1":"TrIIP" • 1••• ° •••■••••• P.s\'\ ' ... • 00.- . O•e' G cS) • • op, s„. so •••2741PPIP , • •■••■•• a alp. „, a. el....06.'' • C('' ,.0 \ r, --- ...-- --- ' • fo. .17 . • ..• 95. 51 (2. APPROXIMATE LOCATION -;,(JTING STORM DRAIN rrF1 •11, i_OCATE AND -',DJUST TO GRADE. ROAD C.L. PI. N 4689.5471 E 5187.9254 EXISTING SAN. SE. M.H. TOP EL.=73.54 .E. E.68.14(PLUGGED) I.E. W.=68.06 - 5,"77g.t. r-,r,srvimatrm....s.m.empeceum.•••••cam•assunzatsnsameszsmommawsimonn.•Exascevans=vezermtvawrr•rmn, siianaciermrs,•• x 7!irnumstr 7Cnlialt ..vr=wwirsw, rmr •11...1,911,7*.014 le.5( 4,5? .5,51,11,055M.,r5,11,.., •10-' \- CONNECT TO EXISTING WATER 7 • 94.3c, 5'R 0 00 7 3.7 • ?; • co • 00 50° LO 0 - cP X *IC • 0 G " '\\ • • • • ■ • E. 1 8.04 \ yz z 0.04 \\AG \...)t-- o, --- 0 - :. 5'R -: OP E 8 ST 7 k 7 94.36 -4- 24" C.M.P. I. E.-=76.4 .72 ONNECT TO EXI* ING ANHOLE STD. D AIL 221. MODIFY EXISTI9G 12" & 18" CMP AS/EQUIRED. ADJUST MH TO FINISHED G DE BASE PCC • • 410, INTERSECT' N *1 "=.15.24 3. .6. 63 '&:31) • /.\ • 105 5. \ ck .69 / CP/ \5 VAP ROAD C. N 4795. E 5448.1 P.I. 025 29 • Sc:: 1" -= 30' --O" Tglar,X011.411= TRUE NORTH // :I. 72 7* (2- ,0 EX181STCN.MG. NN EDGE OF EXIS4G AC PAVEMENT ISTING LINE ''N1. POWER POLE / / = 18" C.M.P I. E. 79.9 O• // GRAVEL 10 M NOTES: C.B. GRATE TOP INLET I.E. =89.7 NI" 93.04 12-) C.B. GRATE ELEV. =94.81 • 7P01:OWLEER /18" C.M.P. SION CON NEC TRANSITI REMO • NV. =99.0 / PHA It/ I.E.=90.21 TO EXISTING CURB 82 GUTTER N VALLEY TO CURB IN 5 FOOT E EXISTING CURB & GUTTER O CONNECTION POINTS. PHASE I WORK DOES NOT WALLS. THESE ITEMS ARE 2. WATER, SANITARY SEWER, DRAIN WILL BE INSTALLED 3. 4. 5. 24//C.M.P. I. El. 89.77 POWER / POLE 0/ • INCLUDE ANY SIDEWALK, CURBS, CURB & GUTTER O SHOWN ONLY FOR LOCATION OF PHASE I LIMITS OF WORK. POWER, HILFIKER RETAINING WALL AND STORM AS PART OF PHASE I. ALL RADIUS SHOWN ARE BACK OF CURB. CUT AND DISPOSE OF TREES, STUMPS AND ORGANIC MATERIAL. PHASE I SHALL CONSIST OF EARTHWORK AS REQUIRED TO PROVIDE STREETS AND PARKING AREAS AS SHOWN ON THE PLANS. PHASE I FINISH GRADE SHALL BE 6" BELOW THE DESIGN FINISH GRADES SHOWN ON THESE PLANS. CONNECTIONS SHALL BE MADE TO EXISTING PAVEMENT, SIDEWALKS AND CURB AND GUTTER SO THAT THESE FACILITIES WILL NOT BE DISTURBED DURING PHASE I WORK OTHER THAN A MINIMUM DUE TO UTILITY CONNECTIONS. (2) 7.rc Al rer61-7)5r6.,-/csToQ2 ),(2'm Fve or zo al rat-kloy *7a " flctCL/ 'c12r-,2,J 1441 -i?,ui etri ri,,, stomerinasemmommere•••••••••••••••••••••••••••••••••••••• 411•14■••■••■■••■=011 ••••••••=.01.01R•1•■•••1•1111•1111•NOWRIERVOKNO*W"•11.10••••••••••■•W --Tc71-g) 1.77VIISMNIMMIOOO.O76AN-VP.SPO\07, Willn•MMIEN•daG3••••••••••••••■•••••••••■ POWER R9LE General ... . /40 ... -ks‘411 el I 0 ;* /41a % • Rolland A. I o n I "t •.. NO. 1201-t, • ' 42-'1 ''-• • . .c7 ...• s , 9,c..'• e• 4_ ( lk s 0 pn........‘ As\■ A. • 11,v 11 °FESS\ (1, .....•• ‘VS•NN.:‘,:°.. 4•111•1•110., ROAD ID. N TO THE PRC AND DESIG" UTILITIES RE:. ARE FROM LOCATIONS '- APPROXIMA 7. SHALL OBT, EXCAVATIO" UTILITY OW: THE OWNER RIGHT-OF COVER ELE\ ARE FOR ACTUAL EL \ TO MEET CONSTRUC- REVISIONS. ALL TRAFF1 WITH THE MANUAL FURNISHINH BE CONSIE, TEMS. UTILITY MA DETAILED_ WATER AN THE WATE ALL WORK S n1 T'/ OF ?I .1 SPECIFICA MINIMUM C 1. SIX (6) FC ACHIEVED IN THICKN PIPE TO '- EARTH CC DUCTILE CEMENT L DUCTILE IF CEMENT L ' NO PARC OF CONS HOS: & CELT ADDI? aromso••••••=orrwanimaramerommoommomommovisamemaseerom......••••••••^••••■••••••••• REPROD INFORW REPROG EXPRES ASSOCI,= OR CC COPYRIC 84 ASS:, Date: Desicine Drawn 7 Checkec / / / / / / / 4- 7 / , / , 1-- ,' / /7/ / / / / , , , , i Ci c7 i FACE OF RETAINING WALL 4• -0" SIDEWALK GUTTER t5 14 — ` 13 ' ^ 12 11 44 41 o i0 36 ae 49 55 55 35 • / 34 , 53 58 60 8 , , , • 7 31 30 \ 28 / / /, ,$ \ / / , , , i /' `_ - 23 \. 2 \ 25 4 \ 27 , 64 67 68 21 i— -ThX, 16 ot- ..,--",.: ��f: \ 180 . 80 ,\ y/ = f :, "°`� �� art \ °v 2\'` \ 4 72 9` • 96 98 7 99 BUILDWC, N 78 •� 1 02 80 • 103 81 -'62- 105� /2 83 72 71 106 Li) • 6; `, G \ _6b 0 167 s 1G' 162 1E1 16e r , 155 V \ . •57 - � } 155 \ �� r i \ \ 107 ' � \ 108\ 8F 109 \ // \ • / / a9 \ \ 1; 2 \ 11 / 9C `\ / 87 ' \ o? • L,e \, r 1 t E 17t1� 1v b�4 ..4 1 X1 Ns, 1 '24 \ 125 25 X 127 12F, , 137 13E 135 \\ 134 • '4E \ :38 SITE PLAN '?otiv General Notes: Kodiak Island Hospital Care Center REPRODUCTION - THIS DOCUMENT AND THE INFORMATION CONTAINED HEREIN MAY NOT BE REPRODUCED OR EXCERPTED FROM WTHOUT THE EXPRESS WRITTEN PERMISSION OF PROCHASKA & ASSOCIATES. UNAUTHORIZED COPYING, DISCLOSURE OR CONSTRUCTION USE ARE PROHIBITED BY COPYRIGHT LAW © COPYRIGHT 1994 PROCHASKA & ASSOCIATES, INC. Planning Architecture Engineering Prochaska & Associates Interiors & Facility Management 11317 Chicago Circle Omaha, Nebraska 68154-2633 SITE PLAN & DETAILS PaRkiv.i& Pt std Date: 12/15/94 Project No. 94-0112 Designed By JV Drawn By. JJC Checked By JV C . 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 [i Print Form 1111 111 16180 11 1 Submit by Email 11 Permit No. CZ2012-058 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: KIB / PKIMC 1915 E. Rezanof Dr, Kodiak, AK 99615 486 - 3281 Hospital Subd Bk 1 It 2A 1915 E. Rezanof Dr. Use & Size of Existing Structures: Medical Facility Description of Proposed Action: interior alterations (undisclosed sqftg - no exterior additions) 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 PACS_No. 16180 Lot Area: 11.65 acres Lot Width: Bldg Height: Front Yard: Rear Yard: Side Yard: Prk'g Plan Rvw? No # of Req'd Spaces: Plat / Subdivision Requirements? Does the project involve an EPA defined facility? N/A If YES, do you have an EPA Return Receipt of Notification? "Permit will not be issued until receipt is submitted to KIB" N/A Coastal Policy Subd Case No. Driveway Permit? Septic Plan Approval: Fire Marshall: Consistent? Attachment? Plat No. Bld'g Permit No. Applicant Certification: 1 hereby certify that l 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: Feb 24, 2012 Signature: Stan Thompson for PKIMC pg!3; 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: Feb 24, 2012 CDD Staff: Martin Lydick ` ��` cC Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 Fee Schedule 5.01 to 40 acres $90.00 Construction Disposal Deposit Payable in Cashier's Office Room # 104 Fee Schedule KO ED C) N) 1nI TR E -1 vi Cr? 7R. E -224 100 CHICHENLF _t,__ STREET ,Ll LOT10 R 494\ A L (TY -mot CO a CO • LOT 1 m LV N S /M£17NOFF STREET (� Sc N LOTTO )s _ 0r ALLEY LOT 1 LOT 13 O jN 0 - 11,0 OT Mr ANUS 000 COVC AC SIAMOCA, /CCM. 011100,000 ARYOION mato wooar a S. 53' 113' sr W. 30.73 IOC. NM Ild1011re. COI 1st mart I tor /44 -24 nAr r• 1 LOT 154 U.S.S. LOT 168 -1 POP ty LOT 77-4 Mr n -n 3098 LOT 17 -8 50' 32' 2Y E. -__ �a 97 '.♦____1622__�� - - - - -- -69571 C_- -- ______ __ 01001 w off R� Nom 1 =L 1500 S LOT 1A 6.07 ACRES 0 9S-3 FECORDED • REM) tta Ar mow TM D:Il RA�ah Era Nam LOT 18 •S - 4969.65 tor 19 TAX CERTIFICATE HEREBY 019TWY 1INT ACCORD,. TO INC RECORDS OF THE 60W1) ISLAND 003000H, ALL MB ASSESSED AND DUE WRIST SAID MO AND N /AMOR OF THE KODIAK WAD BOROUGH ARE PAID W Full. GM AT KOOMK WSISKA TMB /S �• 0061 OF.JW4Y 19 '6 I�DTYM4T•.p�SW LOT 21 tor 20 --- -- - - - - -w c ( LOT I 705 Lot 7/01/71' EASEMENTS PCW00N. Y4fd7@, 7103 SURVEY ____ _________ -- - - -___ ,T________________ S.29' 46'31'6. 11.91 _ Gffaria RAT 10' KW 64.501017S SUM' Arlo EASEMENT . LOT 3 .mat steam. R -1 19' 20' 00' NQF I REZA '0.80 L 171583 I T. D . 18' 20' 00' . N.5S l6' .3Y E. LOr ONE 1_501!00, 7NK /SUR9FP -- • •S 223 MUM YON .13017r1. 2.01 LOT 2A 11.64 ACRES 7 r DRIVE , , jg120 _ °10 1 CERTIFICATE OF APPROVAL BY ADEC WIINATTR OI1°nul..ME ALASKA DEPARTMENT OF 047300901TA1 COI®tyATON HAS REMOLD PLANS 1160 1105 911OOM5ON5 WASTEWATER DISPOSAL, MO APPROVES 115 901WBON FOR PUTTING. 1 _�Lrrr ✓hW195- TITLE Or DOE Al ALN DEPAR1500(1 a FMINOHWRK CCN5091677(09 APP60490 OTCNL Na LIT ii 16 OT 16 LOT 2 0 C10 00..1E 3611 7. t xA. w V /C /N1TY MAP ACV OWNERSHIP AFFIDAVIT 0* 1Rapl�1 .V. 1066MED 05.('� REM yOr ocraG3E ro THE rime ALL Dooms FOR roux 915m. 51075. 01111. 1)011600000. PARR AO 07001 ROW WAS TOM I0tdL NOTARY'S ACKNOWLEDGEMENTS Mlle SOW WO Wcw SUBSCRIED PO SWORN TD 6EFORE KC 1N5 4.54. DAY OF 19 yS 9-42,7 s NT MM. Own ti9 n P LOT 2 4., °° y i cis mom Ros.Wl y w „0��y / [�T R i / �?/� /w rr 591 &4S T - / / 719. 1143.99_x_- _�_____ r�_ ".--5,58 . 39 .3Y E '$ _r --1R, :7336 / 19/ �Z--�- $ .S7i / �� 35 L - 467. .39 LOT 4 Awrat Looser r0 mom/m.0 . '43 4J WO $$ 10.x0. 2883 NOTES: 1.) 4'04' CONCRETE MONUMENTS.WERE FOUND IN THE VICINITY OF SOME OF THE RIGHT-0F -WAY CORNERS. BECAUSE THESE. MONUMENTS DID NOT COME ANYWHERE NEAR MEETING A 13,000 RELATIONSHIP 111TH THE HIGHWAY RAT RIGHT -OF -WAY MAP ( PLAT 64 -2 ), AND 1657610•F BY ME DEPARTMENT OF TRANSPORTATION THAT THEY WERE CONSTRUCTION REFERENCE MONUMENTS ONLY AND NOT NECESSARILY SET BY A LICENSED SURVEYOR. AND THAT THEY ARE NOT MONUMENTS OF RECORD. THEY WERE IGNORED IN DE1ERNNNG THE RIGHT -OF -WAY UNE PER THIS PUT 2.) CENTERLINE OF HIGHWAY MONUMENR ARE D.O.T. MONUMENTS CEMENTED INTO CASES AS SET IN AUGUST, 1994. LEGEND • - FOUND BRASS CAP MONUMENT OR AS NOTED - SET AL3 CAP ON 5 /8' REBAR • - FOUND O.L.O. B.C. MONUMENT PLAT APPROVAL 600(61 I51)1O RINIRRi NO ZONING COIW650N RECENEO APPROVED RS I6.1•41 -, aNw 0*1E I -iv -N( TITS FIFO C63150 INAT THEE7N«7IM 91AT KsWMLTD OR D 1C 000C 1K5 01Y OF WYOR GEE 1,714] Clpb . 00110.1 /it /s." It0.5101/95.- SURVEYORS CERTIFICATE 1,11 =NT MY I r IWOPOEY 0 KDI® TO MAME LW WOW N M 8SC CI AMU, (. AND 97 t1O P1•1 OW ENTS AWMY WC M 16 OA UOD1 pWOT WIOYCON AND MAT M MOMA0111 AW) 1 I' AC DOO MO cow 4 AND VACATION: OF LOTS ONE. TWO AND THREE AND A PORTION OF A UTILITY EASEMENT THEREON OF THE fHHOSPIIITTTAL I'SSUBOMTSION PER PLAT 67 -21 SUBOIW5(NTAU. 18 THE 110DIAK RECORr 6 057 SAME 511 KODAK. ALASKA RR THE KODIAK ISLAND BOROUGH 710 MILL BAY ROAD KODIAK ALASKA, 99615 HORIZON LAM SURVEYING INC. 14.0 1101( 1045 KODMK ALASKA 89615 ( 907 ) 468 -6506 1' - 60' ''[AUGUST 10th 1994 OMNI RC 1.0.8. 1 OF General Notes: r 1 1 * ex• 5• r¢r a• ecwu I1 LR la IN la:e Ia ie x. �� _ T o1 Ho J_J 1 T--', n I x I lei n 1 EXISTING HOSPITAL BUILDING (1997 ADDITION) _ LJ J J JTTTTTTI x 1 a l. l s l a 1 r 1 e 1 r II I�.m CURB I u5rplp EDGE OF PeVFYENf TO BE MOVED J 1 I r L r 12 , J , caws WMEW AWN. COMPOSITE PM. a/LWW IMMO TO PR ICT ` �e pND 4wrrs caa 5ro0P S :�ma / �e� j NEW CLINIC ADDITION / tLefr7 �� EXISTING HOSPITAL BUILDING Y1llC�G14A731�C �" .,. . '� ••gym PAVEMENT m er e. _ TYPE CURB • �,p,p,SP,43Mt','. NOD ware MUM OF .7 _ '— -p C a 1: �. C era NEW fur ro r� 1 CP i Na - CO 11OMAND OT. 1 .' Is-. MR ... r4W \ e' . e/ le ape I Jb a/c, . p / yl / NElf CONC. / VG �mw¢rE 15/C1•5 I - MI- -NEW SEG MN/1 . FRMINO ••41 _ ., rule �y // q — . . .� ,14 . { Iy O .apW415 �19��— }�— ... 1 rnr CONCRETE NNOKP NNW a — Nff� ,-.100 ]C7[7�� . ' ro NOV O ajumRnE (5¢ w/owp n } / • I �/ �_ / / / \/ ' ' / / I .. / NfW Caa[tE SOM. a 0¢517 VW 1 le 1 b . a RIw-�ltl�tl C'tWie��1 137 c�oo. xEM 5 y ECONylpyC110N IQ CaatlE SOANR s _. /,/D1 a Nor DaL.N_ . \0 oc� �� / i� PyiPQ ,b •: xi.I L 1 1 . .•�. A._ y • " a IOMIL r ,� Pefo.,pa (=I[,' — r ia['3C][L51" — J LCI6COGLlLlF3A — 1 •i( Np+.PMIIR6NOOp111G W a�roeMOVE53..N,1 // I iiw rsa MR. Dip c ' ' /' / d / 1J 1 _ 2 S -0 110--21C - i -N STM19 e • •-5' .f/O1 :t (�}I%��C;Q77� '-a,„1,,..0,„,,, wam ' SDLS) - :537551..•0.-0. Lett 10 SOUS • 0.-0 MN pr®�p x . MOW m as �' 1 ® ..• F 1 �0. . 1116 -0' .(E .® C.-irrr:iJk® � 20 �g / / _ ` \ / / lit 110 • 22 SEGYINIAL 25 24s 23 12 11 � a 7 1 s f . ItM� •,µ� �° Kodiak Community Health Center iGl resew es) / NO Dam rlvs / ✓ / /• `° / Vi\ ; x,_ 1 E 11r 0 Bl -0•- 1357415. 1 • • 0.-0. 1. MN b 1x (,.P, , /E �"� /iauF 13. \ PAYING M OE RPMrID / / / l� VW // / \/ NEW r ew4Er /NM. IA, 0-0' C-O' B 9rN15 • 0' -0• [Mn .. 10 SOEIa).. .4 . / 1111 Ir " •' a 15 10 a ,6 10 —""' 4 , / / / / OI�E / / Q� / -.• i • /� / / + E i .- R� / 1915 E RNCE NO DR., KODI) MEDICAL CENTER 1515E NElANOF pi, NI')pw(ISUJiO,AIASNA RE -BID DOCUMENTS • ARCA ism SA up 1 011.---- NOV MCKIE DU 51.0.C1101 -1145503113fr NO OE Matt. 0710.51:5 MID UT 007 EC M.. Lit DIDIRD MN WNW lit .a00.4S NC �NOSa WALL awmPeero wra — ...... / / / ' / ' i lI ' - . - �' I' ,_ -- '— — __ --'--.19-- ,100• NORM SITE LOCATION PLAN PImv+A M'Nil.cure En pNsbp laS(a k ADaCIte9 Interi n k r. a 0.6� .. a m>/ � 33.11. s SITE LOCATION PLAN & DETAILS SCNL 1- • 2p• -0• Et/ Dale. P,PIeo1 NP •S 3} pesit.el Sr eN 5,a." ae By. • W a dad 9 C1.2 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 Submit by. Email Permit No. 2f _OS 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 I/oSPC B /�LOeiK ( o7 4 / RI or , /7% ,idl7d- Description of Proposed Action: i efoite, gpo2)(4ei 7, l. mse 99R : -/ loll le "7,61/ a/.524 6- P,A7dE 7' 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: Front Yard: Prk'g Plan Rvw? Plat / Subdivision Requirements? Does the project involve an EPA defined facility? ZONING: %e... Lot Width: Rear Yard: # of Req'd Spaces: PACS_No: /6, / $C) Bld'g Height: Side Yard: If YES, do you have an EPA Return Receipt of Notification? "Permit will not be issued until receipt is submitted to KW" Coastal Policy Consistent? Subd Case No. Plat No. Driveway Permit? Septic Plan Approval: Fire Marshall: Attachment? Bldg Permit No. Applicant Certification:: 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: Signature: :79/rJ 'jT/(o.#77iasc 4J 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, fora period of 180 days. Before such work can be recommenced, a new permit must first be obtained. (Set. 106.4.4 Expiration. 1997t I8C) per KW 17.03.060.f* CDD Staff Certification Date: CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 Construction Disposal Deposit Payable in Cashier's Office Room # 104 Fee Schedule 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 1 I I L Print Form I 111 11 I 11 111 L Submit by Email . R1436010030 Permit No. Const Waste Deposit 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: PKIMC / c/o J &D Interiors c/o 8300 Briarwood St., Anchorage, AK( 99615 1.907349.9685 1.800.770.9685 gary @jdinteriors.com HOSPITAL BK 1 LT 2A 1909 E REZANOF DR Use & Size of Existing Structures: Medical Hospital / Clinics Description of Proposed Action: Removal of existing floor coverings (carpet, rubber base & flooring, homogeneous sheet vinyl & ceramic tiles) 25,000 sqft 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: 11.64 A Front Yard: 25 Prk'g Plan Rvw? Plat / Subdivision Requirements? Does the project involve an EPA defined facility? ZONING: Public Use Parcel No. R1436010030 Lot Width: 60 Bldg Height: 50' Rear Yard: 25 Side Yard: 25' # of Req'd Spaces: If YES, do you have an EPA Return Receipt of Notification? YES "Permit will not be issued until receipt is submitted to KIB" YES Coastal Policy Other Subd Case No. Driveway Permit? Septic Plan Approval: Fire Marshall: Consistent? Yes Attachment? Plat No. Bld'g Permit No. 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. I agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: Nov 4, 2009 Signature: Gary R Robinson for J &D Interiors (signature on file) 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 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) perKIBC 17.03.060. ** CDD Staff Certification Date: Nov 4, 2009 CDD Staff: Martin Lydic Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 Fee Schedule Not Applicable $0.00 Construction Disposal Deposit Payable in Cashier's Office Room # 104 FICi SH FIC:OK 11/0412N9 15:59:1 166602I75 tJ IL PAY!, Fee Schedule ` n s n *** Paid More than 500 sq ft $1000.00 Kodiak Is Kadiai (917) in Ful land tai 91 c16 -9r 5 1 **if orough 615 2# 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 Permit No. 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: 1 & D Interiors, Inc. 8300 Briarwood St, Anchorage, AK 99518 907 -349 -9685 800 -770 -9685 gary @jdinteriors.corn Providence Kodiak Island Medical Center 1915 E. Rezanof, Kodiak, AK 99615 Use & Size of Existing Structures: Kodiak Medical Center Description of Proposed Action: Removal of existing floor coverings (carpet, rubber base & flooring, homogeneous sheet vinyl & ceramic tile) to be put in dumpster for disposal at landfill. Approx. 25,000 sf remodel. Site Plan to include: Lot boundaries 4nd existing easements, existing buildings, proposed location of new construction, access points, and vehlcularparking areas. Staff Compliance Review: Lot Area: Front Yard: Prk'g Plan Rvw? Plat / Subdivision Requirements? Does the project Involve an EPA defined facility? ZONING: Lot Width: Rear Yard: # of Req'd Spaces: Parcel No. BId'g Height: Side Yard: YES If YES, do you have an EPA Return Receipt of Notification? "Permit will not be Issued until receipt Is submitted to KW" N/A I'd I'G966f,EG06 SN0I2I31W I U 8C WUGS :6 6002 fro now Coastal Policy Consistent? Subd Case No. Plat No. Driveway Permit? Septic Plan Approval: Fire Marshall: Attachment? BId'g Permit No. Applicant Certification: l 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, orasa representative of the property owner. I agree to have identifiable comer markers in place for. verification of building setback (yard) requirements. Attachments? Date: Nov 4, 2009 Ust Other. 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, ar if the building construction or use 1s 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 BBC) PerKlBC 17.03.060." CDD Staff Cersification Date: CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 1D4 Fee Schedule Not Applicable $OE.00 •d 178966.1-6LO6 Construction Disposal Deposit Payable In Cashier's Office Room #10.4 Fee Schedule More than 500 sq ft $1000.00 SNO I a31W I Q'8C Wd6S : s 6002 b0 A014 E-9i1 EMERGENCY REMISE SERVICES FOR KODIAK ISLAND ADDRESS UPDATE CORRECTION Parcel ID #: Legal Description: Owner Name: New Address: Notes: Action Taken: R1436010030 Hospital Block 1, Lot 2A Kodiak Island Borough 1909 Rezanof Drive East Assigned 1909 Rezanof Drive East to the Care Center at Providence Kodiak Medical Center in order to get a mail box at the entrance for Saturday Delivery. Assigned 1909 Rezanof Drive East to the Care Center at Providence Kodiak Medical Center in order to get a mail box at the entrance for Saturday Delivery. March 6, 2008 PLEASE UPDATE YOUR RECORDS TO REFLECT THESE CHANGES. QUESTIONS? CONTACT COMMUNITY DEVELOPMENT, KODIAK ISLAND BOROUGH, 486-9365 ASA400 N------....S-PrOperty Card Initial E -911 EMERGENCY RESPONSE SERVICES FOR KODIAK ISLAND ADDRESS UPDATE ROUTING SLIP ORGANIZATION ° ' CONTACT ` FAX NUMBER CITY/ PUBLIC WORKS MARK KOZAK (907) 486 -8066 KODIAK ELECTRIC ASSOC KATIE HEGLIN (907) 486 -7717 GCI CABLE TV PEGGY RAUWOLF (907) 486 -5160 ALASKA COMMUNICATIONS SYSTEMS TANA BROWN (907) 561 -4084 ALASKA COMMUNICTIONS SYSTEMS ADDRESS RESEARCH DEPT address.research @acs alaska.com ALASKA COMMUNICATIONS SYSTEMS PAT HUTSON (907) 714 -8753 US POSTAL SERVICE DAWN ACOSTA (907) 486 -5213 US POSTAL SERVICE BILL KERSCH (907) 486 -5213 ALASKA STATE TROOPERS DANA PATTERSON (907) 486 -5810 KPD/ E911 DISPATCH DELANA HATFIELD (907) 486 -8023 KFD ROME KAMIA (907) 486 -8048 KODIAK ISLAND BOROUGH ASSESSING DEPARTMENT (907) 486 -9395 CITY OF KODIAK BUILDING OFFICIALS (907) 486 -8071 CITY OF KODIAK CLERKS OFFICE (907) 486 -8633 CITY OF KODIAK SENIOR ACCOUNTANT (907) 486 -8654 KODIAK ISLAND HOUSING AUTHORITY KARINA (907) 486 -4432 KODIAK ISLAND BOROUGH CLERKS OFFICE (907) 486 -9391 Please note the following changes to the Kodiak Island Borough street map. Please update your databases as well as your maps. Should you have any questions, please contact Lori Demi, Community Development, 486 -9365. Email: Idemi @kib.co.kodiak.ak.us Additional notes: Thank You March 6, 2008 PLEASE UPDATE YOUR RECORDS TO REFLECT THESE CHANGES. QUESTIONS? CONTACT COMMUNITY DEVELOPMENT, KODIAK ISLAND BOROUGH, 486 -9365 Kodiak IslancPbuiough Community Development Department 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 I Print Form Submit by Email In 111111111111111111110111013101111111111111111 Permit No. CZ008-046 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: KODIAK ISLAND BOROUGH KPMC / KEN KNOWLES 710 MILL BAY RD., KODIAK, AK. 99615 907 486 6229 907 539 1099 LIGHT@GCI.NET HOSPITAL BK 1 LT 2A 1915 E REZANOF DR Use & Size of Existing Structures: 1ST: HOSPITAL & CARE FACILITY Description of Proposed Action: BUILD SOLARIUM (24-7" x 13-6") @ ALCOVE ON EASTERLY FACE OF OLD BUILDING, i.e., EXTENDED CARE FACILITY: 331.83 sqft 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:----1 77-7 • t 1 I Front ¥ird 25 • ; 1; Plan Rvw? No Plat/ Subdivision Requirements? Other Requirements? I ; I ZONING: Public Use Parcel No. R1436010030 Lot Width: Not Applicable Rear Yard: 25' # of Req'd Spaces: Bldg Height: 50' Side Yard: 25' NO CHANGE / IMPACT TO EXISTING PARKING WILL RESULT FROM THIS PROJECT Coastal Policy Business Subd Case No. Driveway Permit? Septic Plan Approval: Fire Marshall: Consistent? Yes Attachment? Plat No. Bldg Permit No. Applicant Certification: 1 hereby certify thatI 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? Site Plan List Other: Date: Oct 12, 2007 Signature: KEN KNOWLES for KPMC 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, 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 17.03.060. ** CDD Staff Certification Date: Oct 12, 2007 CDD Staff: Martin Lydic( Payment Verification Zoning Compliant } it Fee Payable in CashR ffice * Room,# 1 itlD 'Cu- a -GCJ mamma es. .-4 •• W ►r p, Cs1 C7 m9 EeeSched o� Less than' .75 acres $30.00 T Construction Disposal Deposit Payable in Cashier's Office Room # 104 Fee Schedule 251 to 500 sq ft $500.00 OCT 1 2 2007 SW, Oct Kodit k Island Borough Finance Department r 'T--T 11201121 11221 1 1 1 1 T - -1 11dr P. DE TWIN ILIMEIMPICE RAM r - -'1 i 111 LT /* i98 1- HOSPITAL BUILDING oMitio AcCi. -0f oAZ 145-Z; 91 1 90' NEED DECK ELEVATION & COLUMN LOCATED 98 ,IO pip � 6i�A" YT�I gimmummammommummisma r' w,..o cc �g 1 2 3 4 5 6 7 8 g4' o' 0 ggi 3 MME10 81 82 m 84 85 86 87 ZONoNG COMPLIAN4 PERMILageiof 3) Permit # Z- Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 99615 PH(907)486-9362 Fax(907)486-9396 http://www.kib.co.kodiak.ak.us Required Applicant Information: — 1. Property Owner/Applicant: tieoaDatieg /abi;w ki tiA3t) /472),Cle2n-a 1. Mailing Address: / b kr 776-,--phone:9e7-ae 2. - Legal Description: 1t77 2/9 AS P/77,4 S /1S0,11 Street Address: 7? (S— A7E0oridOC KtViift.e, 4'00.0W 3. , Description of proposed'action: 71(L. /?..e.tPni->z„tr- 05Q A- ;40 4x- K. R. 1. COAC 14- (4,C1:-6,5ScAS— -C-f1A-tc) z4D 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 0, Parking Requirements 0 Solid Waste Removal Requirements STAFF COMPLIANCE REVIEW Parcel No. R /1/3 60/ n93 a Current Zoning: it-906 (te---05el—c-iie--PRequired Lot Area: 17 2C3 51t c Required Setbacks: Front: ide: 2S(-7 Rear 2C4 Building Height: 50 p-eAr (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: C A.) 0 p_eAr vc44,t4ek.., Ce/.c., /V� c).--/- -0 2,3 Plat/subdivision related requirements (e. plat notes, easements, subdivision conditions, drainage plan review, etc.) aw_ a r 1p Deval-46 Cop-e, --- 02-3 Other Requirements (e.g. zeroline„ onal se backs, p (1/e l Mveak ACMP Policies: Res. Bus. 0 Ind. 0 Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 Fee Schedule: (per MB Assembly Resolution Eff. July 1, 2005) ___Less-t41 ( 11.75 acres $30.00 c-r:7-6 to 5.00 tm---"*.—M)(1 5.01 to 40.00 acres MOD 40.01 acres or more $120.00 ejections into_ya ds, screening, etc. ``"1 --0 3 Consistent with KIB CMP:,Yes ruction Disposal Deposit ayable in Cashier's Office Room # 104 Fee Sche Ade: bly Resolution July 1, 2005) (per MB Al /44-6 4e.//acip, a- 61/1-if(0 rnn Temnintec/Fmnu/7nnincr romnlianee Annlinatinn 0 Attachment: Yes0 N ess than 250 sq. ft. $250.00 251 to 500 sq. ft. $500.00 501 or greater sq. ft. $1000.00 Paop.1 of (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 miist first be'obtained: (Sec. 106.4.4 Expiration, 1997 UBC) per KIBC 17.03.060. 1. Subd. Case #: ,Plat #:., 2. ' 'Driveway Permit (State, Borough; City) by /date: Bldg Permit #: 3. Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that I have the authority to certify this as the property owner, or as a representative of the property owner. I agree to have identifiable corner markers in place in the field for verification of setbacks. By: Date: da02-a4eKC.-12_,, Title: i -s 74' ✓�- 6 ;r Supporting documents attached (check one): Site Plan: As -Built Survey: ❑ Other (List): 4. Community Development Department 5. Fire Marshal (UFC) by /date: 6. Septic System Plan Approved by /date: Vv v�J Title: ' S 7 - 61 L of �C . Date: 9/T 4 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. CIlfl Trmnlatac/Fnrme /7nnino Cmmnliannr Annlinatinn Poor' of./ ti EE ©V& DEPARTMENT OF NATURAL RESOURCES OFFICE OF PROJECT MANAGEMENT AND PERMITTING D SOUTHCENTRAL REGIONAL OFFICE 550 W 7h AVENUE SUITE 705 ANCHORAGE, ALASKA 99501 PH: (907) 269 -7470 FAX: (907) 269 -3981 Kodiak Island Borough 710 Mill Bay Road Kodiak, AK 99615 Attention: Mr. Bud Cassidy SARAH PALIN, GOVERNOR O CENTRAL OFFICE 0 PIPELINE COORDINATOR'S OFFICE P.O. Box 111030 411 WEST 4TH AVENUE, SUITE 2C JUNEAU, ALASKA 99811 -1030 ANCHORAGE, ALASKA 99501 PH: (907) 465 -3562 FAX: (907) 465 -3075 PH: (907) 2857 -1351 FAX: (907) 272 -3829 May 23, 2007 SUBJECT: ACMP REVIEW NOT REQUIRED To construct a clinic addition on the existing hospital, renovate existing space, additional parking ID2007- 0452AA Dear Mr. Cassidy: The Office of Project Management and Permitting (OPMP) has reviewed the Coastal Project Questionnaire (CPQ) and other pertinent information regarding the above referenced project. Based upon the information you have supplied, your proposed project does not require a State review for consistency with the Alaska Coastal Management Program (ACMP). You are not relieved from obtaining required permits and approvals from state, federal or local agencies, before you begin the proposed work. Nothing in this letter excuses you from compliance with other statutes, ordinances, or regulations that may affect any proposed work. This decision is ONLY for the proposed project as described. 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. Thank you for your cooperation with the ACMP. Sincerely, 4-) Christine Ballard Project Review Assistant "Develop, Conserve, and Enhance Natural Resources for Present and Future Alaskans." t encl: CPQ, page 1&2 cc: William Ashton, DEC/ Anchorage Ashley Reed, ACMP Liaison, DMLW, Anchorage Duane Dvorak, KIB, Kodiak Margie Goatley, DNR/SHPO, Anchorage Tammy Massie, DNR/OHMP, Anchorage Mark Fink, DFG, Anchorage Ellen Simpson, DFG, Anchorage Martin Lydick, KIB Community Development Coastal Project Questionnaire and Certification Statement All questions must be answered. If you answer "Yes" to any of the questions, please call - t; _ ent for further instructions to avoid delay in processing your application; Maps and plan dra packet. • APPLICANT INFORMATION 1. Kodiak Island Borough Name of Applicant 710 Mill Bay Road Address Kodiak, AK 99615 City /StateJZip 907 - 486 -9340 Daytime Phone 907 -486 -9394 Fax Number . E-mail Address Fax Number An incomplete packet will be returned 2. Agent (or responsible party if other than applicant) Address City /State/ZipState Zip Code Daytime Phone E -mail Address • PROJECT INFORMATION Yes No 1. This activity is a: ® new project ❑ modification or addition to an existing project If this is a modification, do you currently have any State, federal o r local approvals for this activity? 0 Note: Approval means any form of authorization. If "yes," please list below: Approval Type Approval # Issuance Date Expiration Date 2. If this is a modification, was this project reviewed for consistency with Alaska Coastal Management? 0 Previous State I.D. Number: AK Previous Project Name • PROJECT DESCRIPTION 1. Provide a brief description of your entire project and ALL associated facilities and land use conversions. The project is to construct a clinic addition on the existing hospital, revovate an existing hospital space and develop additional parking. Proposed starting date for project: 6/2007 Proposed ending date for project: 6/2008 Revlsed 3/18/04 Page 1 2. Attach the following: • a detailed project description, all associated facilities, and land use conversions, etc. (Be specific, including access roads, caretaker facilities, waste disposal sites, etc.); • a project timeline for completion of all major activities; • a site plan depicting project boundary with all proposed actions; • other supporting documentation to facilitate project review. Note: If the project is a modification, identify existing facilities and proposed changes on the site plan. • PROJECT LOCATION Attach a copy of the topographical and vicinity map clearly indicating the location of the project. Please include a map title and scale. 2. The project is located in which region (see attached map): ❑ Northern ❑ Southcentral ❑ Southeast Southwest ❑ within or associated with the Trans - Alaska Pipeline corridor Location of project (Include the name of the nearest land feature or body of water.)Mill Bay Township 27S Range 19W Section 28 Meridian Seward Latitude/Longitude N57.804 / W- 152.369 USGS Quad Map Kodiak D-2 4. Is the project located in a coastal district? Yes ® No ❑ If yes, identify: Kodiak Island Borough (Coastal districts are a municipality or borough, home rule or first class dry, second class with planning, or coastal resource service area.) Note; A coastal district is a participant in the State's consistency review process. 11 is passible for the State review to be adjusted to accommodate a local permitting public hearing. Early interaction with the district is important; please contact the district representative listed on the attached contact list 5. Identify the communities closest to your project location: City of Kodiak 6. The project is on: ❑ State land or water* ❑ Federal land ❑ Private land ® Municipal land ❑ Mental Health Trust land *State land can be uplands, tidelands, or submerged lands to 3 miles offshore. See Question #1 in DNR section. Contact the applicable landowner(s) to obtain necessary authorizations. • DEPARTMENT OF ENVIRONMENTAL CONSERVATION (DEC) APPROVALS Yes No 1. Will a discharge of wastewater from industrial or commercial operations occur? ❑ Will the discharge be connected to an approved sewer system? ❑ Will the project include a stormwater collection/discharge system? 2. Do you intend to construct, install, modify, or use any part of a wastewater (sewage or greywater) disposal system? a) If the answer is yes, will the discharge be 500 gallons per day or greater? b) If constructing a domestic wastewater treatment or disposal system, will the system be located within fill material requiring a COE permit? If you answered yes to a) or b), answer the following: 1) What is the distance from the bottom of the system to the top of the subsurface water table? 2) How far is any part of the wastewater disposal system from the nearest surface water? 3) Is the surrounding area inundated with water at any time of the year? 4) How big is the fill area to be used for the absorption system? Revised 3/18/04 Pape 2 ►Zf IE Ei 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: C CLASS AND SCOPE OF WORK: S SPECIFICATIONS: B BUILDING PERMIT NUMBER: D DATE OF APPLICATION: LOT: BLOCK: N NEW D DEMOLITION F FOUNDATION F FOOTINGS S STEM WALL P PIERS Z ZONING COMPLIANCE: D DATE ISSUED: ,, ` I -' ALTERATION R REPAIR T TYPE , SUBDIVISION / SURVEY: A ADDITION M MOVE D DIMENSIONS V VALUATION BASIS B BUILDING PERMIT FEE: DEPTH IN GRND - - O M NAME: U USE OF BUILDING AUTHORIZED BY R REINFORCEMENT V VALUATION: P - BOLT SPACING MAILING ADDRESS: _.)j C CRAWL SPACE HEIGHT INCHES O OCCUPANCY T TOTAL FEE: GROUP: CRAWL SPACE VENT SQ. FEET G A B E F H I M R S U CITY & STATE: STRUCTURAL S SPECIES & GRADE S SIZE S SPACING S SPAN A NO. ROOMS STORIES S RECEIPT NO: TELEPHONE: N NO. OF FAMILIES G GIRDERS TYPE OF BUSINESS G GIRDERS E EACH OF THE FOLLOWING A ( NAME: / c N NO. OF BLDGS NOW ON LOT J JOISTS 1ST FLOOR D USE OF EXISTING BLDGS J JOISTS 1ST FLOOR R MAILING ADDRESS: S SIZE OF LOT J JOISTS 2ND FLOOR R I P I J JOISTS TYPE OF CONSTRUCTION P I II III IV V A CITY & STATE: S SEWER: C PRIVATE I CEILING JOISTS F INSULATION TYPE & THICKNESS: E EXTERIOR WALLS TELEPHONE: , W FOUNDATION I WALLS F INTERIOR WALLS N EXCAVATION STATE LICENSE: W WALLS R ROOF RAFTERS U UNDERGROUND UTILITIES ROOF / CEILING T TRUSSES D DRIVEWAY PERMIT: F FOUNDATION / SETBACKS SUBMITTED F FRAMING C t NAME: S SHEATHING TYPE & S TYPE: FLOOR W APPROVED R ROUGH ELECTRICAL MAILING ADDRESS: F WOOD HEATER YES NO R ROUGH PLUMBING WALLS ADEC APPLICATION: F FINAL SUBMITTED D CITY & STATE: R ROOF T I HEREBY ACKNOWLEDGE THAT I H HAVE READ THIS APPLICATION, F FINAL APPROVAL Z • FINISH MATERIAL: A ALASKA FIREMARSHAL REVIEW: ROOF O STATE LICENSE: E EXTERIOR SIDING APPROVED - BUILDING OFFICIAL: INTERIOR WALLS _ NOTES: i i _, / _7• - PRINTED IN KODIAK, ALASKA BY C &A PRINTING, INC. \KODIAK ISLAND BOROUGH Community Development FEE: $20.00 71bMill Bay Road (Rm 205), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -9362 ZONING COMPLIANCE PERMIT Permit #: C- z- 97— �.' �. Property Owner /Applicant: KOC lV... T,S`g1t\ X 1 L�UY\ Number and size of parking spaces required (onsile identification of parking spaces is required - Yes: No: ' Mailing Address: v110 1` ` �%,V -RieAd Phone: LIS(q — 93'43 MO C.i1P�t�we,, 2. Legal Description: Lo+ aA 1 Hcspt *c1 vtShc tJ. Off-street loading requirement: Street Address: 1°115 . 1 Z. ViC1T Tax Code #: Q 143 coo CO-50 Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): on -P- . Description of Existing Property /current zoning: 4).1... — ubtic• use, - Minimum Required Lot Area: � a ©� Width: (pd 1 Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): Actual Lot Area: 11.t ak-1 O.creS Width: 1 r re9 ,1 . r Minimum Required Setbacks: Sides: ..%,S -P�+ Front: �/,rs -Veer Rear: as -Pee . Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Maximum Building Height: SO `P € + Industrial: Other (list): p. L. \ ` Use and size of existing structures on the lot: e 1C.tSZ 1V1c, \OS? ‘3r a.,1 1L \d1 Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No: U.)QD Y^'�' `J� 'C —A -LA. ce. J 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: 7/ 4. Description of proposed`` action (attach site plan): OJ c. r..0% ` dE-S • . A. i IlL i k ,a . . . \` ■ •. - .1k. CMG. \w(‘ . M " • o�‘ ‘N` . ; "�C,CN e�'(�sC \ . .NIN x IECe.� u fit, - 4. EE..�' .�► • a spy �+ �� ` `^ \.\ G A% r _ .. vt; .t !- % eiz .1.%�`` ....2111 4 r`e. • V(\ .. A. a 1 "`. • 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 a• a representative of the I,roporly owner. I agree to have identifiable corner markers in place in the field for verification of > etbacks. By Su sorting documents attached Ic eck): Site plan: . Community Development staff for zoning, by: Title: As -built survc•v: Date: a- -10 "' cll Other (list): Title: Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) by: Dale: Driveway Permit (state, City of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: Di•trihution: File (original) / Building ( )(fit ial / Applicant / Assessing July 1, 1994 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK 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. - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT (OFFICE USE ONLY) STREET ADDRESS: __. _ t... V1 k (7; e---:-L.A. veNz.z.-N-\ (31. CLASS AND SCOPE OF WORK: 1-:„.,..: v. •.,__ s,,-,—c -,.; ' k;',-.t SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: C. :-' f::', 77:, c-, 6 (-i LOT: BLOCK: -SUBDIVISION NEW DEMOLITION FOUNDATION .C9PTINGS STEM WALL PIERS ZONING COMPLIANCE: . DATE ISSUED: (-- 7-- q L) 0 ::(/ r-; , L. , C- - i 1 - ALTERATION v REPAIR TYPE - •-.;., f.‘ / SURVEY: , . . ADDITION V MOVE DIMENSIONS ---'''-.c.-./ . " VALUATION BASIS: BUILDING PERMIT FEE: ..,,, C.7(01,7', c C ' — DEPTH IN GRND , -4 //,‘ / 0 W I N R USE OF BUILDING AUTHORIZED BY THIS PERMIT: k',5c' 4-\ -)..‘ AAA t ::,,o o REINFORCEMENT 7,7 VALUATION: PLAN CHECK FEE: _ _, '-, 7- t! A i ....: BOLT SPACING MAILING ADDRESS: IV) M\k \ Z-c,... • R(_-"C\ CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: A B E H 1.IMR N./ 1 ; DIV. 2 4 5 6 - CRAWL SPACE VENT SQ. FEET CITY & STATE: NfJC.kt 7:17.,■\4. , N1/4c.,1).- -- ..,_ SIZE 60,(y)0 f HEIGHT 41 _.„ STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF RbOMS STORIES 3 RECEIPT NO: TELEPHONE: ' <7‘('‘-1- 14 •• - 9 64 NO. OF FAMILIES WA GIRDERS TYPE OF BUSINESS 1-A0 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: i Kt,__Q_.\\.e".,\/..Z '.-",...(k.c....)•;aC,C,‘‘,C.:.-, NO. OF BLDGS NOW ON LOT JO ISTS 1ST FLOOR USE OF EXISTING BLDGS 5--i\ E., JOISTS 1ST FLOOR c:`--(" s MAILING ADDRESS: I \ \ •?..) \I C.S61,42_Z"..1,C.C) 1'7,.Q.\-4,' . SIZE OF LOT cf;4_7-z. 7_7,..)0.i0.(-:. v-4-%;.9 JOISTS 2ND FLOOR - / ‘ WATER: PUBLIC1 •If PRIVATE JOISTS 2ND FLOOR 7 TYPE OFCONSTRUCTION 1 II III IV V , N 1-HR --FR : H.T. , , CITY & TATE: .. I 0J, 1,.., ... , .---N SEWER: PUBLIC -7/ PRIVATE CEILING JOISTS 's VI, , • INSULATION TYPE & THICKNESS: EXTERIOR WALLS 7) TELEPHONE 11"0.-). - 2.i z..,\I-t -0145 CI FOUNDATOPN BEARING WALLS s/(N r•-. INTERIOR WALLS .....) EXCAVATION STATE LICENSE: WALLS \J.. ROOF RAFTERS UNDERGROUND UTILITIES ROOF / CEICI.RG TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTE0 FRAMING OOZHa¢UHOcc 1 NAME: 1 \ //C'D -I L SHEATHING TYPEA SIZE: FURNACE TYPE: a \ r ....r) FLOOR .,...\ APPROVED ROUGH ELECTRICAL MAILING ADDRES: WOOD HEATER YES CIC) TYPE N /A ROUGH PLUMBING WALLS vi.., ADEC APPLICATION: FINAL DATE C.O. ISSUED: SUBMITTED CITY 8, STATE: 1 \ ' t".„\.;-1 \ \cc.. y s.. \ c•:-.... \ 1,ilvike at( C\ (1-4) ROOF i.. ril I HEREBY ACKNOWLEDGE THAT I THAT IT IS CORRECT AND THAT I ORDINANCES AND LAWS REGULATING APPLICANT: - :V).- I- HAVE READ THIS AF'PLICATION, AGREE TO COMPLY WITH ALL BUILDING CONSTRUCTION ; 1, • '-,--..k.. - 1 ./i ± ,' ... ,' j 7,(1—C ../ - 1 11 ''. C i KA FINAL APPROVAL TELEPHONE: ' --.3 f's Lk c-N, - 9 coc) FINISH MATERIAL: \,) ALASKA FIREMARSHAL REVIEW: SUBMITTED: 1---.,(' ; - 1 , : --- APPROVED: ROOF STATE LICENSE: EXTERIOR SIDING f ' / „ J.,•' APPROVED - BUILDING OFFICIAL: INTERIOR WALLS e . • 7 •,..,...) ,. NOTES: 1) . -, ;: ,. a - 0 AV1L c.._`-. 'i,11, -..--.-A11,,,) C...1/4,, SYSTEM DEVELOPMENT FEE E‘ ' • ' k 0 ‘ \\I L :r.:„ \.,v,e_crx._ t ,,,,,,:v„...A ,_ti (00, orx) „.._,_c: 7.7:1\ ) A WATER $ DATE CN \ ` (D Y'--V7- \ ‘, "\-1(-"--.3 N 0.- ■ -. ''' k I \ Ot. \ iT:\V;..V..k. (\F. cV t, C-,1 cZp, cic \ c )(e.L.1/4), SEWER $ t. RECEIPT # .. * - \ \,. r , ' .2', i ‘;‘,. (\i f .c..- \ -r ,.:\IT '.:.: A -1, --) , ...z, A c \ \ r_vi C_ -,....."os Ar z _ V \i''.., %v-v e...),?_v_)vit. • TOTAL $ CASHIER ,4. - - - •- ' o ak, Alaska by C & A Printing Inc. 4.1 KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -9362 ZONING COMPLIANCE PERMIT 1. Property Owner /Applicant: ,k�1k =slac\d —64 luc5lrt Mailing Address: '110 \ ■ \ Road Phone: 4E5G Legal Description: Lai ZA \-'1051;\ia\ s1.\`flcy\v i sic t4 Street Address: ei 5 Eas't of' Tax Code #: RI 4 3C0d 100 "60 Description of Existing Propertyicurrentzoning: P.L. - pt.abi1C USE- Minimum Required Lot Area: t 1 oo Width: Actual Lot Area: i t.(014. Width: Minimum Required Setbacks: Sides: as TI €* Front: a5 c%E.Et Maximum Building Height: 50 f�� Rear: a5 Use and size of existing structures on the lot: Ex \ S'k\r\ sv,Y e-t Permit #: FEE: X20.00 CZ- i5 -01-2 Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: ✓ No: E,S1 • • • 0 Off-street loading requirement: - • Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Industrial: Other (list): P. I.— Is the proposed action consistent with the KIB Coastal Management Program? - Yes: . No: If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ies), describes the conflict(sl, and specifies conditions to mitigate the conflict(s). Attachment - Yes: No: V Description of proposed action (attach site plan): 51>3cx S. . • _ Q ara Exkt OQ . + 1f ! -tuNcl i 0 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 5. Applicant Certification: 1 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 a a representative of the 1lroperry owner. I a' - o have identifiable corner markers in place in the field for verification of setbacks. V .c�iZ. Bv: Supp, ing documents attac Title: e plan: ✓ As -built survey: _„}t, \Sk i (NC= Date: -S --t5 Other ilist): 6. Community Development staff for zoning, by: Tills : As,soc flamer' Date: 5% B� 95 F E._ T 7Ac i-1 ENS� A p3 os-rr► ENT 7. Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District Date: [ y y y )approval for UFC (Sections 10.207 and 10.3010 by: Driveway Permit (State, City of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: ti Kodiak Island Borough E X P E N S E A D J U S T M E N T DATE Explain: 74+JlI,p 7 Aikt,KICt Lt Prepared By:� .(A /;}„ Z r Ca -;tom Approved By Use this form to adjust expenditures only, i.e. charge another department for items, correct errors, etc. When correcting errors, please provide information or source document where the error occurred. FUND DEPT ACCOUNT NUMBER INCREASE DECREASE w o 46-a- i l C 40 010 100 000 322' 19D 2© 00 Explain: 74+JlI,p 7 Aikt,KICt Lt Prepared By:� .(A /;}„ Z r Ca -;tom Approved By Use this form to adjust expenditures only, i.e. charge another department for items, correct errors, etc. When correcting errors, please provide information or source document where the error occurred. 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: ,' b3 CI 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 r N R NAME USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE; MAILING ADDRESS: A B E H I MR DIV. 1 2 3 4 5 6 CRAWL SPACE VENT SQ. FEET CITY & 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: PUBLIC I PRIVATE I 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 EXCAVATION INTERIOR WALLS UNDERGROUND UTILITIES STATE LICENSE: WALLS ROOF RAFTERS ROOF / CEILING TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTED FRAMING C NO T R A T T O 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: UTILITY CONNECTION FEE WATER $ DATE SEWER $ RECEIPT # TOTAL $ CASHIER KODIAK ISLAND BOROUGH Community Development FEE: $20.00 710 Mill Bay Road (Rrn 205), Kodiak, Alaska 99615 -6340 - Phone: (907) 486 -9362 ZONING COMPLIANCE PERMIT Permit #: C-p Z- q-0%3 1. Property Owner /Applicant: l/_DQIAIe.- I' L4 O g09_,'U lt-4. Number and size of parking spaces required (onsite identification of parking spaces is required - ✓No: ) 1Yies: G` A 03' - IOW 1sr-e w/ We. 1 4PiCb,,p t` Mailing Address: 110 M ILL. ebti( lrv. Phone: DOl — 44 L, - ' .a 2. Legal Description: Lc -rs Z 4 3 t PeOft,,,e0 Lot k ;) Pt-tAcL_ St7BP . Off- street loading requirement: Street Address: Ie1I 3 e . t?Caa...toF Tax Code #: Rt4 3(e01 CO $tO // Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): N/A 3. Description of Existing Property /currentzoning: Pie Minimum Required Lot Area: q 72.c0 4 Width: 100% Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): } 14 Actual Lot Area: 3.4- QC. S Width: 4- Minimum Required Setbacks: Sides: 25' Front: Rear: Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Maximum Building Height: 56 Industrial: Other (list): Pi— Is the proposed action consistent with the KIB Coastal Management Program? - Yes: ✓ No: , ` Use and size of existing structures on the lot: E.g.p'T1( -Iti i1oSPcQ� 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: V 4. Description of proposed action (attach site plan): t`ME•6.1 71 Dot) -f' ' Icy - fl. FA.ULt t -co VP 2A► 54.1..1 ,,► 1456. . CAP.G --r(2.60 () A • 1 " . ' ( (2-e- ro gL 7' STS RA..L_ C.& F-iti H, - • - ` - / ,♦ 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: 1 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 represenlaive of the pfr p rly ((�r. I agree to ha identifiable corner markers in place in the field for verification of setbacks. By: Supporting documents attache( . Community Development staff for zoning, by: Title: 0w.. f F Date: As -built survey: Other (list): Date: Z . Fire Chief [City of Kodiak, Fire District #1 (Bayside), Woolens Bay Fire District) approval for UFC (Sections 10.207 and 10.301C) by: Date: . Driveway Permit (state, City of Kodiak, Borough) issued by: Dale: 9. Septic system PLAN approved by: Date: Distribution: File (original) / Building ( Wig ia) / Applicant / Assessing luly 1, 1994 Kodtdii Island Borough E X P E N S E A D J U S T M E N T DATE FEBRUARY 27, 1995 FUND DEPT ACCOUNT NUMBER 425 505 452 -110 INCREASE DECREASE $20. 00 .100 000 322 -140 $20. 00 Explain: ZONING COMPLIANCE PERMIT FOR HOSPITAL ADDITION AND REMODEL PHASE II Prepared By:l1 r1 Approved By Use this form to adjust expenditures only, i.e. charge another department for items, correct errors, etc. When correcting errors, please provide information or source document where the error occurred. APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 710 Mill Bay Road CANT TO. FILL IN ALL INFORMATION WITHIN BOLD LINES.- PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY. (OFFICE USE ONLY) STREET ADDRESS: ____ - 4c1 lES E - c .)-c,c) 1)0. CLASS AND SCOPE OF WORK SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: C_ ~ / c_/ (_ / _ T: LO BLOCK:, 'NEW I ' DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: , ~ / � . S '/ ALTERATION / REPAIR TYPE. SUBDIVISION / SURVEY: ‘-- `- IfLA•A c ,. nr- ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: r ,: . j`r DEPTH IN GRND O W NCITY R NAME . A ■ + Tc ,\ • =c. {a; -iNck USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK EE; . <" / BOLT SPACING CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: MAILING ADDRESS: __ r-- 71 {} \\N y, \ : `i'' A �Cck . R� A i/ E H 1 M R - DIV. 1 Ey2 - -,) 3 4 5 6 / CRAWL SPACE VENT SQ. FEET & STATE: i'°Y' „'�' . . , I�,, P � h SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS STORIES l RECEIPT NO: TELEPHONE: t LIP1,-} , ` � . r In .� f°irt: i. / NO. OF FAMILIES A/ I A 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 y ; ��. a5; t� GIRDERS A R O H E N G NAME: 3.--fl — ;L,I NO. OF BLDGS NOW ON LOT ` 3 JOISTS 1ST FLOOR USE OF EXISTING BLDGS .1---k-r-1,__,0 , JOISTS 1ST FLOOR MAILING ADDRESS: ,' / SIZE OF LOT v JOISTS 2ND FLOOR WATER: PUBLIC' PRIVATE I JOISTS 2ND FLOOR TYPE OF CONSTRUCTION • 1 11 111 IV V N 1-HR FR H.T. CITY & STATE: / SEWER: PUBLIC v I PRIVATE CEILING JOISTS INSULATION TYPE & THICKNESS; EXTERIOR WALLS BEARING WALLS TELEPHONE: - FOUNDATION EXCAVATION INTERIOR WALLS , - : ' .i , •, . ;? --- UNDERGROUND UTILITIES STATE LICENSE: WALLS ROOF RAFTERS ROOF / CEILING TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTED, _ FRAMING UOZHcr¢UHOCC NAME: /%' %.:;6 4'. ( )r� .,; ,;t ) f t )ft ii'I Lit- SHEATHING TYPE & SIZE: FURNACE TYPE: APPROVED✓/ / -f , ROUGH ELECTRICAL FLOOR WOOD HEATER YES (N 11-FE / c.„-- 7 ROUGH PLUMBING MAILING ADDRESS: if(' .1 / s'r,!/1 S� /r_'i ( A"''- ADEC APPLICATION: FINAL WALLS SUBMITTED J. f 7 DATE C.O. ISSUED: CITY & STATE: Y;• --// �` � 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 , -.; j / �_ �-,La _ : APPLICANT f�� v . _ d FINAL APPROVAL ALASKA FIREMARSHAL REVIEW: SUBMITTED: APPROVED: %/ 7 TELEPHONE: `. •eil -. 6 - f -• 2`•� ti/ - FINISH MATERIAL: ROOF �- --- ` -P% ' s ( �,-' APPROVED =- BUILDING OFFICIAL - -- __ STATE LICENSE: ��f / j,j f I` f EXTERIOR SIDING INTERIOR WALLS NOTES: ! F- ,• \t,y,i` -,�i� -, Ak,cstt'; Irt i -.9`..\c,.. C',.',C';x'i\ t' 1, i��. k k`'_,. r; t°� �•: k ,.,. f�tC:� UTILITY CONNECTION FEE • WATER $ -7 DATE '�`�r- - -. -').L..„, ;s -� } / l _pc e d kk -- • -• �r \' // t \ ...L :�I _ ��'�i l \• �i .: �::( -yl, t 1: �• �i ti } E , 4.. - -.`) :.,-. .C�� ,,l 4 \i: �.. -;.f %.. \�i L.� ^� `1 4.� i 1� // / .` ^/ � RECEIPT # .. SEWER $ /, � t -'\-, ;'r % ,: •'., k \ i \ u i.', . / 1 / , TOTAL $ CASHIER KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615-6340 - Phone: (907) 486 -9362 ZONING COMPLIANCE PERMIT Permit #: FEE:_ $15.00 2- 1. Property Owner/Applicant: <oci I c k i5 Ia►1d 8/o2Ouc h Mailing Address: 1 \ O 1 11" \ ' �C�. % Phone: '"f'BGO - `1 aJ 43 2. Legal Description: Lc45 4' 3 os�\-\a\ \k 1 Street Address: , Tax Code #: ('tP O ( ©D Z O 30 3. Description of Existing Propertyicurrentzoning: Minimum Required Lot Area: '-/ ZQ'7 Width: (r) ( ) Actual Lot Area: I O (' Width: Minimum Required Setbacks: Sides: /0 j ( (c re( Front: 2S. Rear: UJ c/z.6D�i Zs Maximum Building Height: 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. XV- \ /0 Off - street loading requirement: A)0 ( -P /1� Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): O) /Q Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): A 4- Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Industrial: Other (list): Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No: If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ie ) , describes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No: 4. Description of proposed action (attach site plan) C.`Na� 1\5 *) a �C� cEG C -� tLpcom t o -Cf\ C= s • 1'i \‘‘ ‘/\3 -- ',10-(\ \ s why Ex -(-(‘%-\5 S QP 1ockcA 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 representative of the property owner. I agree to have identifiable corner markers in place in the field for verification of setbacks. • Supporting documentcatts (check): Site plan: . Community Development staff for zoning, by: i Title: As lit sury Title: So C .Date: Z/ Z �� . Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) by: Date: . Driveway Permit (State, City of Kodiak, Borough) issued by: Date: 8. Septic system PLAN approved by: Date: Distribution: File (original) / Building Official / Applicant / Assessing Ianuarv, 1994 ..., F APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486 -8070 700 MiII 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: Cf 15 t-. x0 3 )C115-' CLASS AND SCOPE OF WORK: SPECIFICATIONS: .. BUILDING PERMIT NUMBER: DATE OF APPLICATION: k C (7 g . 1 t .3 i LOT : ,_. BLOCK :- � ' NEW DEMOLITION FOUNDATION FOOTINGS STEMWALL PIERS ZONING COMPLIANCE : ■ DATE ISSUED: ,, �,r �;" � "�c� \/ 1i_ Ifni � , ALTERATION REPAIR TYPE _ \ .C\ SUBDIVISION /SURVEY: i .- i us .1 #'t .› ti) ADDITION MOVE DIMENSIONS \ 1 - VALUATION BASIS: BUILDING PERMIT FEE: u' k <., , D DEPTH IN GRND -. •, - 0 E R NAME:1T ` 4 ° 4 USE OF BUILDING AUTHORIZED BY THIS q PERMIT: i �... 1-14 kiii.-,04. 4+14, REINFORCEMENT '' VALUATION:4 PLAN CHECK FEE: if ' 1" ' ' BOLT'SPACING ; MAILING ADDRESS: ) { kit i3C atd ' _ CRAWL SPACE HEIGI_T INCHES OCCUPANCY GROUP: - TOTAL FEE: (��'`� A B E H =D M R DIV. 1 5 6 2� 4 _ ___) CRAWL SPACE VENT SQ. FEET RECEIPT NO.: CITY & STATE': ` 1.(6611.* jot c •' Ib SIZE (n::i xe 1'�},'j HEIGHT STRUCTURAL SPECIES & GRADE SIZE - SPACING SPAN N0. OF ROOMS L.. STORIES EACH OF THE FOLLOWING STAGES OF .CONSTRUCTION REQUIRES INSPECTION BE REQUESTED & COMPLETED PRIOR TO PROCEEDING WITH ANY FURTHER WORK: FOR INSPECONCALL 486 -8070 - TELEPHONE fO+ •4A. - 13.J:. NO. OF FAMILIES � GIRDERS TYPE OF BUSINESS 1, iiA;i 6MS'i'‘flr-i o../Vt GIRDERS A R H / E N G NAME: -- NO OF BLDGS NOW dN LOT 3 JOISTS 1ST FLOOR • USE OF EXISTING BL GS .),7 ce i JOISTS 1ST FLOOR TYPE OF CONSTRUCTION ' 'SIZE OF LOT JOISTS 2ND FLOOR I II III IV MD (-Al) 1 -HR FR H.F WATER: PUBLIC . iC PRIVATE JOISTS 2ND FLOOR CITY & STA TE: , 1 r SEWER: PUBLIC X" PRIVATE I -CEILING JOISTS INSULATION TYPE & THICKNESS: EXTERIOR WALLS EXCAVATION TELEPHONE : - BEARING WALLS FOUNDATION +` ✓/t4 - ','INTERIOR UNDERGROUND UTILITIES FOUNDATION /SETBACKS WALLS 'rte, I��ti�y 1� Jt, DRIVEWAY PERMIT: SUBMITTED FRAMING STATE LICENSE : Li n 41 n./ - WALLS 'f ti ROOF RAFTERS ROOF / CEILING pas, TRUSSES _ APPROVED ROUGH ELECTRICAL C ii_ T R A C T 0 R NAME: < s �} " . - i � .i ¢7 _)(1t %i�y.t'j,at4 SHEATHING TYPE & SIZE: FURNACE TYPE: ROUGH PLUMBING i FLOOR ADEC APPLICATION: FINAL SUBMITTED - DATE C.O. ISSUED: WOOD HEATER YES �f TYPE 1 , f (`; MAILING ADDRESS: r'= '(,j�a-, C141 j .0 _ FINAL APPROVAL WALLS CITY &STATE: F `',ROOF ;_ I,�r{ C fit`" �`.. _ - ALASKA FIREMARSHALL REVIEW: ' SUBMITTED: APPROVED: "' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATfON, THAT IT IS CORRECT AND THAT I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION �p 4 3 APPLICANT: ,;„ <.-- -- r t y ^ 1, (,,t,teme. TELEPHONE • : �{ ,,. ! "}" (c FINISH MATERIAi — -".�" ROOF . - , APPROVED— BUILDING OFFICAL: / STATE LICENSE #g EXTERIOR SIDING NTERIOR WALLS 10411 i + '- a ,y :, it c-iy 4c. f v1 out g,. (,,,,,4-,,,,,, ',0 „ie. e of: % �i > t: I { _ Weil / kid, t f ' d-e "f —lr3c� i% �� p , r- A _ fJ ac NOTES: a. k� Lid #� ! 1 i F � t tt � ��U� �+41.�Ys Lc At / too �1�,� �L' ��+;r.� ri GCE': • Y��G� �z, C jt�/,C ej / ,� �/��I��/ 'fL6 '-' 1 ,-L 1 A JcC4� fiL,t'i �:.'i")-(Q&2 _.t'4::144 4Ie'V at'-�- j,(::• rg i 911 $,✓t_`'Ga , 4. ici -i;, t v/ ;�`� ec "..fir- � rv'i c�1 E4'Ice5 J°�it 61.`�t+1+4v%1 4, ✓e`Q I at 1�j.S. --.7 /4 4 4/ 1 WI I(t c•& ,• _ ,„iii..,. d�;% ‘'�''ii34/7 01., �Cr 1,tw °ri: tiE,j tilt/?vietd � #T`� &1 �* ,'- ji!�}5K'01 1•fJ{g /i f (�tI (J1: /hlT� =i sdGk.1i +'2, ;5 to ,i:1 -tt ,�$1� €Ally 4 ) .P0v4 'Fos 411 :..8 Vit 4• tt + t. 1. . low, , d ? 1 fr 4. Vii... w i l I he `-•-0 `a 4,,, 11,- 4+ tz PI qw. :. ,,/ ri f ' —i °' cC l fi wc7„, t1 KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615-6340 - Phone: (907) 486-9362 ZONING COPv1PLIANCE. FEE: $10.00 PERMIT Permit #: Z- a 1 . 2. 3. • KOCkqk 1 I*44" rbro(45t1. Property Owner/Applicant : Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: Mailing Address: .40 olvi sq, R;;,,./ . Phone: 4M- 93415 iiVo --I ,- /9 Legal Description: ).-cii 'k&, ( . 4'6944 .54 dilii.RBK Off-street loading requirement: / /1/4- Street Address: 1 115. r* L A, -f, pia Tax Code #: IQ 1136, 6/ Co 3 0 Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): IV II Description of Existing Propertyicurrentzoning:. PL — Alt0 Ire- U‘e.., (tL Minimum Required Lot Area: .*--J%-- 7 o Width: 6 D Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): Ai /■11-' / Actual Lot Area: 3- q c--,1-es width: cn..,-,e,,v- Minimum Required Setbacks: Sides: PJJ Front: A/ I ' Rear: /Un-' V'e--" /. Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Maximum Building Height: A)/1- Industrial: Other (list): Use and size of existing structures on the lot: 1-6),Cp r (-- Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No: If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ies), describes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No: V 4. 0 4 A i Description of proposed action (attach site plan): 41F 4-3(. * YUMA, g)k,.._...._,T..._e_.._...,..._,.._,.._.._.,.,._,._.._....___..._____________..._...___11,k„. at. 461/011 67.9 0.tarre Yea' Oleke,/, :i. Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and 1 agree to ha identifiable corner markers in place • e field for verification of setbacks. / / • . that I have the authority to certify this as the property owner, or as a representative of the property owner. Date: e: By: . Supporting d ents attached (check): Site plan: 'i-built survey: Other (list): __1!.a 4 h.'. . Ariv.A.A.t16. * 5 ' . Community Development staff for zoning, by: .,Z-e-ez—, _..0, 11/24/92 10. :04 Dua P 1 D 0 Date : .., ICP Title: 5 Rm _ 02 . Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) , 113 by: 04 Date: . Driveway Permit (State, City of Kodiak, Borough) issued by: Date: • 9. Septic system PLAN approved by: Date: Distribution: File / Building Official / Applicant / AssessingTH IS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED July 1992 White copy: File Yellow copy: Building Permit Pink copy: Applicant ZONING COMPLIANCE PERMIT 1. PROPERTY OWNER /APPLICANT iak Island Borough community Development Department 710 Mill Bay Road, Room 204 Kodiak, Alaska 99615 (907)486 -5736 Ext. 255 Zoning Compliance #: Name: K©l%lAR '—�� .�� boe.eu L-t Address: ( 0 /1,/\ (t-� 5/0\--t" \Y j AD 2. LEGAL DESCRIPTION OF PROPERTY Telephone: Street Address: 16/0 C (G1 -1-F, G .---1 Prz Lot, block, subdivision: j�j 3 j 465 - ..- SL-t, 6 Survey, other (e.g. township /range): / u '53 3s l 1 Tax code #: (2. 1 4 -3G (5 i ne, 30 3. DESCRIPTION OF EXISTING PROPERTY Zoning: i__ Square footage of lot: 3,.4 Minimum lot width: Average lot depth: Average lot width: Lot depth to width ratio: Use and size of existing buildings on the lot: 5Pr—At.-- Rear: t'� .- Sides: (J,A ,- Additional Setbacks: Ai .. A - 4. DESCRIPTION OF PROPOSED ACTION (attach site plan) r R0J-4 ,-\o cA- I -cv3ct r� zea2. 7 o-460sto tA ��. 5. ZONING REQUIREMENTS FOR NEW CONSTRUCTION Type of structure(s): Applicable policies: t31�� .S Minimum Setbacks— Front: N ../A.. Rear: t'� .- Sides: (J,A ,- Additional Setbacks: Ai .. A - Maximum projection(s) into required yards: f'v elek - Proposed action consistent with Borough Coastal Management Program — Yes-- Maximum building height: /J' A ,. y Maximum lot coverage: j\„1., . Number and size of parking spaces required: ,JA Off- street loading requiremen : Conditions attached to Consistency approval to mitigate conflicts noted above: Plat related requirement(s): Other (e.g. zero lot line): 6. CONSISTENCY WITH COASTAL MANAGEMENT PROGRAM 7. APPLICANT CERTIFICATION I hearby certify that I will comply with all provisions of the Kodiak Island Borough Code and that I have the authority to certify this as owner, or representative of the owner, of the property(s) involved. Signed Title Date 8. SUPPORT DOCUMENTS ATTACHED Site Plan: Other: 9. BOROUGH STAFF APPROVAL Staff Approval: Signed Title Date Building permit #: Applicable policies: t31�� .S Proposed action consistent with Borough Coastal Management Program — Yes-- No Proposed action conflicts with policies (note policy and describe conflict): Conditions attached to Consistency approval to mitigate conflicts noted above: 7. APPLICANT CERTIFICATION I hearby certify that I will comply with all provisions of the Kodiak Island Borough Code and that I have the authority to certify this as owner, or representative of the owner, of the property(s) involved. Signed Title Date 8. SUPPORT DOCUMENTS ATTACHED Site Plan: Other: 9. BOROUGH STAFF APPROVAL Staff Approval: Signed Title Date Building permit #: D JIL_UIIV l7 UtrHK 1 IVItiN 1 — LI 1 Y / BOROUGH OF KODIAK Applicant to fill in be APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING PERMIT NO. VALUATION S BUILDING FOUNDATION FRAME PLASTER FLUES FINAL • ...s.w.T'- i.. fir. SEPTIC TANK DATE ISSUED BLDG. FE PLAN CHK. FEE TOTAL PLUMBING ROUGH SEWER GAS FINISH Approved: CHIEF BUILDING OFFICAL By: 7 FINISH ROUGH ELECTRIC FIXTURES MOTORS FINAL 3N11 AlaadoN 1 PLOT PLAN I SETBACK 3N11 A163dOad STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY NUMBER OF STORIES AREA OF LOT TOTAL HT. FRONT YARD SETBACK FROM PROP. LINL SIDE YARD SETBACK FROM PROP. LINE REAR YARD Approved: ZONING ADMINISTRATOR BUILDING ADDRESS .. -.� ,. CLASS OF WORK NEW DEMOLISH LOCALITY ALTERATION REPA I R ADDITION MOVE NEAREST CROSS ST. USE OF BUILDING 4- _4, `• cr Z o NAME SIZE OF BUILDING HEIGHT NO. OF ROOMS MAIL ADDRESS y/ /� !'' fl ( NO. OF FLOORS CITY - 4/"I-. NO. NO OF BUILDINGS NO. OF BUILDINGS NOW ON LOT U Ed H W S Z Z Q w NAME -''',.-,r-, - " NO. OF FAMILIES ADDRESS SIZE OF LOT USE OF BLDG. NOW ON LOT CITY L SPECIFICATIONS STATE LICENSE NO. FOUNDATION MATERIAL EXTERIOR, PIERS 0 F- U K Q F- Z 0 NAME WIDTH OF TOP ADDR[ 5s WIDTH OF BOTTOM DEPTH IN GROUND CITY R.W. PLATE (SILL) STATE LICENSE NO. SIZE SPA., SPAN CyIRDERS LEGAL DESCRIPTION SUBDIVISION / �-�GJ 6,,,J J1 s5e1.7 1_ .5� QV(o JOIST Isl. FL. JOIST 2nd. FL. LOT NO. Ell K --------- 1 JOIST CEILING EXTERIOR STUDS INTERIOR STUDS DO NOT WRITE BELOW THIS LINE IP 1. Type of Construction I, II, III, IV, V, VI 2. Occupancy Group A, B, C, D, E, F, G, H, I, J Div. 1, 2, 3, 4, ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS ROOF INTERIOR WALLS REROOFING FLUES FIREPLACE FL. FURNACE KITCHEN WATER HEATER URNACE GAS OIL 3. Fire Zone 1 2 3 4 :.`• -I r. 1-'t, vf. t, ;,, _. 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 BUILDING FOUNDATION FRAME PLASTER FLUES FINAL • ...s.w.T'- i.. fir. SEPTIC TANK DATE ISSUED BLDG. FE PLAN CHK. FEE TOTAL PLUMBING ROUGH SEWER GAS FINISH Approved: CHIEF BUILDING OFFICAL By: 7 FINISH ROUGH ELECTRIC FIXTURES MOTORS FINAL 3N11 AlaadoN 1 PLOT PLAN I SETBACK 3N11 A163dOad STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY NUMBER OF STORIES AREA OF LOT TOTAL HT. FRONT YARD SETBACK FROM PROP. LINL SIDE YARD SETBACK FROM PROP. LINE REAR YARD Approved: ZONING ADMINISTRATOR BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. CLASS OF WORK Buil. p ING ADDRESS K (>1)I 11-1‹ k NEW ocActiy_ t2 NEAREST CROSS ST. t‘i z NtE6D A- ),C. mpg tpizE ss 7 ALTERATION ADDITION USE OF BUILDING SIZE OF BUILDING APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY DEMOLISH REPAIR MOVE BUILDING PERMIT NO. DATE ISSUED U71 L T HEIGHT CITY VC)111 NAME :-v 1 NO. OF ROOMS NO. OF FLOORS c NO, OF BUILDINGS VALUATION /d4 Oraama BLDG. FEE PLAN CHK. FEE TOTAL NO, OF BUILDINGS NOW ON LOT 3 BUILDING PLUMBING ELECTRIC FOUNDATION NO. OF FAMILIES ADDRESS SIZE OF LOT CITY USE OF BLDG. NOW ON LOT OUGH ROUGH "•f. _11LD STATE LICENSE NO. 0 z 0 0 z 0 NAME MATERIAL SPECIFICATIONS id .f 1, FOUNDATION EXTERIOR, PIERS FRAME SEPTIC TANK FINISH PLASTER SEWER FIXTURES FLUE GAS MOTORS FINAL FINISH FINAL ADDRESS CITY WIDTH OF TOP WIDTH OF BOTTOM DEPTH IN GROUND R.W. PLATE (SILL) STATE LICENSE NO. SIZE E SPAN SUBDIVISION S P LOT NO. -- BLK, GIRDERS JOIST Isl. FL, JOIST 2nd. FL. JOIST CEILING DO NOT WRITE BELOW THIS LINE Type of Construction I, II, 111, IV, V, VI 2. Occupancy Group A, B, C, D, E, F, G, H, I, J Div. 1, 2, 3, 4, 3. Fire Zone 1 2 3 4 EXTERIOR STUDS INTERIOR STUDS ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS zi ( P1dj F; INTERIOR WALLS REROOFING FLUES A.)4,-- - FIREPLACE FL.. FURNACE KITCHEN WATER HEATER GAS AS OIL 1 hereby acknowledge that I have read this application and state that the above is correct and agree to comply y Or inand and State ildin uctio • with all Laws reg Applican it WOMB 'Led- l Qeja.„,,,;(445 40-7-eix-e4 Approved: CHIEF BUILDING OFFICAL By: 22-2 3N1"1 Al2:13dO2:1d PLOT PLAN 3NI-1 ) iJdOldd STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY NUMBER OF STORIES AREA OF LOT PtiL; Ilo_s 1- 0 00 TOTAL HT X/S FRONT YARD SETBACK FROM PROP. LINE SIDE YARD SETBACK FROM PROP. LINE REAR YARD //0 Approved: ZONING ADMINISTRATOR By:4/:le/c e.g/? ',wraireitut25,2725711F;,-;zeararrcia,...12-F24-7,-.4 =iel-goail © GOES 460.1/;---- • • •A- :34.% LITHO IN U.S.A. CASH RECEIPT Kodiak Island Borough v1t RECEIVED FROM • 700 UPPER MILL BAY ROAD P.O. BOX 1246 KODIAK, ALASKA 99615 PHONE (907) 486-5736 (1:1.-- ...54:D DATE 4069 19• EUND CLIE 010 — 000 — 101 10 — 00 ' 1TEM , , DEBIT f ,di t ' ,-CR.1 1 1, • ) 6 CASH 010 - 000 - 322 - 11 - 00 BUILDING PERMIT MEM MOM 010 - 000 - 322 - 90 - 00 ZONING PERMITS 010 - 000 - 341 - 50 - 00 SALE OF MAPS - ., ...,„ 010 - 000 - 341 - 51 - 00 .'SA'LE OF COPIES PROPERTY TAX , .. e LAND SALE PAYMENT-- ,.--'.:4,4., .5. . , PER ATTACHED .%._.--3';-,:---,,, . 1111111.11.1=111111.111 EMI 10111111111111.11=111 1111111111111111111111111.111 1111.11111111111111111.11111 IMMO CONDITIONS OF CHECK PAYMENTS TOTAL PAYMENTS TENDERED BY CHECK FOR OBLIGATIONS DUE TO 0 0 0, THE BOROUGH ARE SATISFIED ONLY UPON THE CHECK BEING HONORED. RETURNED CHECKS FOR ANY REASON RESTORES THE OBLIGATION AS UNPAID AND SUBJECTS THE PAYER TO ANY CHARGES, FEES OR OTHER LEGAL LIABILITIES AS MAY BE APPLICABLE. CASHIER OS C JXJCASH 0 OTHER PAYMENT MADE BY: CHECK NO. FM0E1-5111315 ,