KILLARNEY HILLS BK 3 LT 11 - ZCPIll_AJIAll IJLHEN U 1:SUICl../L/l_irl Lommunity uevelopment
710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615-63,10 - Phone: (907) 486-9362 ZONING COMPLIANCE
.1)20.00
PERMIT Permit #: C.. z- cl 6 0 / 0
1. Property Owner/Apillitant: SA/2,g, A L -r-•
Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No:
Mailing Address: -P>DY 1.* -73 Thpdc 4 Phone: 4 ez, , 6 2... a
3 1 '->e-- L 8 _s c-k_ce—s'
2. Legal Description: , • ., 14 - ..i.,,.. 1,.....„, •
.5,
Off-street loading requirement: .
Street Address: '.2-66... \A-647 \A -b4/1 1,0012 Tax Code rt: R Ai co 30 1
(2)
Plat related requirements (e.g., plat otes, easements, subdivision conditions, etc.): c*- — --'()
3. Description of Existing Property/current Zoning: 2
....aLce..,,,er\-r-- /1--\
Minimum Required Required Lot Area: --q- 245-D .S Width: IV-
Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): r\--
Actual Lot Area: '1'4(04- h R.. VVidlh: g?'e
j—
Minimum Required Setbacks: Sides: r.D
Front: ----.9 Rear: i D/
Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business:
Maximum Building Height: -• '
Maximum
Industrial: Other (list):
' __...—..r. Use and size of existing structures on the lot: VeA_C—,2-TIs
the proposed action consistent with the KIB Coastal Management Program? - Yes: t7--- No:
If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ies),
describes the conflici(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No:
gDescription of proposed action (atiaCh 5ite plan): 6
,...,
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
52 Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak kland Brough Code and that I have the authority to certify this as the property owner.
or a:. a representative of Ihe proporty owner. 1 agree to have identifiable corner markers in place in the field for verification of setbacks.
Bv:
Supporting dotum nts attached .1 hrek): Sit( an:
Title:
Ais-huilt survey.
Dale:
b
Other :
6. Community Development staff for zoning,
V:
Title:
(
0000030 000017976
3/19/96 1150:32 Tom
PAID 20.00 ZCP
FREE FORM LINE 41
22
43
44
7. Fire Chief [City of KoclioL, fire District #I (Bayside), Womens Bay Fire Districtl approval for UFC (Sections 10.207 and 10.301C) by: Date:
8. Driveway Permit (State. City of Kodiak, Borough) issued by: Dale.
9. Septic system PLAN approved by: Date:
Distribution: File (original) ! Building 1dip ial! Applic ant / ksses,ing
July 1, 1914
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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
(OFFICE USE ONLY)
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
STREET ADDRESS:
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
LOT: BLOCK:
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
DATE ISSUED: /
-, ,
ALTERATION
REPAIR
TYPE
, r„;9'
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS---
y /'
.. v
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
O
W
R
NAME:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
V -r
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
GROUP:
CRAWL SPACE VENT SQ. FEET
ABEFHIMRSU
,7--,/E
', G
CITY & STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
NO. OF FAMILIES
GIRDERS
rr fit!'
DIV. 1 2 3 4 5 6
OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
TYPE OF BUSINESS
GIRDERSEACH
A
R
C
H
E
N
G
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
i' ,' 1 --4r,
-C,
'
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
IP: >7,4j1 4M
^,„_,„(
WATER: PUBLIC
X
PRIVATE
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
I II III IV V
N 1 FR H.T.
ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
CITY & STATE:
SEWER: PUBLIC
Y
PRIVATE
CEILING JOISTSr,
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
/ y a
[+r,Ir
TELEPHONE:
FOUNDATION
BEARING WALLS
1
� yl,
!
�'
INTERIOR WALLS
y 777 i). .
-HR
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES "Z — j,
1C (fr r7. "/ 0.,,(„-2.
'
,- j
—
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
C
O
N
T
R
A
C
T
0
R
NAME:
Y1'1'
SHEATHING TYPE & SIZE:/
FURNACE TYPE:
1 , ” `� ; 0
FLOOR , 4 �t L C
/ i 'irk%
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
WOOD HEATER t YES NO
TYPE /'G.. rr-M .A. I'1'
ROUGH PLUMBING
WALLS''";
ADEC APPLICATION:
FINAL
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
TELEPHONE:
FINISH MATERIAL:
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPROVED:
ROOF
STATE LICENSE:
EXTERIOR SIDINGiJ
-.
'-_
��` ---
APPROVED - BUILDING OFFICIAL:'
INTERIOR WALLS '` + ; ,:.;.- -
NOTES:
iy
Rev. 1-97
PRINTED IN KODIAK, ALASKA BY C&A PRINTING, INC.