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LAKESIDE BK 2 LT 4 - ZCP
4. ZONIT COMPLIANCE ERMIT Permit # S Z- 0 3 -0 1 2 $20.00 Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 996] 5 PH:(907)486-9362 Fax(907)486-9396 http://www.kib.co.kodiak.ak.us 1. Property Owner/Applicant: Mel 0 rn as CDA -Li c Mailing Address: ()0 0 1 3 ) r_t)A.(,V Phone: 1i '1 3 ie 2. Legal Description: L Bk 2 L+. q Street Address: I ci 5c1 ce_42 Tax Code: tKLIOOOOLI 3. Description of Existing Property/Current Zoning: Minimum Required Lot Area: woo 5 Actual Lot Area: 1 If1(0. 3.,s. Minimum Required Setbacks: Sides: 5' Front: ) ' Width: (00 Width: (06i Rear: /0' Maximum Building Height: 35 Use and size of existing structures on the lot: t R,u- 1tf lees c Number & size of parking spaces required per parking/site plan dated: 3 - 9 Off-street loading requirements: NJA Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review, etc.) ft) Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc) 4)/A Coastal Management Program Applicable Policies (check appropriate category) Residential X Business Industrial Other Is the proposed action consistent with the KIB Coastal Management Program: Yes )1/4' No Attachment: Yes No x - Description of proposed action (attach site plan): &to iY03 c, mat 0 N:\CD\Templates\CornDev\ZONING COMPLIANCE PERMIT Permit.doc FIRS Zoning Permit Fee 03/05/2003 14:23:30 010053675 Zoning Dap PAID 20.00 *** Paid in Full *** Kodiak island Boroug Kodiak AK 99615 (907) 486-9324 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 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 #: Plat #: Sto - 35 Bldg Permit #: 5. Driveway Permit (State, Borough, City) by/date: 6. 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 they property o er I agree to have identifiable corner markers in place in the field for verification of s ,ac B • Title: Date: (3 miye _13 Supporting documents attached (check one): Site Plan As -Built Survey: Other (List): 8. Community Development staff for zoning, By: &L;p) Title: ))-e-C_— Date: 3/5(°-3 9. Fire Marshal (UFC) by/date: 10. Septic System Plan Approved by/date: 11. Solid Waste Disposal Fee: Gross square footage of building ft) X 0.266 = $ Due ,gt-e M ercr.o-?-iv This permit is ONLY for the proposed project as described by the applicant. If there are any changes Solid Waste Disposal Fee to the proposed project, including its intended use, prior to or during its siting, construction, or operation, contact this office immediately to determine if further review and approval of the revised project is necessary.. NACIATemplates\ComDev \ZONING -COMPLIANCE PERMIT Permit.doc 3 a AS - BUILT SURVEY OF 44‘ • \• !S • 5777•• 4 • •/ I hereby certify that I have surveyed the following described property: 4 4, b/oc4 2, La./<v5/de ,Svbd%vision, Z15. Scirv6y s 344.7 and 0468, p/a f huinber- B6 35, Kodiak Rcecor / .?y District and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property Tying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmis- • sion lines or other visible easements on said property except as indi- cated he eon. Dated this day of1l'1kV►:'`t'l'C.`i; ,20 U, I.G.BERGEE Registered Land Surveyor Scale:. Z© feet Drawn by: 5. qus/errnan Date: igs eoo3 . KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Room 204), Kodiak, Alaska 99615-6340 - Phone: (907)486-5736, extension 255 ZONING COMPLIANCE PERMIT Permit #: Z- "9 1. .Property Owner/Applicant: 0,93E N` c_ L t_1 a. b. Is the water supply adequate for any structure other than a single-family residence or duplex? Yes: ✓ No: Is road access available for emergency vehicles? Yes: ✓ No: Mailing Address: al,'31 vo O i A ti Phone: " 5 e3 e c. (Contact and note confirmation from the appropriate fire chief or note personal knowledge.) s s, Q ► .c 2. Legal Description: L-oT y �k LAS s tCK,Su80 . Tax Code #: h LID 7,p O ijt p Street Address: k eI 7.a. 42f0-4 EF Description of Existing Property/Currenlzoning: l — Minimum Required Lot Area: -qr 00 Width: 1,90 a Off-street loading requirement:1-��— I 1 0I (, 3 c13 Minimum Required Setbacks: Sides: Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: ✓ ) Actual Lot Area: Front: Width: ' Minimum Building Height: ►J�� Rear: hJ L' Use and size of existing strictures on the lot {L_ -1S�gL'1 Description of proposed action (attach site plan): FF6-lJC-E. O) Lara OE Plat related requirements (e.g., plat notes, easements, subdivision conditions, et.): L �j Other requirements (e.g., zero lot line, additional setbacks, projections inb yards, screening, et): Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Industrial: Other (list): 1 " 6?- T _► "-( _ 3 i'L » "IS�'C%Tc —f 12 - Cosi" t� JES 2 2_ -1 St < Is the proposed action consistent with the KIB Coastal Management Program? - Yes: X No: �jYLc�� i a moa)ti� ► L 1�fi +-� 4-' rr - ttT. -* 2-' a,'� /ham—�k.E 'I i►� c�L—1 3� ►- N 'Ere -(3- If the proposed action conflicts with the Coastal Management Program pol'ides, attach a sheet that notes the policy(ies), desaibes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment(s)- Yes: No: 2C Applicant Certification: I hereby certify that I I agree to have Identifiable corner mntijgrs in place in the field for variflcation of setbacks. comply with the provisions of the Kodiak Island Borough Code and that I have the authority 10 certify this as the properly owner, or as a representative of the property owner. Date: Title: (check): Site plan: As -built survey: Other (list): 6. Staff approval: Distribution: Date' , rES71 Title: Building Official Applicant March 1989 THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED Kodiak Island Borough Community Development Department ZONING COMPLIANCE PERMIT 1. Property Owner/Applicant Name-- 6-4. Mailing address a a dam` ' 6 1 ,, Knd;17 ._ Telephone #: 6 -r s �f 3S" Zoning Compliance #: 2. Zoning Requirements for New Construction - Description of Proposed Action (attach site plan) Use of proposed structure(s)- 1- 5 X . t I. A'cC P_ SS O ai r,14 Road access for emergency vehicles: Yes (contact Fire Chief for confirmation) r' 4 No Dates (C wla-I Water supply adequate for public use, institutional use, commercial, and residential structures larger than a triplex: Yes (contact Fire Chief for confirmation) Lot area: 1/) 3 Minimum setbacks - Front: Sides - Left: Maximum building height: Maximum lot coverage low -S+l e- lj 1163 j71 Number and size of parking spaces required' Ai 'r� ♦ veve-4 5 No Date Lot width: / t0 / / Rear. S / S � Right: / LK' sc4 . cje. 6T Off-street loading requirement: 'V 14-- Plat 4 Plat related requirements - /V Other (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.): 7. Borough Staff •,IJoval 3. Legal Description of Property Street address- /1 7 - se -4..2-4 Lot, Block, Subdivision- Cr/ 4Ij 6l0 J kc lee. Sem- Survey, other (e.g. Township/Range): Tax Code #• f 7Yg-i02-6090 4. Description/hof Existing Property/� Zoning: ' \ 1 : �r" Minimum Area: -7j 2V` C) Minimum Lot Width- �o U Use and size of existing buildings on the lot* 31` 2 — 2-6o 5. Consistency with Coastal Management Program Applicable policies - Residential* Business* Industrial* Other. X 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 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- ami Owner. ��F� Date/ Support Documents Attached - Site Plan:_____As Built Survey Other: Signed: —!.<<t.L Title: 79/ 41464-'' Date* / FP THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PEFHMIT 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 L `f A 2 GA- lZ-ESi This certificate issued pursuant to the requirements of section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the Borough regulating building construction or use for the following: Use classification Single Family Building Permit No 11+38 ::�v":fiy�R'•4S•e' -vi.7ti'7•i crRii4�."7•Yi7;�"'m :: 2uT''ccn.7xs11. et"71±::"= White.copy: File Yellow copy: Building Permit Pink copy: Applicant ZONING COMPLIANCE PERMIT 1. PROPERTY OWNER 41APPLICAN tT Kot jeland Borough Community Development Department 710 Mill Bay Road, Room 204 Kodiak, Alaska 99615 (907)486-5736 Ext. 255 Zoning Compliance #: ( , 5 ,— 064 Name: Address: v Lt k c ck c c ,i, _ 4 -fes. .9 7 Ts -Telephone: 2. LEGAL DESCRIPTION OF PROPERTY Street Address: Z i 1' Le, G. -.c_- j Minimum lot width: 40 Lot, block, subdivision: � 4 3 Z X4-4 e. 5 Cle- sU 6r Survey, other (e.g. township/range): /V/A _ Tax code #: 0...-/ y' O Z BO 4-( O Ply e1,'" Maximum building height: 35 l 3. DESCRIPTION OF EXISTING PROPERTY Zoning: 21 -- c .r-vht Square footage of lot: 1l 9/.03 j Minimum lot width: 40 4 Average lot depth: t} i P Average lot width: N' 1 Lot depth to width ratio: /V/A Use and size of existing buildings on the lot: N/A - 1. Ply e1,'" Maximum building height: 35 l Maximum lot coverage: f i f r Number and size of parking spaces required: Qcyc.�5 4. DESCRIPTION OF PROPOSED ACTION (attach site plan) FZ -3- 5. t 5. ZONING REQUIREMENTS FOR NEW CONSTRUCTION Type of structure(s): S'F (2, ,. 2#L_ is Minimum Setbacks—Front: Z S Rear: Sides: Additional Setbacks: j Maximum projection(s) into required yards: 1. Ply e1,'" Maximum building height: 35 l Maximum lot coverage: f i f r Number and size of parking spaces required: Qcyc.�5 w---0 2-D •C-4-- IM6hi m() 1 Off-street loading requirement: 4fr/ Plat related requirement(s): K\ z) .Qg��,,,ia,,,.-4\--s-t1,J1c0 L„r5- s L _, Conditions attached to Consistency approval to mitigate conflicts noted above: , I . \ i 11, Other (e.g. zero lot line): I (' 6. CON4ISTENCY WITH COASTAL MANAGEMENT PROGRAM Applicatale policies: .e 5 Z(364. I ,. 2#L_ is r , 7 I .1 z,_ . Ply e1,'" Proposed action consistent with Borough Coastal Management Program ail No <E Proposed action conflicts with policies (note policy and describe conflict): 1 1 _, Conditions attached to Consistency approval to mitigate conflicts noted above: I . \ i Building permit Si: 7. APPLICANT CERTIFICATIOn 1 hearby 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 repressntative of.the owne , pf the property(s) Invoked. IV -11 -�3 Signed Title • - PrPSi to 8. SUPPQRT DQC M!NT ATT CHED Site Plan: 9. BOROUGH 8T4FF APPROVAL Other: Staff Approval: ,. 2#L_ is , ;Signed Title I .1 z,_ . Ply e1,'" 'COO I6 3 <E i 1 i Building permit Si: THE GRANTORS ) QUIT -CLAIM DEED (ALASKA) Gabe McKilly and Yolanda Jones of P.O.Box 2731 , City of Kodiak State of Alaska, for and in consideration of $10.00 Ten & no/100 dollars convey( ) and quit -claim( ) to Pacific Builders, Inc. of P.O.Box 417. ,City of Kodiak ,State of Alaska , all interest in the following described real estate, situated in the State of Alaska: Lot 4, Block 2 fid'- fl r I 1 Lakeside Subdivision Within U.S.S.urveys 3467 & 3468 RECORDED -_r,; KODIAK RECORDIM Plat #86-35 OISTRICY Kodiak Recording District JUN I 2 04 '88 BY_se �� 1/4,:r T r-•L)RESS U _=L. cet 99vrs Dated this (25 day of Rc i 1 c Box �17 99'6/57 UNITED STATES OF AMERICA, STATE OF ALASKA . ss. Individual Acknowledgment (Alaska) THIS IS TO CERTIFY that on this day ofA LE_ ,19tL(before me the undersigned, a Notalry P blic in and for the State o ACaska, duly commissioned and sworn, personally appeared GCl �[��/ add New to me known to be the person_ describ in and who executed the above and foregoing instrument, and acknowledged to me thaVP ekigne• • same freely and voluntarilyfor the uses and purposes therein mentioned. -. P p WITNESS My Hand and Offic':f e ie'i and year in this certfijate first above written. Notary Public in and for the State of as a, residing at My commission expires QuIt-Claim Deed (Alaska) Wxshingion Lewd Monk Cn.. Bellevue. WA Form Nu. 1O(EI 3/78 MATF.RIAI. MAY NUT ON RBPRODIICED IN WHOLE OR IN PART IN ANY FORM WHATSOEVER. • ; • • SLAB. • 0 v 4Z 0" ,4) 1 2." come;:- PIER 36" ,c3Colt se" cos.ic. rOOTIklA O LAWIER IF REP 13Y 'LOcAL. OIL GONOITIOR5 L. • 77...7 ID' - SOIL. PIPE csi W 41 < /4 VO7 / t id -o" t1 IVO" RAJ vEr-rr w/ 5CREEI4 INACI.. 4.1‘11.3 DN1PER SETU.W1 SILL e • CRAWL SPACE • Ld 0 SCPBOTTOM OF Ft.b0R-JoISTS . CINat RAE EARTH lo V-0" EF..LowI- v .. ci2ADE WI to Ma. roL4EWYLEgE wc_ -,jt' * - 5 w VNP0e 'ilAWIER 0}. Z" Of PElk Ft., ac 7 0 • ,c4 a,rx5oLit. roisogviPtilr5larngE11)94Rect ‘ 1,..." Ii‘*:. :":.! 24"x i Z" COLIC. Frcl I I J24. . . . Nt. ...11, 10, f3" 0 SoFril r--I-E.L.Ec-Taic LIGHT 1.--' • . . - & P. F: , - CI \) ).....t. r77'1. .. 3b - — D - 30 a / / \ \• \ , \ \ ? / CouNTEe-ToP - s - ; SPI -a.51-1 I 1..... __ _..) k... - 4= . -eoe 11 ?2 x if 3o ,deroric S el/TT A"TT 1 C3y / 1 . • N.9 -i - 4 34 sifsw, Fizotsri i4.a4 - — - - — 34 it op-norsixs_ 21 FRLER Jt 0 , Cc, :•- z•• • FR0ST PRooF ITA-10sE el - MASTER -- BEDROOM T 11,, .3,/.) • . . - & P. F: , - CI \) ).....t. r77'1. .. • a - I I, - 4= . -eoe 11 ?2 x if 3o ,deroric S el/TT A"TT 1 C3y / 1 . • N.9 -i - 4 ..0 K cm . V- — -r 7rn \ - • " 51:F.- TO- 1 'j' - d. _ : I 2-ztrir* . . _ - .-. e- r. _ ...,.. • , L-k,i):13r-ii9r.,KE t - J 31/ 11 J = N .. 2- - . 0'1 . re -9 . ,.. 1/" ii' -, cr) 5 - I c>I-0 BEDROOM+ 10 1_ 0ii , ..,, -1-7— . -BEDROOM 3 , • . VI -Cr) V- rAk 4.• , ' e... ..,..._ 111 itri ' // F RcrT POF H E. 55 •Z4-111/2-11 i IN I-4/tI1UL,Is. E0 " ‘,NF E,T•ir' A....,5 I %. ,,,•• • NEP.0Eit c.,VEZ_ 51 FOI- u• 2-7-41" 3-2" x I all HEAPEg. 5EARIIA PARTITiOus FOR RAF -rot weakly IVING RO 171- 9' A 4" • 4"x4" Posi 301-4-1 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: icry , ..>,_ r( , - CLASS AND SCOPE OF WORK: SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: 1 j _ - " - LOT BLOCK: f/ NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE: DATE ISSUED: . __ ALTERATION REPAIR TYPE SUBDIVISION / SURVEY: /. i ' ,/:1 , _ ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND O W( E R NAME: It' P. s USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT , VALUATION: PLAN CHECK FEE: BOLT SPACING CRAWL SPACE HEIGHT INCHES OCCUPANCY TOTAL FEE: MAILING ADDRESS: `' ,' / �� i�� GROUP: CRAWL SPACE VENT SQ. FEET A B E F H I M R S: U % f ; CITY & STATE: :' Cu if -A-: /< (, 7// -- f SIZE ' ' , L HEIGHT /; STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS ;%l STORIES RECEIPT NO: TELEPHONE: ji,'7/ %/$ — 2-7/' 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 QQU2—wzc7 NAME: /� — i; ., ^ , f ' at, c I (4USE NO. OF BLDGS NOW ON LOT JOISTS 1ST FLOOR OF EXISTING BLDGS JOISTS 1ST FLOOR MAILING ADDRESS: SIZE OF LOT % / < < C..:::- JOISTS 2ND FLOOR WATER: PUBLIC `'`� PRIVATE I JOISTS 2ND FLOOR i_.'1 1 . J TYPE OF CONSTRUCTION PRIOR TO PROCEEDING WITH I II III IV �V N 1 -HR FR H.T. ANY FURTHER WORK: FOR INSPECTION CALL 486-8070 CITY & STATE: SEWER: PUBLIC>' PRIVATE CEILING JOISTS J INSULATION TYPE & THICKNESS: EXTERIOR WALLS BEARING WALLS TELEPHONE: FOUNDATION „ , '-x- EXCAVATION INTERIOR WALLS STATE LICENSE: CI ( 'f (_; WALLS C. ROOF RAFTERS UNDERGROUND UTILITIES ROOF / CEILING_ TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTEDFRAMING ' ooz1-m<oi-occ NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: FLOOR . ,-'t; APPROVED ROUGH ELECTRICAL WOOD HEATER YES NO TYPE ROUGH PLUMBING MAILING ADDRESS: ADEC APPLICATION: FINAL WALLS SUBMITTED DATE C.O. ISSUED: CITY & STATE: ROOF 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: ; /:( ' " /1/4 FINAL APPROVAL ALASKA FIREMARSHAL REVIEW: SUBMITTED: /L' /-' APPROVED: TELEPHONE: FINISH MATERIAL: ROOF ----77INTERIOR APPROVED - BIJIL`6IN OF�FtCIAL_"�'` . STATE LICENSE: EXTERIOR SIDING///„....., WALLS / a �� C '' " ' i C » / ; ; NOTES: � �( e7 if- f , ( I CI1,,( _ 7 f/flLC- t`fe; (//c4. i'7. cc f /� 'd.• -t 1 l 1-'7' )�. V [I /�C f , 4 Rev. 1-97 PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK 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. ALTERATION REPAIR ADDITION MOVE STREET ADDRESS USE OF BUILDING SIZE OF BUILDING HGT NEAREST CROSS STREET NO. OF ROOMS >; FLOORS NO. OF FAMILIES cc w Z 3 • O NAME MAILING ADDRESS NO. OF BUILDINGS NOW ON LOT USE OF BUILDINGS BUILDING PERMIT NUMBER DATE ISSUED VALUATION: (BASIS) AMOUNT BLDG PERMIT FEE PLAN CHK FEE TOTAL INSPECTION SCHEDULE SIZE OF LOT BUILDING PLUMBING ELECTRICAL WATER: PUBLIC PRIVATE FOUNDATION ROUGH ROUGH CITY, STATE TELEPHONE SEWER: PUBLIC PRIVATE FRAME SEPTIC TANK FINISH SPECIFICATIONS PLASTER/BD SEWER FIXTURES NAME ADDRESS FOUNDATION TYPE EXT PIERS FLUES GAS MOTORS FINAL FINISH DEPTH IN GND FINAL CITY, STATE HGT FIN GRADE P.T. PLATE (SILL) STRUCTURAL SIZE 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 IS REQUIRED. TELEPHONE THE KODIAK ISLAND BOROUGH ENGINEERING DEPARTMENT, 486.5736, EXT. 273, 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. cc 0 1— U cc 1— Z O U NAME f 4 c i._.) % 1,. ( JOISTS 2ND FLR. JOISTS CLG ADDRESS EXT STUDS INT STUDS 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 CITY, STATE ROOF RAFTERS TRUSSES STATE LICENSE NO. BEARING WALLS INSULATION, FNDN (FOR OFFICE USE ONLY: CIRCLE) 1. OCCUPANCY GROUP A BEHIM R DIVISION 1 2 3 4 5 2. TYPE OF CONSTRUCTION I II III IV V FR 1 -HR. N H.T. 1 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 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: PER CLOSING DATE, DEED RECORDED (BY) APPROVED, BUILDING OFFICIAL BY PLOT PLAN (A SITE PLAN MAY ALSO BE REQUIRED) REAR PROPERTY LINE SIDE PROPERTY LINE 4 1 FRONT PROPERTY LINE T 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 BY