KILLARNEY HILLS BK 4 LT 5 - ZCPKODIAK ISLAND BOROUGH Community Development
FEE:
710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615-6340 - Phone: (907) 486-9362 ZONING COMPLIANCE PERMIT Permit #: CZ-� 3 —D3BB
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t Property Owner/Applicant:
Mailing Address: 2 I Phone: Q0J `J-4
2 Legal Description: /vt /. 'i/< /` i,,4J2 "lam' /
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Street Address: / ‘c.��x� �L� „Ai') I\ Tax Code #:
3. Description of Existing Propertyicurrentzoning:>
Minimum Required Lot Area: . (D Width: t(._ :'
Actual Lot Area:
191
Minimum Required Setbacks: Sides: r
Front:
Width:
C)r
Maximum Building Height:
Rear: I(
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:
Off-street loading requirement:
9 t)v)
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):
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:
4. Description of proposed action (attach site plan):
1r2—. -
Pr
5. 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 M ntifia le c y* markers in place in the field for verification of setbacks.
By:
Date: -C-7 / Title:
Supporting documents attached (ch6lf): Site plan:
As -built survey: Other (list):
0000030 000004434
5/07/93 16:26:29 Bob
p
42
Community Development staffforzonin
Date: s0,I 193 Title:
C_D
7. Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.3010 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 /AssessingTHIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
luly 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 NUMBER:
DATE OF APPLICATION:
LOT: BLOCK: -
.!'
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE: 2(5, ,
DATE ISSUED:
C._7 '' (r'
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
0
W
ECITY
R
NAME:
/VIA fietI -
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USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
AB E H 1 MR
r
CRAWL SPACE VENT SQ. FEET
& STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
-f-; t- - r -)._`J 9.
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
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
PRIVATE
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
I 11 111 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 1it.c-r�-/~
BEARING WALLS
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS /
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
0
NMAILING
T
R
A
C
T
O
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
FLOOR
APPROVED
ROUGH ELECTRICAL
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
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:
TELEPHONE:
FINISH MATERIAL:
ROOF
APPROVED - BUILDING OFFICIAL:
STATE LICENSE:
EXTERIOR SIDING
INTERIOR WALLS
NOTES: „/r
UTILITY CONNECTION FEE
WATER $ DATE
SEWER $ RECEIPT #
TOTAL $ CASHIER