LAKESIDE BK 2 LT 2 - ZCPKODIAK ISLAND BOROUGH Community Development
710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615-6340 - Phone: (907) 486-9362
ZONING COMPLIANCE PERMIT
Permit #:
1. Property. Owner/Applicant: C z,/,q,e7ms5
Mailing Address: Ptd • .13o C 3-.3 ( • Phone: 2-7/??a• .S r??3
2. Legal Description: ,Lo/ 2 . /SA' - Cet-' 65/ O6 Sci h L)2
Street Address: ( c(?jo ff 1/ , t%,q,v • Tax Code #: g7 O1 t)
3. Description of Existing Property/currentzoning:
Minimum Required Lot Area: 2- c.) Width: G `U
Actual Lot Area: (C -- r `C b ( y Width: L J'Wt./V- G0,---6
Minimum Required Setbacks: Sides: .S
r ,/ ( (D/.Front:_<�� Rear:
Maximum Building Height:
Use and size of existing structures on the lot: 424 !/X-C % n
Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: > No: )
Off-street loading requirement:
q
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.):
A
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): Erca i,' 7L,- ,-I
i36-!/./-11„7.) CD7C ,- ((i
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, for a 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 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 a: ee to have identifiable corner markers in place in the field for verification of setbacks.
By:
itle: Date:
Supporting documents attach . (check): Site plan:
urvey: Other
Community Development staff for zoning, by: F/'
Title:
0000030 000009385
5/20/94 13:56:39 Duane 8P
PAID
FREE FORM LINE H�
113
#4
Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) by:
Date:
. Driveway Permit (State, City of Kodiak, Borough) issued by: Date:
8. Septic system PLAN approved by: Date:
Distribution: File (original) / Building Official / Applicant / Assessing
January, 1994
I
— I ,
:: 1......— y.
; • t s., , .: . t
. 1
I I 1
Ai
er77-1717'
t,' 1
•
•
•
•
Lo7 2 5/ l< 2 Z_N-&-siPc 54.6 pike
cp-ue-e-
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:
DATE ISSUED:
ALTERATION
REPAIR
TYPE
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS;
BUILDING PERMIT FEE;
DEPTH IN GRND
O
W
N
IC-
R
NAME
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
I
BOLT SPACING
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
MAILING ADDRESS:
A B E H I M R
ii
!.i
CRAWL SPACE VENT SQ. FEET
CITY &STATE:
SIZE HEIGHT
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
NO. OF ROOMS STORIES
RECEIPT NO:
TELEPHONE:
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
1 < Q U S--W Z o
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
1 II III IV V
N 1-H R FR H.T.
ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
BEARING WALLS
TELEPHONE:
FOUNDATION
EXCAVATION
INTERIOR WALLS
UNDERGROUND UTILITIES
STATE LICENSE:
WALLS
ROOF RAFTERS
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
C
NMAILING
T
R
A
T
0
R
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
APPROVED
ROUGH ELECTRICAL
FLOOR
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
ADDRESS:
ADEC APPLICATION:
FINAL
WALLS
SUBMITTED
DATE C.O. ISSUED:
CITY & STATE:ROOF
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:
FINAL APPROVAL
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPROVED:
TELEPHONE:
FINISH MATERIAL:
ROOF
APPROVED - BUILDING OFFICIAL:
STATE LICENSE:
EXTERIOR SIDING
INTERIOR WALLS
NOTES: UTILITY CONNECTION FEE
WATER $ DATE
SEWER $ RECEIPT #
TOTAL $ CASHIER
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:
C
NEW DEMOLITION
FOUNDATION FOOTINGS STEM WALL PIERS
ALTERATION
REPAIR
TYPE
ZONING COMPLIANCE:
DATE ISSUED:
SUBDIVISION / SURVEY:
ADDITION MOVE
DIMENSIONS
DEPTH IN GRND
VALUATION BASIS;
BUILDING PERMIT FEE;
0
W
N
E
R
NAME
MAILING ADDRESS:
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
BOLT SPACING
VALUATION:
PLAN CHECK FEE:
CRAWL SPACE HEIGHT INCHES
CRAWL SPACE VENT SQ. FEET
CITY & STATE:
SIZE HEIGHT
NO. OF ROOMS STORIES
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
TELEPHONE:
NO. OF FAMILIES
GIRDERS
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
OCCUPANCY GROUP:
AB E H I MR
DIV. 1 2 3 4 5 6
TOTAL FEE;
RECEIPT NO:
CITY & STATE:
WATER: PUBLIC! I PRIVATE I
SEWER: PUBLIC PRIVATE
JOISTS 2ND FLOOR
CEILING JOISTS
INSULATION TYPE & THICKNESS:
TELEPHONE:
FOUNDATION
EXTERIOR WALLS
BEARING WALLS
INTERIOR WALLS
STATE LICENSE:
WALLS
ROOF RAFTERS
TYPE OF CONSTRUCTION
I II III IV V
N 1 -HR FR H.T.
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REQUESTED & COMPLETED
PRIOR TO PROCEEDING WITH
ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
EXCAVATION
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
C
0
N
T
R
A
C
T
0
R
NAME:
MAILING ADDRESS:
SHEATHING TYPE & SIZE:
FLOOR
FURNACE TYPE:
DRIVEWAY PERMIT:
SUBMITTED
FOUNDATION / SETBACKS
FRAMING
APPROVED
ROUGH ELECTRICAL
WALLS
CITY & STATE:
ROOF
WOOD HEATER YES NO
TYPE
ROUGH PLUMBING
ADEC APPLICATION:
SUBMITTED
FINAL
TELEPHONE:
FINISH MATERIAL:
ROOF
STATE LICENSE:
EXTERIOR SIDING
INTERIOR WALLS
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
DATE C.O. ISSUED:
ALASKA FIREMARSHAL REVIEW:
SUBMITTED: APPROVED:
APPROVED - BUILDING OFFICIAL:
NOTES:
UTILITY CONNECTION FEE
WATER $ DATE
SEWER $ RECEIPT #
TOTAL $ CASHIER