KILLARNEY HILLS BK 4 LT 3 - ZCPKODIAK ISLAND BOROUGH Community Development
710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615-6340 - Phone: (907) 486-9362 ZONING COMPLIANCE
FEE: $10.00
PERMIT Permit #:'C.__ Z- ? 3 --/Dz.,
1.
2.
3.
.
Property Owner/Applicant: 2= ' %At\'4- V --\-c' r• f_
Number and size of parking spaces required (onsite identification of parking spaces is required - Yes:No:
)
—S �� 1(k i� /
Mailing Address: v t- ZZ l Phone: k `-f Pl.-5 4-5 9
Legal Description: I-- 3 t3 Lk Lt /1-,./4"--
s
Off-street loading requirement: N
Street Address: 3Z3� CO`�O � C-0 y Tax Code #: (2 I )O <fc 3c7
r'�I
Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): /v 1�
Description of Existing ProperrtyicurrentZoning: I 2.-2,
Minimum Required Lot Area: —4/ 25-6 0 Width: CoC�_ w - - ''
Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): �(�
Actual Lot Area: / 3 5 `� 5 q) Width: � " '
Minimum Required Setbacks: Sides:/ / S w
Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business:
Front: Z 5 -?J f C P� .�
�Rear:
Maximum Building Height: `i 3 5-e-��.f fes,
Industrial: Other (list):
(�
Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No:
Use and size of existing structures on the lot:
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:
4.
Description of proposed action (attach site plan): ' l= 2 a G -14-e.4- grc --)f I,,..n4,.,so-,,._s 34-.1277_,
D.
Applicant Certification: I r'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 identi ' le ne . ers in place in the field f. verification of setbacks.
By: / 4 , Date: L / 7 " /S -- 9' 3 Title:
•
Supporting docume attached (ch .. ite plan:
wilt survey: Other (list):
_
1a�
6.
4/15/93 1 :44:38 Duaane
I D ZCP
Community Development staff for zoning, by: �---- Date: Title: ORM LI
- _
%.
Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C)
by: MDate:
8.
Driveway Permit (state, City of Kodiak, Borough) issued by: Date:
9. Septic system PLAN approved by: Date:
Distribution: File / Building Official / Applicant /AssessingTHIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
July 1992
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 NUMBERS
DATE OF APPLICATION:
LOT: BLOCK:
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
DATE ISSUED:
ALTERATION
REPAIR
TYPE
.....
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
«
-\ /r
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
ozwrr 1
NAME
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
ABE H I MR
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
DIV. 1 2 3 4 5 6
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
TYPE OF BUSINESS
GIRDERS
A
R
C
H
E
N
3
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
1 II III IV V
N 1 -HR FR H.T.
ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
TELEPHONE:
FOUNDATION
BEARING WALLS
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
1 C
N
T
R
A
C
T
0
R
NAME:
SHEATHING TYPE & SIZE:
- ''
FURNACE TYPE: �f.
FLOOR
APPROVED
ROUGH ELECTRICAL
WOOD HEATER YES NO l
1WE
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
471/
APPLICANT: -r
FINAL APPROVAL
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPROVED:
TELEPHONE:
FINISH MATERIAL:
ROOF
APPROVED - BUILDING OFFICIAL:
STATE LICENSE:
EXTERIOR SIDING
INTERIOR WALLS
NOTES:
UTILITY CONNECTION FEE
WATER $ DATE
SEWER $ RECEIPT #
TOTAL $ CASHIER