LAKESIDE BK 2 LT 6 - ZCPZONING COMPLIANCY PERMIT
Permit tt 6 z -
Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 99615
PH:(907)486-9362 Fax(907)486-9396 http://www.lcib.co.kodiak.ak.us
APPLICANT PLEASE FILL IN THE INFORMATION BELOW:
1. Property Owner/Applicant: (21., 77. & V
Mailing Address: P. /) h,ox 479, 5711-13‘,45
Phone: ..548:/—/A40
;.2. Legal Description: 7Lc
Street Address: I fig 5, /
-TIC/
3. Description of proposed action (attach site plan).
Tax Code: R
7 Ma
6-
4. Site Layout:
Actual Lot Area: /i15 ,10 • AL. Width: 4
Proposed Setbacks: Front: Side: 41',/z Rear zgy,, Building Height:
5. Use and size of existing structures on the lot: SFk t.
6. Number of parking space and size of parking area:
STAFF WILL PROVIDE YOU WITH A COPY OF THE APPLICABLE CODE SECTIONS THAT APPLI S
TO YOUR DEVELOPMENT ACTIVITY
Zoning District 0 Parking Requirements 0 Solid Waste Removal Requirements EEI
1/6 ID
INFORMATION FOR STAFF PURPOSES
Compliance:
Current Zoning: Use and size of existing structures on the lot:
Minimum Requiied Lot Area:ErVidth:R" Setbacks: Front:R—Side:Ei—Rear: a Building Height:R--
Number & size �f parking spaces required per paikiii/site plan: 0 Off-streetloaditiveqUiretnents: 0
• Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc.)
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.
Zoning Compliance Pe it Fee
Paya ice
Room # 104
Schedule:
(per KIB Assembly Resolution
Eff. July 1, 2005)
Less than 1.75 acres
1.76 to 5.00 acres 1.00
5.01 to 40.00ficres 590.00
40.01 acres or more S120.00
Construction Dumpster Deposit
PayabltC1ilrs.tffice
Fee Schedule:
(per MB Assembly Resolution
Eff. July 1, 2005)
Less than 250 sq.
251 to 500 sq. ft. . 0
501 or greater sq. ft. S1000.00
/ 5
CMP Application Policies
Res. ta."--- Bus. 0 Ind. 0 Other 0
Consistent with KIB CMP: Yes.felio0
Attachment: Yes0 No0
KODIAK ISLAND BOROUGH
go.aO
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
**EXPIRATION: A zoning compliance permit will become null and void if the building or use'autho"rized 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.
1. Subd. Case #: Plat #: Bldg Permit #:
2. Driveway Permit (State, Borough, City) by/date:
3. 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 identifiable corner markers in place in the field for
verification of setbacks.
)( By:
Date:
y/a°%oos
Title: Afillttiri
v/
Supporting documents attached (check one): Site Plan: El As -Built Survey: t
Other (List):
4. Com nity Dev ment Department
By: R Title: Date: 915/4(-
5. Fire Marshal (UFC) by/date:
•
6. 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,
prior to or durin its Sit n '
' g ' g., .,construction; ,or::operaiion, contact this office'
immediately to determine if further review and approval of the revised
project is necessary.
g
0
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-8070 • 486-8072 Fax: 486-8600 710 Mill Bay Road, Room 208
(APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
(OFFICE USE ONLY)
STREET ADDRESS;
l'/ r
it .5P ..C -'e?././
CLASS AND SCOPE OF WORK:
SPECIFICATIONS:
1
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
f,1 .) LI
VA)
LOT: BLOCK:
C•
NEW
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE: ,.,
DATE ISSUED:
Z_9 I:e.6 3Q'
(-, - s - C G.,
ALTERATION
-
REPAIR
TYPE r
7,71(7,/ s'; • -
;n1,Is..Z---U_-
, /t J,r'j
SUBDIVISION / SURVEY:
Z;, j,ek%' ;/ 19
ADDITION
2/
MOVE
DIMENSIONS
>77x' -t-/ '-'/'f
6 'i
VALUATION BASIS:
BUILDING PERMIT FEE:
i./ � , (.
Si `1 `i ,,
DEPTH IN GRND
is
_.'
j N
O
W"�
NCITY
R
NAME: /y
(--):turfy, t!F/-al--c-71,,,--,
> /i L (OfL¢Ydc'__/
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
. ,7y'�( ?. =r
) } 4)
;� /J'
VALUATION: �� __�
PLAN CHECK FEE:
;`), t�
-` / LA —
BOLT SPACING
' t
'
MAILING ADDRESS: f
f"� !
/951 _s/J tGROUP:
CRAWL SPACE HEIGHT -? r r
e -� h ;� , ;' INCHES
OCCUPANCY
TOTAL FEE:
(
CRAWL SPACE VENT c,..79176/ S.Q`. FEET
A B E H 1 M
;'
�'
&& STA/TE: p/�'f
11 i i ) %
Jit f r
SIZE -; //AN HEIGHT '
STRUCTURAL
SPECIES &
t/
SIZE
/SPACING
SPAN
NO. OF ROOMS r� STORIES /
,'`-
' ''
RECEIPT NO:
TELEPHONE:
. y 5/0
NO. OF FAMILIES 1
GIRDERS - ,
/VC) /7
I
ff
DIV. 1 :, 2 3 j 4 5 6
':":9
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
TYPE OF BUSINESS
GIRDERS
A
R
C
HCITY
E
N
G
NAME:
NO. OF BLDGS NOW ON LOTS._
JOISTS 1ST FLOOR-
Yf/,;j f' /,/. „ ;?k
/17
(9CJ{'_,
!S' ;1>
USE OF EXISTING BLDGS /Pp..; /4,
JOISTS 1ST FLOOR/
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
')
WATER: PUBLIC
.
PRIVATE
JOISTS 2ND FLOOR
- i
.f
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
I II III IV V
-
13 1 FR H.T.
ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
& STATE:
SEWER: PUBLIC
1,,,
PRIVATE
CEILING JOISTS
/1'7 ill-. //k.
:=2 id
11->�5r
K
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS."
//f,1,'" f/Z,
...7V.--,
`� ,-)19
,,--.1j-
TELEPHONE:
,//
FOUNDATION /71-,.--.7/e",4/,,,-,-/
•
BEARING WALLS
—
/
INTERIOR WALLS
I
-HR
I
EXCAVATION
STATE LICENSE:
WALLS :f"- `/
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING j2-5'6-)
TRUSSES
_.44- 4/9 -'7.-if.
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
UOZHOC<o12,bcr 1
NAME: J 6 1i,:e iry,
F75
SHEATHING TYPE & SIZE:�
FURNACE TYPE: f f 4 ;,.
.F'/�o, J /4
SUBMITTED
FRAMING
" , ,.J
FLOOR %-1r ,I J(', ;,1.%'!4?, f,i,y�;;Wir
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
_
70
WOOD HEATER YES ;,`'NO /1
-'
TYPE
ROUGH PLUMBING
WALLS./-' '" -
ADEC APPLICATION:
FINAL
SUBMITTED
DATE C.O. ISSUED:
CITY & STATE:
//lr(2,ii/:i - /r•.
ROOF_- t /`-;f--4 /-
-- ,-
% ° '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION,
THAT IT IS CORRECT AND THAT I AGREE TO COMPLY WITH ALL
ORDINANCES AND L S REGULATING BUILDING CONSTRUCTION
!
.f ft
APPLICANT: !'�I f'i' '�, f �✓'0,-., ,,
FINAL APPROVAL
TELEPHONE:
42 ' .� f Z"
,,i�G . ��� r'
FINISH MATERIAL: '<';1. ,,; ;� +,
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPROVED:
, -' t. '' '`
ROOF t11� n' ` ,� t ; ; r r.,1• s , i �
STATE LICENSE:
3� r� /
EXTERIOR SIDING J-41,1'�
• '‘i,,/ t" %'•-'
` i57 , �:t -f,
APPROVED - BUILDING OFFICIAL: ;`
INTERIOR WALLS ,�`) y 1:-/ /r`. ,!, t'
NOTES: % _
.� �? ',2-7.-,(...e • i i • ,/ L;2 /fid ! SYSTEM DEVELOPMENT FEE
1
r
✓ WATER $ DATE
SEWER $ RECEIPT #
•., TOTAL $ CASHIER
ev.
PRINTED IN KODIAK, ALASKA BY C&A PRINTING, INC.
KODIAK ISLAND BOROUGH Community Development
710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615-6340 - Phone: (907) 486-9362 Z O N I N G COMPLIANCE
FEE: $20.00
PERMIT Permit #: / Z- /4 — (it 3 q
1
3.
Property Owner/Applicant: ___. / 2 Y
61 I / /
Number and size of parking spaces/required (onsite identification of parking spaces is required - Yes: No:
)
Mailing Address: /967 se// o f
Phone: z 4%
/6
/ Vk Ck4 e
Legal Description: 6 //2J
VI c�
Off-street loading requirement: 44
/x/1-2
Street Address: /9�I o.XL.(�l
Tax�Code #:
� 7(/(Q/.
1LkO `Or
(JD Q
Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.):
Description of Pro eli /CurrentZonin :
P Existing P Y g
1� \
�V�.
Minimum Required Lot Area: ! -Q� S
Width: (00
Other requirements-(e.g., zero lot line, additional setbacks, projections into yards, screening, etc.):
t
Actual Lot Area: 1 t 1LAL\S S Tt.
Width:
40\
MiI`1
Minimum Required Setbacks: Sides: 5
I
Front: CDS-
t
Rear: I O
Coastal Management Program Applicable Polices (check appropriate category) - Residential: j(- Business:
Maximum Building Height: *5
Industrial: Other (list):
I
Use and size of existing structures on the lot: Sr -7
7'C Ga
Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No: A-
.
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: ,A7 No:
Description of proposed action (attach site plan):
fJ%(XO*
Z /`
e. -
( // lig co
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
Expiration: A zoning compliance permit will become null and void if the building or use authorized by such permit is not commenced with 180 days from the date of issuance, or, if the building construction or use is abandoned at any time,
after the work is commenced. fora period of 180 days. Before such work can be recommenced, a new permit shall be first obtained to do so. (Sec. 303 (d) Expiration, 1991 Uniform Building Code) per KIBC 17.03.060
Applicant Certification: I hereby certify that I will rompl% with the• provisions of the Kodiak bland Borough ('ode and that I have the authority to certify this as the property owner.
or aa repres(r t, 've of the proper tJ vner. I agree to have identifiable corner markers in place in the field fur errfie'ation of setbacks.
By:
Supporting documents attached (cheek): Site plan:
Title:i,—.7
As -built survey
6. Community Development staff for zoning, by:
Date: 9,14
Other (list
Title.: 444.4/1.4/ Date. V/ /7/
0000030 000015212
6/17150 14:08:37 bob
P R 1 D 20.00 ZCP
FREE F0f04 LINE 11.1
np
u�
03
44
7. Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) by: Date:
8. Driveway Permit (state, City of Kodiak, Borough) issued by: Dale 9. Septic system PLAN approved by: Date:
D..tri h ul lOn Fila rorie rnali ' Building (o((u eat / Applicani / Asr..r ng
lulu 1. 19,1.7
44'
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK — KODIAK ISLAND BOROUGH — BUILDING DEPARTMENT
(APPLICANT TO FI
Telephone: 486-3224 700 Mill Bay Road
IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY.)
(OFFICE USE ONLY),
STREE9ET AADDRESS ,
CLASS%%AND S OPE OF WOR
SPECIFICATIONS:
BUILDING PERMIT NUMBER:
DATE OF APPLICATION:
LOT `: ••` BLOCK
f..;•
NEW
DEMOLITION
FOUNDATION FOOTINGS TEMWALL
PIERS
ZONING COMPLIANCE
DATE ISSUED:
,r� �
!� t /f C°
]
11 '
r%i%�3 1SUBDIVISION
ALTERATION
REPAIR
TYPE `r//:f'i'll srt'
i"�1
/SURVEY: ,'`J
I .),I `` ` -.moi l i. tDEPTH
ADDITION
MOVE
-
DIMENSIONS{j
{ ? / /')
VALUATION BASIS:
BUILDING PERMIT FEE:
f
dNAME
tN GRND
• j f
E -l�€ /•1{PERMIT:BOLT
USE OF BUILDING AUTHORIZED BY THIS
'�
r C. C f % L�
REINFORCEMENTVALUATION
:::::;;;:',1i7,:aeS
r
PLAN CHECK FEE:
S } (�
! 4J .J`Y a t+a/-
SPACING ' 1` (=
MAILI/NG A KESS: �/�) If/)�
% t S / d /1 t / ll •
'2 � ..>,i/ / _ 71)6
CRAWL SPACE HEI ,. INCHES
OCCUPANCY GROUP:
TOTAL F E
'I
,
,+'"
�.r. / 2 ! 4�
. l r
CRAWL SPACE VENT ,/,',/,)--';.-- ,`x3sv! 1 ae.13/ SO. FEET
A 8 E H 1 M R/
RECEIPT NO,: ' t'; � •,�?
%
R
CITY &STATE: r
�,
%�?{ , ;"6'' r� ' / /
tr cp/tL
SIZE �l - HEIGHT
STRUCTURAL
" SPECIES
& GRADE
SIZE
SPACING
SPAN
�r
1 2 t3) 4 5 6
EACH OF, THE FOLLOWING STAGES OF
•
CONSTRUCTION REQUIRES INSPECTION
NO, OF ROOMS ;/ STORIES /
TELEPHONE ..•:rDIV.
h,
� t
NO. FAMILIES /
GIRDERS
TYPE OF BUSINESS 7'/t'
GIRDERS
'` r
A
NAME:
NO. OF BLDGS NOW ON LOT /
JOISTS 1ST FLOOR
1 iBE
USE OF EXISTING BLDGS:.''''"12V(_, X4;4 ' /'.,
JOISTS 1ST FLOOR
C_,) .,, ,
TYPE OF CONSTRUCTION
I II 111 IVV
REQUESTED & COMPLETED PRIOR TO
PROCEEDING WITH ANY FURTHER WORK:
FOR INSPECTION CALL 486-3224
R
C
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
f;
/
WATER: PUBLIC ,
PRIVATE
JOISTS 2ND FLOOR
f
H
/
CITY & STATE:
SEWER: PUBLIC
�'
PRIVATE _
CEILING JOISTS
r.J
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
L.,/
j 1 -HR FR H.T.
EXCAVATION .
BEARING WALLS
f {
G
TELEPHONE :
FOUNDATION
UNDERGROUND UTILITIESN
INTERIOR WALLS
^-
DRIVEWAY PERMIT:
FOUNDATION /SETBACKS
STATE LICENSE :
WALLS
ROOF RAFTERS
SUBMITTED
FRAMING '
ROOF / CEILING
TRUSSES
APPROVED
ROUGH ELECTRICAL
lie
NAME:
te'99/ ,,�A.J' _:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
ROUGH PLUMBING
FLOOR
ADEC APPLICATION:
FINAL
SUBMITTED
DATE C.O. ISSUED:
WOOD HEATER YES NO
_
TYPE
T
MAILING ADDRESS:
; FINAL APPROVAL
WALLS
R
A
CITY & STATE:
ROOF
ALASKA FIREMARSHALL REVIEW:
SUBMITTED: APPROVED:,
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 BU LDING CONSTRUCTION y41-17
- .r,
APPLICANT: a,., l ,tw - , .!.i.,
C
T
TELEPHONE :
FINISH MATERIAL:
ROOF
,
/ "
, APPROVED --,-BUILDING OFFICALS-
0
R
STATE LICENSE :
EXTERIOR SIDING
INTERIOR WALLS
NOTES: r 7 I
Kodiak Island Borough Community Development Department
ZONING COMPLIANCE PERMIT
1.
Property Owner/Applicant Zoning Compliance #:
Name: q /� (� �(�
Mailing address: I Z �trCt C412_4_, tom(, Telephone # L/C--LIS-f0
2. Zoning Requirements for New Construction - Description of Proposed Action (attach site plan)
CcM,S lLLy"-�G�T7=r. c5�14G(ti 64Cc e-S$cj ®4
S et c c am . S Ia2- e s..s kv.0 c-(- c.�.� — Sem 134 -Liz
iz
�z • 1
/
c -ev c lei' aoucJt�
Use of proposed structure(s)•
3. Legal Description of Property / / /G��S /
Street address. � eJ l `_ 4.,RA"-(-y
Road access for emergency vehicles: Yes No Date
(contact Fire Chief for confirmation)
_Water supply adequate for public use, institutional use, commercial, and residential n , M
Fuctures larger than a triplex: Yes No Date /vH'
ontact Fire Chief for confirmation)
Lot area: 1/, LI 5 ,121
Minimum setbacks - Front: 02.5 -
Lot width*
Rear:
/
/0
Sides - Left: S Right c-
Maximum building height S 5 / IXc-U Q,U�LI.�( 1 L SGcea l�YwacI s.•v `� p�
Maximum lot coverage.
Number and size of parking
spaces required*
Off-street loading requirement
Plat related requirements'
/ X�
Ai— Sr )2.
A) A"
Other (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.):
7. Borough Staff A r val
Signed:
Lot, Block, Subdivision. L5 t ) 6`4..• 2—, t--,vKrei-5i-ds-, 'S-4 G
Survey, other (e.g. Township/Range) Tax Code #: R74I S9 02-enfn0
Description of Existing Property
Zoning: I — 5F ip . Minimum Area: 7,290 j Minimum Lot Width*
Use and size of existing buildings on the lot* Vete--
5. Consistency with Coastal Management Program
Applicable policies - Residential:
Other
Proposed action consistent with Borough Coastal Management Program - Yes: 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
Business: Industrial.
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: I Date
Support Documents Attached - Site Plan* As Built Survey: Other
Title: �� S�yi Date* eiT/Z6-r"
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
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
. •10390 S.F.
i60.2S
N 44'55.43!N
•LOT -7
•ii445 B.F.
N 44'58'4
%.ILOT-4
12222 S.F.
N 44'58''4341
•I.OT-i
•i2740 S.F.
N 44.513'43"W
White copy: File
Yellow copy: Building Permit
Pink copy: Applicant
ZONING COMPLIANCE PERMIT
1. PROPERTY OWNER/APPLICANT
Name:
Address:
0'713/ 41.
2. LEGAL DESCRIPTION Ty
0 C-411-4—
FrA-OPER
Ko 'Island Borough
Corimiunity Development Department
710 Mill Bay Road, Room 204
Kodiak, Alaska 99615
(907)486-5736 Ext. 255
Zoning Compliance #: -
Telephone:
0
Street Address: / q is- y c '
Average lot depth: Average lot width: Lot depth to width ratio:
4-re,it-v-, -a. ‘ ...L.6,,,,L....„L 9c-4.
Minimum Setbacks—Front: ,..,t,<- r-
Lot, block, subdivision: CAI.,.....* 6 ig t 4..._
I
2_—_
--
' L-54....L5A tt—e-
..,-;,---4
I
Survey, other (e.g. township/range):
Maximum building height: <
Maximum lot coverage: / C:76/0 /-e-...c R/L(
Number and size of parking spaces required:
Tax code #: le - 7 c( 7-4- 0 2_ 0 D co 0
Off-street loading requirement:
Plat related requirement(s):
3. DESCRIPTION OF EXISTING PROPERTY
Zoning: L4 g / Square footage of lot: (J 7 0 q P Minimum lot width:
Average lot depth: Average lot width: Lot depth to width ratio:
4-re,it-v-, -a. ‘ ...L.6,,,,L....„L 9c-4.
Minimum Setbacks—Front: ,..,t,<- r-
Use and size of existing buildings on the lot: till 0L--c—ri--,sf
Sides: S
4. DESCRIPTION DESCRIPTION OF PROPOSED ACTION (attach site plan)
C.)
5. ZONING REQUIREMENTS FOR NEW CONSTRUCTION
yroFtif structure(s): a) "T,i sr CA-,...s4\-NA-c-A:tr, rvIctio-i flet..,(1.. 4- 1—o -t) ( ()
A -cc_ fll i 1Z, „d.—
4-re,it-v-, -a. ‘ ...L.6,,,,L....„L 9c-4.
Minimum Setbacks—Front: ,..,t,<- r-
(
Rear: / 0
Sides: S
Additional Setbacks: .
Maximum projection(s) into required yards:
Proposed action conflicts with policies (note policy and describe conflict):
Maximum building height: <
Maximum lot coverage: / C:76/0 /-e-...c R/L(
Number and size of parking spaces required:
t e ,....
S- ")4 .P.. d
Off-street loading requirement:
Plat related requirement(s):
Other (e.g. zero lot line): a - V,... .
. .
6. CONSISTENCY WITH COASTAL MANAGEMENT PROGRAM
Applicable policies: -)--S f t "9-'kti"" ;0‘.1
Proposed action consistent with Borough Coastal Management Program Y s
No
Proposed action conflicts with policies (note policy and describe conflict):
AA--{
Conditions attached to Consistency approval to mitigate conflicts noted above:
lc.)
7. APPLICANT CERTIFICATION
I hearby certify that I will comply with all provisions of the Kodiak Island Borough Code and that I have the authority to certify
thi as owner, or representative of the owner, of the property(s) involved.
8. SUPPORT DOCUMENTS ATTACHED
)
Site Plan: 0
Other:
9. BOROUGH STAFF APPROVAL
Staff Approval:
Signed
Title
Date
Building permit #:
BUILDING DEPARTMENT - KODIAK ISLAND 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.
STREET ADDRESS
ALTERATION
REPAIR
BUILDING PERMIT NUMBER
NEAREST CROSS STREET
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING HGT
NO. OF ROOMS /
FLOORS
NO. OF FAMILIES �•
VALUATION: (BASIS)
NAME
,-,,/
W MAILING ADDRESS
z
O CITY, STATE TELEPHONE
',1,4
NO. OF BUILDINGS NOW ON LOT
w
W w
-
S 0
Z
Qw
CONTRACTOR
NAME
ADDRESS
CITY, STATE
STATE LICENSE NO.
NAME
ADDRESS
CITY, STATE
STATE LICEASE NO.
(FOR OFFICE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
A BEH IM R
DIVISION 1 2 3 4 5
2. TYPE OF CONSTRUCTION
I II III 1 V V
FR 1 -HR. N H.T.
USE OF BUILDINGS
SIZE OF LOT
AMOUNT
WATER: PUBLIC PRIVATE
SEWER: PUBLIC PRIVATE
SPECIFICATIONS
FOUNDATION
TYPE
DEPTH IN GND
HGT FIN GRADE
EXT PIERS
BUILDING
DATE ISSUED
BLDG PERMIT FEE
PLAN CHK FEE
TOTAL
INSPECTION SCHEDULE
FOUNDATION
FRAME
PLASTER/BD
FLUES
PLUMBING
ROUGH
SEPTIC TANK
SEWER
P.T. PLATE (SILL)
STRUCTURAL
SIZE
SPA.
SPAN
GIRDERS
JOISTS 1ST FLR.
FINAL
GAS
FINISH
ELECTRICAL
ROUGH
FINISH
FIXTURES
MOTORS
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.
JOISTS 2ND FLR.
JOISTS CLG
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
NSTALLER
ROOF RAFTERS
TRUSSES
BEARING WALLS
INSULATION, FNDN
IWALLS ROOF/CLG
SHEATHING, WALLS/EXT
ROOF FLOOR
FINISH, EXT WALLS
ROOF
FLUES, FIREPL WOOD HTR
KITCHEN WATER HTR
FURNACE, TYPE
I HEREBY ACKNOWLEDGE THAT I HAVE
READ THIS APPLICATION, THAT IT 15
CORRECT, AND THAT 1 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:
PER
CLOSING DATE, DEED RECORDED (BY)
APPROVED, BUILDING OFFICIAL
•
PLOT PLAN
(A SITE PLAN MAY ALSO BE REQUIRED)
REAR PROPERTY LINE
-�
Log
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