LAKESIDE 1ST BK 1 LT 3A - Building Permit'1 'as
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:
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:
TYPE
jl
\ -_ '^-^" .
(
ALTERATION
REPAIR
SUBDIVISION / SURVEY:
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE:
DEPTH IN GRND
l
1 :1 '
4 c' ' S�
NAME:
USE OF BUILDING AUTHORIZED BY
REINFORCEMENT
VALUATION;
PLAN CHECK FEE:
THIS PERMIT:
BOLT SPACING
f,•i ' j
`"
O
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY
TOTAL FEE:
W
;l ` ii
SQ. FEET
GROUP:
`.) ?'% •'i
e F -•-OU
CRAWL SPACE VENT
NCITY
E
& STATE:
SIZE HEIGHT
A B E F H I M (R S U
i
R
NO. OF ROOMS STORIES
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
RECEIPT NO:
TELEPHONE:
NO. OF FAMILIES
GIRDERS
1 i i
TYPE OF BUSINESS
GIRDERS
(
EACH OF THE FOLLOWING
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
DIV. 1 2 3i 4
t 5 6 r
STAGES OF CONSTRUCTION
A
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
REQUIRES INSPECTION BE
R
MAILING ADDRESS:
SIZE OF LOT
JOISTS 2ND FLOOR
REQUESTED & COMPLETED
C
WATER: PUBLIC
PRIVATE
JOISTS 2ND FLOOR
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
H
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
ANY FURTHER WORK:
/
E
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
1 11 III IV V
TELEPHONE:
BEARING WALLS
1 HR FR H.T.
FOR INSPECTION CALL 486-8070
G
FOUNDATION
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
NAME:
SHEATHING TYPE & SIZE:
SUBMITTED
FRAMING
C..
i ,1 g
FURNACE TYPE:
APPROVED
ROUGH ELECTRICAL
N
MAILING ADDRESS:
FLOOR
WOOD HEATER YES NO
ROUGH PLUMBING
WALLS
ADEC APPLICATION:
FINAL
R
CITY & STATE:
ROOF
TYPE
SUBMITTED
DATE C.O. ISSUED:
A
C
`I
'" I
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION,
FINAL APPROVAL
T
TELEPHONE:
FINISH MATERIAL:
THAT IT IS CORRECT AND THAT I AGREE TO COMPLY WITH ALL
ALASKA FIREMARSHAL REVIEW:
0
•(, ,ti I I I
ROOF .,r «- ,
ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION
SUBMITTED: ^'t 1rPOR9'V
R
STATE LICENSE:
EXTERIOR SIDINGnr
r, -±
INTERIOR WALLS
APPLICANT:
APPROVED - BUILDING/OFICIAL- .'
NOTES:
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Rev. 1-97
PRINTED IN KODIAK, ALASKA BY C&A PRINTING, INC.
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This certificate issued pursuant to the requirements of
section 307 of the Uniform Building Code certifying that at the
time of issuance this structure vas in compliance with the
various ordinances of the Borough regulating building
construction or use for the following:
Use classification dingle FamilyBuilding Permit No
Group R3
Type Construction VAN Use Zone
K.I.H.A.
1086
R2
2304 Lake Loop Road
Occupant of Building
Bryce W. Gordon EetAlyt
Building Official
by
Building address
2 February 1987
date
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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.)
IS(awmwStum. , 1st Addn
USS 3467
LOT NO.
3A
BLOCK NO.
1
STREET ADDRESS
Beaver Lake Loop
NEAREST CROSS STREET
Van Scheele Way
cc
W
z
0
NAME
K.I.H.A.
MAILING ADDRESS
2813 Woody Way
CITY, STATE
Kodiak, AK
TELEPHONE
486-8111
NAME
Design Lab Inc.
ADDRESS
508 W. 2nd Ave, 11200
CLASS AND SCOPE OF WORK
NEW
x
ALTERATION
DEMOLISH
REPAIR
ADDITION
MOVE
USE OF BUILDING SFR
SIZE OF BUILDING 1148 sq. ftHGT
NO. OF ROOMS 1/2 FLOORS
NO. OF FAMILIES 1
BUILDING PERMIT NUMBER
VALUATION: (BASIS)
?0
NO. OF BUILDINGS NOW ON LOT 0
n/a
USE OF BUILDINGS
AMOUNT
SIZE OF LOT 4,000 sq. ft.
WATER: PUBLIC X PRIVATE
SEWER: PUBLIC X PRIVATE
BUILDING
FOUNDATION
FRAME
SPECIFICATIONS
PLASTER/BD
FOUNDATION
EXT
PIERS
FLUES
TYPE concrete
slab
CITY, STATE
Anch., AK 99501
STATE LICENSE NO.
4455-A
NAME
Not Awarded
ADDRESS
CITY, STATE
STATE LICENSE NO.
(FOR OFFICE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
A B E H 1 M
DIVISION 1 2 /3/ 4 5
2. TYPE OF CONSTRUCTION
I II III IV
FR 1 -HR.
H.T.
DEPTH IN GND12" P,
HGT FIN GRADE21.711
P.T. PLATE (SILL)
STRUCTURAL
above
FINAL
DATE ISSUED'
/r44a e4 /7; 4a
BLDG PERMIT FEE
PLAN CHK FEE
TOTAL
INSPECTION SCHEDULE
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
FG
�6
5�
/t/,2
ELECTRICAL
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
EACH OF THE ABOVE INSPECTIONS MUST BE REQUESTED AND THAT
WORK APPROVED PRIOR TO ANY ADDITIONAL WORK PROGRESSING
fin flop_BEYOND THAT POINT, AS REQUIRED BV UBC SECTION 305. FOR EACH
INSPECTION, 24 HOURS NOTICE I5 REQUIRED. TELEPHONE THE KODIAK
ISLAND BOROUGH ENGINEERING DEPARTMENT, 486-5736, EXT. 273.
SIZE SPA.
SPAN
GIRDERS
JOISTS 1ST FLR.
n/a
n/a
JOISTS 2ND FLR211x10" 16 oc
JOISTS CLG
12'
EXT STUDS
2
NOTES:
INSTALLATION OF (MINIMUM) 18 -INCH BY 20 -FOOT CULVERT I5 REQUIRED
AT EACH DRIVEWAY ACCESS TO THE PROPERTY.
x6" 16"oc & 24"oc
INT STUDS 2"x4" 24"oc
SANITATION PLAN APPROVAL BY AN ADEC-CERTIFIED INSTALLER IS
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
ROOF RAFTERS2Rx12n 24"oc
TRUSSES
n/a
BEARING WALLS2
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.
x6" & 211x4111 16 "oc TAX LOT NO
INSULATION, FNDN
7146- o etc(
R-19 & 1" styrofoamOWNERPER
DATE / ( '/J T
WALLSR-19 ROOF/CLG R-38
SHEATHING, WALLS/EXT 1/2" CRDx
ROOF3/4"CDFFLOOR 3/4" sturdyif_oor
OWNERSHIP TRANSFERRED, IN PROCESS, TO:
FINISH, EXT WALLS19/32" Resin -.e ].be Cirmeir E, DEED RECORDED
ROOF i Saf-T-Lockfl Asphalt S!unrles la cj FjvI
FLUES, FIREPLn/a
WOOD HTR n/a
KITCHEN WATER HTRn/a
FURNACE, TYPE Oil fired boiler
w/tankless waterheater
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
PER
(BY)
►T t$ Fat Pt NUJ fie) r-
6t,aLU-e. 644l 4' 4J r
APPROVED, BUILDING OFFICIAL // °�%'a*tY �G
Otert
BY
•
PLOT PLAN
(A SITE PLAN MAY ALSO BE REQUIRED)
REAR PROPERTY LINE
SIDE PROPERTY LINE
0'
40
25'
FRONT PROPERTY LINE
10'
SIDE PROPERTY LINE
STREET Beaver Lake Loop
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 2„5 TOTAL HGT
AREA OF LOT,
SETBACKS FROMPROPERTY LINES: 1
FRONT L54.'( (,J REAR as�/`J�/V
SIDE (L) /'t SIDE (R) /41/14 %A)
REQ'D OFF-STREET PARKING �190` vi 5
C.U.P. OR VARIANCEAL4