KODIAK TWNST BK 8 LT 6A,B,C - ZCP (2)Kodiak Island Borough Community Development Department
ZONING COMPLIANCE PERMIT
1. Property Owner/Applicant
Name: V + t-2 ayux
Zoning Compliance #:
Mailing address:
020 141tG/ f7 faekad
Telephone #:
2. Zoning Requirements for New Construction - Description of Proposed Action (attach site plan) uc
Use of proposed structure(s): /� e/P14- 0• f
pv-S /U A . (A.AN
Road access for emergency vehicles: Yes
(contact Fire Chief for confirmation)
Water supply adequate for public use, institutional use. commercial, and residential
structures larger than a triplex: Yes No Date
(contact Fire Chief for confirmation)
Lot area 4, Z /1 S.t.
Minimum setbacks - Front
Sides - Left:
Maximum building height
Maximum lot coverage'
Lot width -
Rear
NUJ
Right
S/
Number and size of parking spaces required*
Off-street loading requirement
Plat related requirements:
of x 2_0' (A)_,
Other (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.):
*z.1.:4--,,,:t„„u,
7. Borough Staff A
Legal Description of Property
Street address'
Lot, Block, Subdivision'
/till /3
J ml- 6/f, "6 e/ �ca
i 41a -e4 2,,
Survey, other (e.g. Township/Range)• Tax Code #'R. ' 17 -t bog 60 71
Description of Existing Property
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Zoning: 3 Minimum Area: ��(�,�j1�� Mini(m)um Lot Width'
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`(tr(7 "5 L` �rn-Q � �' 1,
Cel5s i
Use and size of existing buildings on the lot
5. Consistency with Coastal Management Program
Applicable policies - Residential:
Other.
Business:
Industrial*
Proposed action consistent with Borough Coastal Management Program - Yes: Lam: No*
If proposed action conflicts with Coastal Management Program policies, attach a sheet that notes the policy(ies), describes
the conflict(s), and notes the condition(s) attached to the consistency approval to mitigate these conflicts.
Attachment - Yes No
6. Applicant Certification
I hereby certify that I will comply with all provisions of the Kodiak Island Borough Code and that I have the authority to
certify this as owner, or representative of the owner, of the property involved. I agree to have corner markers in place for
verification of setbacks.
Signed'
Owner.
Support Document ttached - Site Plan*
dl
s Built Survey
Signed ` ' :: �� Title: F7410749- !— Date*
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
Date'
Other
re4er
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Distribution: White to File
Yellow to Building Official - Pink to Applicant
Kodiak Island Borough Community Development Department
710 Mill Bay Road (Room 204), Kodiak, Alaska 99615-6340. Phone (907) 486-5736, extension 255.
July 1, 1988
BUILDING DEPARTMENT - KODIAK 'SLAND BOROUGH 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.)
SUBDIVISION/SURVEY
CLASS AND SCOPE OF WORK
NEW DEMOLISH
LOT NO. BLOCK NO.
ALTERATION REPAIR
V
BUILDING PERMIT NUMBER
ADDITION
MOVE
STREET ADDRESS
USE OF BUILDING
VALUATION: (BASIS)
NEAREST CROSS STREET
SIZE OF BUILDING „ e HGT
NO. OF ROOMS FLOORS
i
NO. OF FAMILIES
NAME
ii
NO. OF BUILDINGS NOW ON LOT
AMOUNT
r�
USE OF BUILDINGS
DATE ISSUED
BLDG PERMIT FEE
PLAN CHK FEE
TOTAL.
INSPECTION SCHEDULE
W MAILING ADDRESS
Z
O CITY, STATE TELEPHONE
SIZE OF LOT
11
WATER: PUBLIC
PRIVATE
SEWER: PUBLIC PRIVATE
SPECIFICATIONS
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2(7
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NAME
ADDRESS
FOUNDATION
EXT PIERS
BUILDING
FOUNDATION
FRAME
PLUMBING
ROUGH
ELECTRICAL
ROUGH
SEPTIC TANK FINISH
PLOT PLAN
(A SITE PLAN MAY ALSO BE REQUIRED)
REAR PROPERTY LINE
TYPE
PLASTER/BD
FLUES
FINAL
DEPTH IN GND
CITU, STATE
STATE LICENSE NO.
NAME
HGT FIN GRADE
P.T. PLATE (SILL)
STRUCTURAL
SIZE
SPA.
SPAN
GIRDERS
JOISTS 1ST FLR.
JOISTS 2ND FLR.
JOISTS CLG
ADORE EXT STUDS
CITY, STATE
STATE LICEIJSE NO.
(FOR OFFICE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
A BEH IMR
DIVISION 1 2 3 4 5
2. TYPE OF CONSTRUCTION
I III IV V
FR 1 -HR. N H.T.
INT STUDS
SEWER FIXTURES
GAS MOTORS
FINISH FINAL
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.
NOTES:
INSTALLATION OF (MINIMUM) 18 -INCH BY 20 -FOOT CULVERT IS REQUIRED
AT EACH DRIVEWAY ACCESS TO THE PROPERTY.
SANITATION PLAN APPROVAL BY AN ADEC-CERTIFIED INSTALLER IS
REQUIRED PRIOR TO ISSUANCE OF A BUILDING PERMIT WHERE PUBLIC
WATER AND/OR SEWER I5 NOT AVAILABLE FROM A CERTIFICATED
MUNICIPAL SYSTEM.
INSTALLER'S PLAN APPROVAL RECEIVED
INSTALLER
ROOF RAFTERS
TRUSSES
BEARING WALLS
INSULATION, FNDN
WALLS ROOF/CLG
SHEATHING, WALLS/EXT
ROOF FLOOR
FINISH, EXT WALLS
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
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
OWNERSHIP TRANSFERRED, IN PROCESS, TO:
PER
CLOSING DATE, DEED RECORDED (BY)
APPROVED, BUILDING OFFICIAL
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FRONT PROPERTY LINE
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
NO. OF STORIES TOTAL HGT
AREA OF LOT
SETBACKS FROM PROPERTY LINES:
FRONT REAR
SIDE (L) SIDE (R)
REQ'D OFF-STREET PARKING
C.U.P. OR VARIANCE
APPROVED, ZONING OFFICER _-�