KILLARNEY HILLS BK 3 LT 6 - ZCPKODIAK ISLAND BOROUGH Community Development
710 Mill Bay Road (Room 204), Kodiak, Alaska 99615-6340 - Phone: (907) 486-5736, extension 255 or 254 ZONING COMPLIANCE
PERMIT Permit #:. L- Z- 9 / _0-o s-----
1.
1.
2.
3.
Property Owner/Applicant:
Mailing Address: 6c( 2
--1-or•.-. �ICa,'}r1'u1 w: Z c,Lt,/^
Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: )
KO Irl l 1''k_ Phone: SC. 3 i' (' a
/J 2 C "-) -
Legal Description: L- 9T 6 BK 3i ({ILt, fwit e/ J fi L.LS
Off-street loading requirement: iv/n
,
Street Address: 2 i ( mk,uravy ujerit Tax Code #: te% / g--.00 3 )O 6 C7
Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): nArn—f
Description of Existing
Minimum Required Lot Area: 7�
Property/currentzoning: - 1
CT 7 4 Width: b0
Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): Y1.cyy7 0
/
/ t/
Actual Lot Area / (j Width: %5
l
Minimum Required Setbacks: Sides: 5-7
Front: 2 r I Rear: / /
-
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Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business:
Maximum Building Height: 3,5'
Industrial: Other (list):
Use and size of existing structures on the lot:
j)II RE*,
Is the proposed action consistent with the KB Coastal Management Program? - Yes: c—..--------- No:
r
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: l.-----'
4.
Description of proposed
action (attach site pian):
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5.
Applicant Certification:
I agree to ave kientitlable corner markers in
By: 1AAYVVICA‘ Uf.,
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.
place in t field for verification of setbacks.
Date: Title:
Supporting documents attached (check): Si
e plan: As-built survey: Other (list):
6.
Community Development staff
for zoning, by: /I
Date: / ?( Title: Peet-A4AlLt.,s/
✓ `
.21_
7.
Fire Chief [City of Kodiak, Fire District
N1 (Bayside), Womens Bay Fire District[ approval for UFC (Sections 10.207 and 10.301C) by:
Date:
8.
Driveway Permit (State, City of Kodiak,
Borough) Issued by: Date:
9. Septic system PLAN approved by: Date:
Distribution: File/Building Official/Applicant THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
July 1990
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-8070 700 Mill Bay Road
N 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
NAME:
USE OF BUILDING AUTHORIZED BY THIS
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
PERMIT:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
( 7 I
CRAWL SPACE VENT SQ. FEET
A B E H I M R
RECEIPT NO.: r t`
N
CITY & STATE:
SIZE HEIGHT
SPECIES
DIV. 1 2 3 4 5 6
EACH OF THE FOLLOWING STAGES OF
CONSTRUCTION REQUIRES INSPECTION
BE REQUESTED & COMPLETED PRIOR TO
E
NO. OF ROOMS STORIES
STRUCTURAL
& GRADE
SIZE
SPACING
SPAN
R
TELEPHONE
NO. OF FAMILIES
GIRDERS
TYPE OF BUSINESS
GIRDERS
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
A
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
1 11 111 IV V
PROCEEDING WITH ANY FURTHER WORK:
FOR INSPEC110NCALL 486-8070
R
SIZE OF LOT
JOISTS 2ND FLOOR
C
WATER: PUBLIC
I
PRIVATE
JOISTS 2ND FLOOR
H
CITY & STATE:
SEWER: PUBLIC
k II
PRIVATE
CEILING JOISTS
N 1 -HR FR H.T.
EXCAVATION
/
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
E
TELEPHONE :
BEARING WALLS
UNDERGROUND UTILITIES
N
G
FOUNDATION
INTERIOR WALLS
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
STATE LICENSE :
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
APPROVED
ROUGH ELECTRICAL
ROUGH PLUMBING
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
ADEC APPLICATION:
FINAL
C
SUBMITTED
DATE C.O. ISSUED:
N
MAILING ADDRESS:
FLOOR
WOOD HEATER YES NO
FINAL APPROVAL
T
WALLS
ALASKA FIREMARSHALL REVIEW:
SUBMITTED: APPROVED:
R
CITY & STATE:
ROOF
TYPE
A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT IS
C
TELEPHONE :
FINISH MATERIAL:
1
ROOF
CORRECT AND THAT I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS
REGULATING BUILDING CONSTRUCTION
) r�`" ---- 1
APPROVED -BUILDING OFFICAL:
O
STATE LICENSE :
EXTERIOR SIDING
R
INTERIOR WALLS
APPLICANT:
NOTES: