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KODIAK TWNST BK 8 LT 3 - ZCP
LAJINIn 1. VALE" _Ulan ..L' PLS 1t1V111 Permit ( C z tS = G 525.00 Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak,'AK 99615 PH:(907)486-9362 Fax(907)486-9396 httpi/www.kib.co.kodiak.ak.us 1. Property Owner/Applicant: reera a /vlart'/t` pv Mailing Address: 5 I S i'Lca e•^ N e c t'ki y k lc 5— 2. Legal Description: ,"cc. 4�-. 3.4 kip Dr Street Address: ,000 Aei Vero 44Z. 3. Description of Existing Property/Current Zoning:_ Minimum Required Lot Area: 7 a 00 4 Actual Lot Area: f, 76`f Minimum Required Setbacks: Front: Rear: • / Use and size of existing structures on the "lot: r?oc 44. JLa it.11,Q . Number & size of parking spaces required per parking/site plan dated: A:e vn6,61:9 tun tot Phone: Irk -i{igy (bu9N•1'r4r. Tax Code: R —350—o Seg —632--- 3 o3Y 3 Width: GO " Width: , Side: -t P ` Maximum Building Height: (Rei& -1 ') . Off-street loading requirements: Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditioris, drainage plan review, etc.) Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc) Coastal Management Program Applicable Policies (check appropriatetcategory) Residential / Business Industrial - Other Is the proposed action consistent with the KIB Coastal Management Program: Yes .'/ No Attachment: Yes No Description of proposed action (attach site'plan): TpGr O Covia el; i- OA! ten / InP 141 Sh'h5/es rt'Cri✓ 5Xee7/in,) A 1 / • 72-A close_ 401 e “Lii-A `l/ei re (Ace Ae t. = i- r; 1J r q.Q r • kei Sel o es better ea p(etc e_ 7-10,�rs) N:ICDITemplaies1ComDerkZoning C pliance Perrnicdoc Zoning Complia ' ermit Fee Payable' ashier' Office fi11E6 ' A;,/89/2W5 8/4893242 Zoning Cop PAID 25.08 *Paid igg uli **w' in cedt`a4),-Islad sono g—r " Kodiak AK 99615 0507) 486-93E4 THIS FORM DOES NOT AUTHORIZE CONSTRUCTION ENA **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 IKIBC 17,03.060. 4. Other: Subd. Case #: IPlat #: Bldg Permit #: i 5. Driveway Permit (State, Borough, Chi) by/date: 6. 'Applic'ant' 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 ' '- '' ' representative of the property owner. 1 agree to have identifiablecomermarkers in place in the field for verification of, ttbhcks., • By: Date: Title: Supporting documents attached (check one): Site Plan As -Built Survey: Other (List): 8. Com�ty Dev a ' ment staff for zoning, By. ts`"� Title: Date: 6;4gb 9. Fire Marshal (UFC) by/date: 10. Septic System -Plan Approved lay/date: 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 immediatelyto determine if further review and approval of the revised prosect is necessary. (44 Solid Waste Fei (Per KIB Resolution 2003-20) Kodiak Island Borough, Engineering & Facilities Department, 710 Mill Bay Road (Rm. 223), Kodiak, AK 99615 PI -L(907)486-9348 Fax(907)486-9394 http://www.kib.co.kodiak.ak.us THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT OR ZONING COMPLIANCE PERMIT IS REQUIRED 1. Property Owner/Applicant: Gra—LA MA K 44 14A Mailing Address: 5 r? ✓lAc, r, N e 4 2 -in Phone: 4/74—‘,444./ 2. Legal Description: 'K g — L -7t ,g /.4.), , k• 7 .i 4- ` / y Street Address: a iki4s Ae ;l r v n -04 3. Description of proposed action (attach site plan): —Tear / Ing / DFf OCwW'n5, 4,1anf (oo t Shy C S Tax'Code: R 344p—©so I roll -0 5. -ter /1'n us Fir e/e.t ' Y? (/ae e goo -C1 n4 W i /-h ht e /a L to d G�. Q/ 5 `r\elej 5 re rill 4. 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 thy property. owner. By: Date: 2erAijr. -CA /o ff Title: Supporting documents attached (check one): Site Plan As -Built Survey: Other (List): % 8. Solid Waste Disposal Fee: (check one) v 250 square feet or less: 500 square feet or Tess: >500 square feet: (See attached form for details) re� cios-6 NICD\Templates\ComDevlF-Solid Waste Fee.doc $250.00 Deposit $500.00 Deposit $1:000.00 Deposit Et. Oct Solid Waste Disposal Fee KODIAK ISLAND BOROUGH BUILDING DEPARTMENT - KODIAK ISLAND BIC (APPLICANT TO FILL IN ALL INFORMATION WITHIN HEAVY LINES. GH APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY PLEASE PRINT, USE BALL-POINT PEN, AND PRESS FIRMLY.) BUILDING PERMIT NUMBER DATE ISSUED SUBDIVISION/SURVEY LOT NO. BLOCK NO. STREET ADDRESS CLASS AND SCOPE OF WORK NEW DEMOLISH ALTERATION REPAIR ADDITION MOVE USE OF BUILDING VALUATION: (BASIS) SIZE OF BUILDING ,HGT NEAREST CROSS STREET NO. OF ROOMS FLOORS W Z 0 A NO. OF FAMILIES 11 NO. OF BUILDINGS NOW ON LOT USE OF BUILDINGS AMOUNT 4--. 1 , / BLDG PERMIT FEE PLAN CHK FEE f ) TOTAL INSPECTION SCHEDULE MAILING ADDRESS SIZE OF LOT WATER: PUBLIC PRIVATE BUILDING CITY, STATE TELEPHONE SEWER: PUBLIC PRIVATE FOUNDATION FRAME PLUMBING ROUGH SEPTIC TANK ELECTRICAL ROUGH FINISH PLOT PLAN (A SITE PLAN MAY ALSO BE REQUIRED) REAR PROPERTY LINE SPECIFICATIONS PLASTER/BD SEWER FIXTURES NAME FOUNDATION TYPE ADDRESS CITY, STATE DEPTH IN GND HGT FIN GRADE EXT PIERS FLUES GAS MOTORS FINAL FINISH FINAL P.T. PLATE (SILL) EACH OF THE ABOVE INSPECTIONS MUST BE REQUESTED AND THAT WORK APPROVED PRIOR TO ANY ADDITIONAL WORK PROGRESSING BEYOND THAT POINT, AS REQUIRED BY UBC SECTION 305. FOR EACH INSPECTION, 24 HOURS NOTICE IS REQUIRED. TELEPHONE THE KODIAK ISLAND BOROUGH ENGINEERING DEPARTMENT, 486-5736, EXT. 273. STRUCTURAL SIZE SPA. SPAN STATE LICENSE NO. CONTRACTOR NAME ADDRESS CITY, STATE GIRDERS JOISTS 1ST FLR. NOTES: INSTALLATION OF (MINIMUM) 18 -INCH BY 20 -FOOT CULVERT 15 REQUIRED AT EACH DRIVEWAY ACCESS TO THE PROPERTY. JOISTS 2ND FLR. JOISTS CLG EXT STUDS INT STUDS SANITATION PLAN APPROVAL BY AN ADEC-CERTIFIED INSTALLER 15 REQUIRED PRIOR TO ISSUANCE OF A BUILDING PERMIT WHERE PUBLIC WATER AND/OR SEWER IS NOT AVAILABLE FROM A CERTIFICATED MUNICIPAL SYSTEM. INSTALLER'S PLAN APPROVAL RECEIVED INSTALLER ROOF RAFTERS TRUSSES STATE LICENSE NO. BEARING WALLS INSULATION, FNDN (FOR OFFICE USE ONLY: CIRCLE) 1. OCCUPANCY GROUP A B E H I M R DIVISION 1 2 3 4 5 2. TYPE OF CONSTRUCTION I II III IV V FR 1 -HR. N H.T. WALLS ROOF/CLG SHEATHING, WALLS/EXT ROOF FLOOR FINISH, EXT WALLS ROOF FLUES, FIREPL WOOD HTR KITCHEN WATER HTR FURNACE, TYPE 1 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 PRIOR TO THE ISSUANCE OF A PERMIT, EITHER THE OWNER OF THE PROPERTY OR HIS AUTHORIZED AGENT MUST SIGN THIS APPLICATION OR GRANT OTHER WRITTEN PERMISSION FOR THE DESCRIBED WORK TO BE PERFORMED. TAX LOT NO. DATE OWNER PER OWNERSHIP TRANSFERRED, IN PROCESS, TO: PE R CLOSING DATE, DEED RECORDED (BY) L , M 1�l Llir ISt151,4 LAT7 tA1 12'+ I li, Cri r u 14-;11"(►•1Co _=. )e L2(E31 (/IL.- ^ -31 AO) 1-4c 164-r 0 t I('C(,4IG'{; . WILL APPROVED, BUILDING OFFICIAL DE PROPERTY LI FRONT PROPERTY LINE L SIDE PROPERTY LINE STREET NOTE: APPLICANT SHALL SHOW BUILDING SETBACKS FROM PROPERTY LINES, AS PERPENDICULAR DISTANCES FROM PROPERTY LINES TO BUILDING. DIMENSIONS OF STRUCTURE SHALL BE SHOWN ON THE PLAN. ZONING CODE COMPLIANCE ZONING DISTRICT - TYPE OF OCCUPANCY i NO. OF STORIES TOTAL HGT AREA OF LOT / ' , 7' ,<'V'4X SETBACKS FROM PROPERTY LINES: FRONT REAR ' A, A SIDE (L) SIDE (R),...„..`- ' / REQ'D OFF-STREET PARKING /4_ (, C.U.P. OR VARIANCE APPROVED, ZONING OFFICER BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE Applicant to fill in between heavy lines. BUILDING AUDRLSS LOCALITY NEAREST CROSS ST. CLASS OF WORK NEW DEMOLISH NAME MAIL ADDRESS CITY TEL. NO. NAME ADDRESS ALTERATION REPAIR ADDITION MOVE USE OF BUILDING CITY STATE LICENSE NO. NAME ADDRESS CITY STATE LICENSE NO. SUE3DIVISION C,c oiL Town Sl' LOT NO 3A DO NOT WRITE BELOW THIS LINE . Type of Construction I, II, III, IV, V, VI 2. Occupancy Group A, B, C, D, E, F, G, H, 1, J Div. 1, 2, 3, 4, 3. Fire Zone 1 2 3 4 SIZE OF BUILDING NFIGHT NO. OF ROOMS NO. OF FLOORS NO. OF BUILDINGS NO. OF BUILDINGS NOW ON LOT NO. OF FAMILIES SIZE OF LOT USL 01 E1LI)G. NUW ON L01 SPECIFICATIONS FOUNDATION MATERIAL EXTERIOR, OF OCCUPANCY BUILDING PERMIT NO. VALUATION S BUILDING FOUNDATION FRAME PLASTER DATE ISSUED BLDG. FEE PLAN CHK FEE TOTAL PLUMBING ROUGH ELECTRIC SEPTIC TANK SEWER FI U1 S GAS WIDTH OF TOP WI DTH OF BOTTOM DEPTH IN GROUND R.W. PLATE (SILL) SPA., SPAN GIRDERS JOIST 1st. FL. JOIST 2nd. FL JOIST CEILING EXTERIOR STUDS INTERIOR STUDS ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS ROO INTERIOR WALLS REROOFING FLUES FIREPLACE FL. FURNACE KITCHEN WATER HEATER I URNACE GAS OIL 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 INAL FINISH ROUGH FINISH FIXTURES MOTORS FINAL 3N11 Al83dOtid A PLOT PLAN H — H 3N11 A183dO2id SETBACK STREET PLANNING & ZONING INFO. ZONING DISTRICT is TYPE OF OCCUPANCY NUMBER OF STORIES TOTAL H I AREA OF LOT FRONT YARD SETBACK FROM PROP. LINE SIDE YARD SETBACK FROM PROP. LINE REAR YARD Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR By: By: