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Permits C'_' Z.-1 5 - (e,
$25.00
Kodiak Island Borough, Community Development Department, 710 Mill Bay Roadt(Rm. 205), Kodiak,'AK 99615
PH:(907)486-9362 Fax(907)486-9396 http://www,kib.co.kodiak.ak.us
1. Property Owner/Applicant: 6erc Ll Mart'/eq wt
Mailing Address: 4 1 S ilAR A nre i&c:/ eE Eo 4` Phone: 15% -i%/Sy
2. Legal Description: ,A,Cf. Lt. 3.9 , r>,'4/Cr u9iz 4r
Street Address: ao(o f5AAVtaro-f—L Ta* Code: R -354)-o so
3. Description of Existing Property/Current Zoning:
Minimum Required Lot Area: 7, 7004
Actual Lot Area: f, 7 g`f
Minimum Required Setbacks: Front: AS"
Rear:... / o `
Width: CSO'
Width:
1 Side: -re's `
Maximum Building Height:
Use and size of existing structures on the lot:A, c e� , tiQ� /r g 9Q_' c� (RN,ni ' .
//'' I
Number & size of parking spaces required per parking/site plan dated:./t,,.upng2a4c.lcy
•
Off-street loading requirements:
Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc.) 1
•ti
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc)
Y
Coastal Management Program Applicable Policies (check appropriatecategory)
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):
'rec..- off eo:AA /-tort/ Sh>ine7/es
/ aPerinQ y 5',Ac/ dose- hole c4.7,1fh ,teeliell
14 e ;�o r�5 ,� c4s 4; 95 .
411r Shee 4.n5 J
reface W
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N:\CD\Tempiates\ComDev\Zoning C pliance Permit.doc +1 3
Zoning Comp!
Payable .
FIRED
0x/09/2005 10:
.0:A393242 Zoning Cep
.PAID
25.00
**Paid 0 n*'
iedraf Island Aug or
Kodiak AK 99615
t9071 486-9324
::' THIS FORM DOES NOT AUTHORIZE CONSTRUCTION
IiEN A B-I.4iiD1
1
**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 KIBC 17.03.060.
4. Other: Subd. Case #: I Plat #: Bldg Pemut #:
5. Driveway Permit (State, Borough, Ci ') by/date:
Applicant Certification: I hereby ceitify 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 identifiable_comer.markers 'in place in the field for
verifica ion of etbhcks..
By:/�-. Ig• �• rj'Yr, Title:
Date:
Supporting documents attached (check one): Site Plan As -Built Survey:
Other (List):
8. Comnity Dev o i ment staff for zoning,
74
By:
Title: M° Date: 6-14E5
9. Fire Marshal (UFC) by/date: '
10. Septic System Plan Approved by/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,
.rior to or durin• its sitin_ construction or o aeration contact this office
immediately to determine if further review and approval of the revised
project is necessary.
+ Solid Waste Fei
(Per HIB Resolution 2003-20)
Kodiak Island Borough, Engineering & Facilities Department, 710 Mill Bay Rbad l(Rm. 223), Kodiak, AK 99615
PH:(907)486-9348 Fax(907)486-9394 http://www.kib.co.kadiak.ak.us
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT
OR ZONING COMPLIANCE PERMIT IS REQUIRED
1. Property Owner/Applicant: 6ev-u..l& 1444 N Kh4 w.i,
Mailing Address: 4 t 8 1/14Ar, N e t et
4 it Phone: 474-414ei
2. Legal Description: ?1/4 y — 41 q /t
$1 etre 7 ,J Arc; ./
,Tax Code: R 34Q3-0fso .-D3a—
Street Address: bA //es Ac. urevnar
3. Description of proposed action (attach site plan):�
7Qar pPf 0vw�.1/'nsn toiv ira4"
tl r
//
f"na slre 45-/1�eiC.iil Ye p/air rro�5
I
,A n_te ?'G\ ( e4 5 Ar -1d) S
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 tit property owner.'`-
%"
By: ii " c ^n �i /1a tra�%/�x eii✓L 0 Title:
Date: 6,1/4 r
Supporting documents attached (check one): Site Plan As -Built Survey:
Other (List): /
8. Solid Waste Disposal Fee: (check one) J 250 square feet or less:
500 square feet or less:
>500 square feet:
(See attached form for details)
ew5c 6
MACE) \TcmplateslComDev\F-Solid Waste Fee,doc
$250.00 Deposit
$500.00 Deposit
$1.000.00 Deposit
Solid Waste Disposal Fee
'So a
l
BUILDING DEPARTMENT - KODIAK ISLAND B'R'A GH APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
(APPLICANT TO FILL IN ALL INFORMATION WITHIN HEAVY LINES. PLEASE PRINT, USE BALL-POINT PEN, AND PRESS FIRMLY.)
BUILDING PERMIT NUMBER DATE ISSUED
SUBDIVISION/SU R VEY
LOT NO.
STREET ADDRESS
BLOCK NO.
CLASS
AND
SCOPE OF WORK
NEW
DEMOLISH
ALTERATION
REPAIR
ADDITION
USE OF BUILDING
SIZE OF BUILDING
NEAREST CROSS STREET
W
Z
3
O
NAME ,
1 L I L
.01
NO. OF ROOMS
NO. OF FAMILIES
MOVE
VALUATION: (BASIS)
HGT
FLOORS
NO. OF BUILDINGS NOW ON LCT -r-1
AMOUNT
BLDG PERMIT FEE
PLAN CHK FEE
TOTAL
USE OF BUILDINGS
INSPECTION SCHEDULE
MA+LING ADDRESS,
SIZE OF LOT
BUILDING
WATER: PUBLIC
PRIVATE
FOUNDATION
ROUGH
PLUMBING
ELECTRICAL
ROUGH
CITY, STATE TELEPHONE
C) 1 ri i t'
SEWER: PUBLIC
PRIVATE
FRAME
SEPTIC TANK
FINISH
SPECIFICATIONS
PLASTER/BD
SEWER
NAME
FOUNDATION
TYPE
ADDRESS
DEPTH IN GND
EXT
PIERS
FLUES
GAS
FIXTURES
MOTORS
FINAL
FINISH
FINAL
HGT FIN GRADE
CITY, STATE
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 BV UBC SECTION 305. FOR EACH
INSPECTION, 24 HOURS NOTICE 15 REQUIRED. TELEPHONE THE KODIAK
ISLAND BOROUGH ENGINEERING DEPARTMENT 486-5736 EXT. 273.
STRUCTURAL
SIZE
SPA.
SPAN
STATE LICENSE NO.
GIRDERS
JOISTS 1ST FLR.
NOTES:
INSTALLATION OF (MINIMUM) 18 -INCH BY 20 -FOOT CULVERT I5 REQUIRED
AT EACH DRIVEWAY ACCESS TO THE PROPERTY.
CONTRACTOR
NAME
6
JOISTS 2ND FLR.
JOISTS CLG
ADDRESS
EXT STUDS
INT STUDS
SANITATION PLAN APPROVAL BV AN ADEC-CERTIFIED INSTALLER I5
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
CITY, STATE
ROOF RAFTERS
TRUSSES
STATE LICENSE NO.
BEARING WALLS
INSULATION, FNDN
(FOR OFFICE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
A BEH IMR
DIVISION 1 2 3 4 5
2. TYPE OF CONSTRUCTION
I II III IV V
FR 1 -HR. N H.T.
WALLS
ROOF/CLG
an.'r I nllvv, WALLS/EXT
ROOF
FLOOR
FINISH, EXT WALLS
PRIOR TO THE ISSUANCE OF A PERMIT, EITHER THE OWNER OF THE
PROPERTY OR H15 AUTHORIZED AGENT MUST SIGN THIS APPLICATION OR
GRANT OTHER WRITTEN PERMISSION FOR THE DESCRIBED WORK TO BE
PERFORMED.
TAX LOT NO DATE
OWNER PER
PLOT PLAN
(A SITE PLAN MAY ALSO BE REQUIRED)
REAR PROPERTY LINE
SIDE PROPERTY LINE
FRONT PROPERTY LINE
STREET
T
SIDE PROPERTY LINE
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
OWNERSHIP TRANSFERRED, IN PROCESS, TO
ZONING DISTRICT
PER
ROOF
FLUES, FIREPL
WOOD HTR
KITCHEN
WATER HTR
FURNACE, TYPE
I HEREBY ACKNOWLEDGE THAT 1 HAVE
READ THIS APPLICATION, THAT IT IS
CORRECT, AND THAT I AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS
REGULATING BUILDING CONSTRUCTION.
APPLICANT
CLOSING DATE DEED RECORDED (BV)
ULl C�) ' JL(/A t/N
+ � tz, I l� � ) V in '�zn K _a G t (I > 1 71/
1-k 16-4-r !.
t 1(� tr. /c{,: IA) A - CT
APPROVED, BUILDING OFFICIAL
TYPE OF OCCUPANCY
NO. OF STORIES
AREA OF LOT
TOTAL HGT 55' /A4)(
SETBACKS FROM PROPERTY LINES:
FRONT
SIDE (L)
REAR
SIDE (R) / v
k.4,1-
REQ'D OFF-STREET PARKING
C.U.P. OR VARIANCE
A
A- (_`
APPROVED, ZONING OFFICER
BY BY
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines.
OF OCCUPANCY
,lUILDING ADDRESS
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING
Z
0
NAME
SIZE OF BUILDING HEIGHT
MAIL ADDRESS
NO. OF ROOMS
CITY TEL. NO.
NO. OF FLOORS
NO. OF BUILDINGS
VALUATION
S
BLDG. FEE
s
PLAN CHK. FEE
TOTAL
U
w
w
Z
IO
Z
w
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ADDRESS
SIZE OF LOT
FRAME
SEPTIC TANK
ROUGH
FINISH
CITY
USE OF BLDG. NOW ON LOT
PLASTER
SEWER
FIXTURES
SPECIFICATIONS
FLUES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
CONTRACTOR
NAME
MATERIAL
EXTERIOR, PIERS
WIDTH OF TOP
ADDRESS
WI DTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
51ZE
SPA,
SPAN
Q
O
w
DESCRIPTION
SUBDIVISION
%odiAlt Townsi&
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO. BLK.
3A g
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
. Type of Construction
I, U,l11,IVVV',VI
2. Occupancy Group A, B, C, D, E,
F, G, H, I, J Div. 1, 2, 3, 4,
3. Fire Zone 1 2 3 4
INTERIOR STUDS
ROOF RAFTERS
1
BEARING WALLS
COVERING
EXTERIOR WALLS 1 R001
INTI RIOR WAE LS Itl 50011N1(
FLUES
FIREPLACE FL. FURNACE.
KITCHEN WATER HEATER
FURNACE
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
3N11 Al2i3dOLId
A
PLOT PLAN
3N11 Alti3dO2id
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES TOTAL HT.
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: