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KODIAK TWNST BK 19 LT 29 - ZCPKodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Print Form 111 1 1 15817 1 Submit xEmail U � 11 Permit No. CZ2015-062 1 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: The foliowing information is to be supplied by the Applicant: JOHNSON, ROBT // HOUSEWRIGHT CONST 305 COPE ST., KODIAK, AK 99615 c/o 907 - 539 -2444 305 COPE ST Block: 19 Lot: 29 Use & Size of Existing Structures: DUPLEX Description of Proposed Action: REBUILD & EXPAND EXISTING 2ND STORY DECK =zrX7'OVERALL; INTERIOR / EXTERIOR REMODEL (WINDOWS, DOORS, ETC) Site PIan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Current Zoning: R2 KIBC 17.80 PROP _ID 15811 Lot Area: 1,532 SQFT Lot Width: 60' 8ld'gHeight 35' Front Yard: ZS' Rear Yard: 1O' Side Yard: 0' Staff Compliance Review Notes: Plat / Subdivision Requirements? EXISTING NON -CONFORMING. MAY NOT DELETE ANY CURRENT OFF-STREET PARKING •`� ,S.ubdCase No. Plat No. Bld'g Permit No. Does the project involveNO If YES, do you have an EPA Return Receipt of an EPA defined facility? Notification? "Permit will not be issued until receipt is submitted to Driveway Permit? Septic Plan Approval: Fire Marshall: Applicant Certification: I hereby certify that 1 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 for verification of building setback (yard) requirements. Attachments? Site Plan List Other: Date: Apr 28, 2015 Signature: DAVID PUTNAM / HOUSEWRIGHT (for JOHNSON) 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 during its siting, construction, or operation, contact this office immediately to determine if further review and approval of the revised project is necessary. 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 anytime, 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 17.15.060 A.** CDD Staff Certification Date: Apr 28, 2015 CDD Staff: Martin Lydic Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Not Applicable Less than 1.75 acres: 1.76 to 5.00 acres: 5.01 to 40.00 acres: 40.01 acres or more: • $0.00 g $30.00 r' $60.00 • $90.00 • $120.00 oom # 104 - Main floor of Borough Building After -the -Fact 2X the published amount • $0.00 [J $60.00 • $120.00 Ei $180.00 • $240.00 aqi „1/0,v P g APR28 as KODIAK ISLAND BOROUGH FINANCE DEPARTMENT stoz Mr. George Hansen PO Box 1141 Kodiak, AK 99615 Kodiak Island Borough Community Development Department 710 Mill Bay Road Kodiak, Alaska 99615 Phone (907) 486-9365 Fax (907) 486-9396 www.kib.co.kodiak.ak.us Re: Lot 29 Block 19 Kodiak Townsite Parcel ID# R1340190290 February 18, 2003 Dear Mr. Hansen This letter is, in response to an inquiry of the address assigned to your property. The Kodiak Island Borough found it necessary to update the address for your lot referenced above for the E- 911 Emergency Response Service for the Kodiak Island area in 1998. Therefore, we have deleted 310 Rezanof Drive West from the Borough address map, and assigned address of 305 Cope Street. Other agencies that have been advised of this change are: City of Kodiak Public Works, Kodiak Electrical Association, GCI Cable TV, ACS, US Postal Service, Alaska State Troopers, and the Kodiak Police and Fire Department. Please notify any occupants you may have on your lot that this update may affect, and verify that all building numbers reflect this address change. The size of address numbers on all buildings shall be not less than four (4) inches in height and shall be clearly visible from the public street fronting the property containing the building, as per Borough Code Section 15.32.070. Thank you for your cooperation on this matter, and if you should have any questions, I can be contacted at 486-9365. Sincerely, Drafting Technician CC: Assessing Department Property file APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486-8070 710 Mill Bay Road PLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USE A BALLPOINT PEN AND PRESS FIRMLY. (OFFICE USE ONLY) STREET ADDRESS: --., --•:.)t' ,.. a i,[`_�c-x ct, i j'- ,; CLASS AND SCOPE OF WORK: I ::L,t,,_i ,;,,t, -v�, � 1,.i11c f i.. if( SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: c 89 7 (-• ',/ LOT: BLOCK:., NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE; DATE ISSUED: ,/ .� ' ' , f / f J 11 ALTERATION REPAIR t TYPE SUBDIVISION / SURVEY: ADDITION MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: /` C ,/_: c 7 5. V___,,,..-...,..1 •. 7".1.A.,,,,, S L ii---C.DEPTH IN GRND O W N R NAME ._._ / 44 F:..1,./.(-•• �. r. `:: ���t t ( USE OF BUILDING AUTHORIZED BY THIS PERMIT: f REINFORCEMENT VALUATION: PLAN CHECK FEE: /f',..' J /F BOLT SPACING CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: MAILING ADDRESS: K,, -L-,- n (. c:1f 2 / ( /1,-- �. r- • ., { I-, ‘1' e • � S A B E H I M R -; :; CRAWL SPACE VENT SQ. FEET CITY & STATE: SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN �� ���?i1.5 NO. OF ROOMS STORIES RECEIPT NO: .,y L- d . ' TELEPHONE: _ NO. OF FAMILIES GIRDERS _.-' 1 2 �4 5 6 EACH OF THE FOLLOWING STAGES OF CONSTRUCTION REQUIRES INSPECTION BE REQUESTED & COMPLETED L.,,.y L (1_, -;Ltd) , { C -(4- Y/ 7 TYPE OF BUSINESS GIRDERSDIV. 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 WATER: PUBLIC PRIVATE JOISTS 2ND FLOOR TYPE OF CONSTRUCTION PRIOR TO PROCEEDING WITH -^ 1 11 III„.. -I-V' (V ) - !N - -"� 1-HR 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 �EN;1 EXCAVATION INTERIOR WALLS UNDERGROUND UTILITIES STATE LICENSE: WALLS ROOF RAFTERS ROOF / CEILING TRUSSES DRIVEWAY PERMIT: FOUNDATION / SETBACKS SUBMITTED ,1 az .." FRAMING C NMAILING 'TSUBMITTED R AFINAL T 0 R NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: APPROVED , ROUGH ELECTRICAL OC k /11,,,C,1"" WOOD HEATER YES NO TYPE ROUGH PLUMBING ADDRESS: FLOOR ADEC APPLICATION: FINAL WALLS 11'!'7/`- 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 APPROVAL ALASKA FIREMARSrAL REVIEW: �� SUBMITTED: - `� / ' APPROVED: TELEPHONE: FINISH MATERIAL: ROOF ,"l/ ,i APPROVED-----BUILDIIN"`G OFFICI"AL:- STATE LICENSE: EXTERIOR SIDING=) �� APPLICANT: ? t 3 '-�; ; -. [sem-'�"`� INTERIOR WALLS NOTES: UTILITY CONNECTION FEE WATER $ .4I / A , DATE SEWER $ /'// 1 / 4 RECEIPT # t' ter' . t' r/f `, CASHIER TOTAL $ ,/ KODIAK ISLAND BOROUGH Community Development ZONING COMPLIANCE PERMIT 710 Mill Bay Road (Rm 204), Kodiak, Alaska 99615-6340 - Phone: (907) 486-5736, ext. 255 or 254 Permit #: Cbz -g2--6 ▪ Property Owner/Applicant: r Mailing Addres1: ?Z Cc (L� A e 4(c. Phone: `C 40, 1/4-27:,(::-.-75., . Legal Description: L.,$ ZS %UcC_ 1 t4(c ( '.�'1'.:_.3,/, c, (e 1 Street Address: [ ° 2 , d,a,.J' Tax Code #: R- 1 3 (( © ( oz -q 0 . Description of Existing Propertyicurrentzoning: T....-9.--7-600 a_tv;i UC-RAt f2 4 ii Minimum Required Lot Area: (,. 6 Actual Lot Area: aq �--k- I, 5 32— Minimum Required Setbacks: Sides: Front: Maximum Building Height: Width: Width: Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: lv.�fJ No: n ` � C_ Gn�20 L CSL+ v (1/4-- 2116 SV6 i �f Off-street loading requirement: Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): Ai/ Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): s cr-br— ov SSP d2 5 ON,a �lAr�clt . Q peen( c caw cf-n v eo,.✓ 4_ c.)1,42.— Coastal Management Program Applicable Polices (check appropriate category) - Residential: Business: Rear: Use and size of existing structures on the lot: row, --- � c5— s. 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: • Description of proposed action( ttach site plan): Te .tit d J� gt 1 s �,Q lc(Lo1✓.) ( d eP�-f sUflt3 ��ss c(o. cCa� T1s c s4..2.011„3qcm/' S�tCti� 3/4 t /` 5. 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 ave identifi . b orner markers in place in the field for verification of setbacks. By: Supporting documents attached (check): Site plan: It survey: 6. Community Development staff for zoning, by: Date:2-- Title: Other (list): SSS 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: Date: 9. Septic system PLAN approved by: Date: Distribution:, File / Building Official /Applican[THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED June 1991 COP C/C. ,PETAlN'N6 N/l4Lt- t'^t /3I Co, . WjAn (// z OD 3 ottPle,Qi P514-6 vovufiAcQ AS - BUIIT SURVEY a • • ® 900 • ..' ••«,yews 1.•e. yew. • ••••..� ® �, , Roy A. Ecklund o Of ® �dj, e•• NO. 1638-5 •: �k.� S 40 FOP •.•••yyy.•• 05ir 4 9vFfSSIONAt ‘'" so •''9¶ 1 hereb certify that 1 have surveyed the following described property: LOT- 29, eLGY_// TbwAloirE SuevEY, U 5. SU1evey 253-7 - 23. and that the improvements situated thereon are within the property lines and d Mil overlap or encroach on the property lying 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 hereon. Dated this day ofd /�,t�4/ 19 81 ROY A. ECKLUND Registered Land Surveyor Scale: /" = /0 fel Drawn by: 5.,Qu6fdr# ap) I Date: /D Ord/ /9e6 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486-8070 700 Mill Bay Road 1 APPLICANT TO FILL IN ALL INFORMATION WITHIN BOLD LINES. PLEASE PRINT. USEA BALLPOINT PEN AND PRESS FIRMLY.) (OFFICE USE ONLY) STREET ADDRESS: _ i CLASS AND SCOPE OF WORK: SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: . C , LOT : BLOCK : NEW DEMOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING COMPLIANCE : DATE ISSUED: ../ ALTERATION REPAIR '',4. TYPE SUBDIVISION/SURVEY: , ADDITION MOVE DIMENSIONS VALUATION'BASIS: , BUILDING PERMIT FEE: ce--" /' / DEPTH IN GRND/T4 NAME: -3 ;:" t V- • ,,,,-, ,.I 2) C\ 1 c' USE OF suinip AUTHORIZED BY THIS u.p -PERMIT:- - -f , f,...r....-...t.t,,•,-(..3.%, "-; u."4 - REINFORCEMENT ION: VALUATION: PLAN CHECK FEE: ,....c, -5 „ , 2-0, _Ct.,' BOLT SPACING a MAILING ADDRESS: CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE: X- / CRAWL SPACE VENT SQ. FEET ABEHIM RECEIPT NO.: 7, ) 7(7 N CITY & STATE: , ' SIZE HEIGHT STRUCTURAL SPECIES & GRADE W4 SPACING SPAN --- \ DIV. 1 2 4 5 6 EACH OF THE FOLLOWING STAGES OF CONSTRUCTION REQUIRES INSPECTION NO. OF ROOMS STORIES TELEPH0NE: t- t e: - NO. OF FAMILIES GIRDERS IIII TYPE OF BUSINESS i GIRDERS A R C NAME: NO. OF BLDGS NOW ON LOT ' JOISTS 1ST FLOOR 1111.11 El USE OF EXISTING BIt GS SIZE OF LOT j JOISTS 1ST FLOOR JOISTS 2ND FLOOR 1.111111111111 TYPE OF CONSTRUCTION BE REQUESTED & COMPLETED PRIOR TO I 11 111 IV PROCEEDING WITH ANY FURTHER WORK: FOR INSPEClION CALL 486-8070 WATER: PUBLIC 1 PRIVATE JOISTS 2ND FLOOR H / SEWER: PUBLIC PRIVATE CEILING JOISTS MIMI'''' EXTERIOR WALLS INSULATION TYPE & THICKNESS: ‘1 1 -HR FR H.T. BEARING WALLS E N G TELEPHONE : FOUNDATION UNDERGROUND UTILITIES INTERIOR WALLS DRIVEWAYPERMIT: FOUNDATION /SETBACKS SUBMITTED /..77 /1 FRAMING STATE LICENSE : WALLS ROOF RAFTERS 111.111111111111MIN ROOF/CEILING TRUSSES 11.1.11.11.1111. APPROVED /1/ / ' ROUGH ELECTRICAL C NAME: , - SHEATHING TYPE & SIZE: ROUGH PLUMBING FLOOR ADEC APPLICATION: FINAL SUBMITTED /1/ ' DATE C.O. ISSUED: WOOD HEATER YES NO - N T MAILING ADDRESS: FINAL APPROVAL WALLS ALASKA FIREMARSHALL REVIEW: 70 SUBMITTED/ 4 APPROVED: ^, V' ...* rke 1%, R Ak174 CITY & STATE: ROOF 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 - 4" -; \ ,,,," ,e APPLICANT: - I.,..- ' ,,;:, „..,..,, i, C T TELEPHONE : FINISH MATERIAL: ROOF i ., IN. Sk 191 751' '',- APPROVED-BUILD'ING OFFICALi 0 R( STATE LICENSE : EXTERIOR SIDING INTERIOR WALLS NOTES: .2 1..1.. ' . cro In kc. la I CA? oi , 1.- : .,,,c ,.. 3. - Niv 1 ‘, l' (.,:3' C. ,1 1 7 . a'SZ tg Z1:66 5 Ale- . 0 . , Robert Brodie Box 296 Kodiak, Alaska 99615 Kodiak Island Borough. 710 MILL BAY ROAD KODIAK, ALASKA 99615-6340 PHONE (907) 486-5736 Re: Duplex use of Lot 29, Block 19, Kodiak Townsite Dear Bob: June 27, 1988 The purpose of this letter is to confirm that the duplex use of Lot 29, Block 19, Kodiak Townsite is a "grandfathered" use of the property. Although the property is zoned R2--Two-Family Residential, the existing duplex does not meet the, following requirements of the zoning code: minimum lot area and width; and minimum setbacks (side and rear yards); and required number of parking spaces. In March of 1979, you received a variance from the Planning and Zoning Commission to permit an additionto the existing single-family structure. According to documentation you have provided, between March of 1979 and May of 1980 the structure was converted to a duplex. Based on the documentation you have provided (a notarized statement, portions of your 1980 income tax return, and City of Kodiak sales tax and utility records), the Borough agrees that your residential structure was a duplex prior to June 5, 1980. As you are aware, should your existing structure be destroyed, you would only be able to rebuild in compliance with the then current zoning regulations. If you need any additional information, please contact me. Sincerely, Linux reed, Director Community Development Department Zir`ida:.Fre ed= Direc't.or., :`Plana ing and .Cominunil Kodiak';, Island. Bo`ru.gh : -" Kodiak, :Alaska .gg:b1"5 Dear q4.110. I can attest that as of`=May 15th;= 19$0, ; a ° dwellsng,. owned by :Robert_. B. Brodie of .K'odiak, A'l'aska tea'.on Kodiak' Island Bor:ough::.:,:.Kodiak:"Towns�t ;. Zot, 29 'B.iock1g-,was. rented' as::,a two,. -family dng Thidw wellia' s elLi4g., had ,-two s-eperate kitchens, •bathr:ooms r and;: entrances s l ani - familiar' with _this :property. jan d the date 'a's ,I assisted Mr. Brodie .in the .design=,and remodeling, w.ork.,..onf this p• roper tyl into atwo, `family "dwelling. L: also •watched _'over Mr•:, Brodiet s:.property. and,.assisted tenants with any ".,problems they may have..had 'while-._.t was fishing In ;:Br`istol . Bay:, Alaska during. the month.`of June: SCHEDULE E (Form 1048) Department of the Treasury Internal Revenue Service , Supplemental liDDcom ~~che*8ule ,„um pensions and annuities, rents and royalties, pmdnvnoips, estates and trusts, etc.) p~Attach mForm l040. 10- See Instructions for Schedule E(Form 104N. ' womeMas shown on Form 1040 4) Tart Ai* Pension and Annuity Income. if fully taxable, do not cOmplete thls part. Entei-1 -/ 10-80 %6 For one pension oannuity not fully taxable, complete this part. If you have more than one pension or annuity that I~not fully taxable, attach a separate sheet listing each one with the appropriate data and enter combined total of taxable portson la Did you and your employer contnbute to the pension or annuity? 0 Yes [l No b 11 Yes," do you expect to get back your contribution within 3 years from the date you receive the first' payment? Yes FlNo c If "Yes," show: Your contribution Ps- , d Contribution received In prior years ld 2 Amount received this year 3 Amount on line 2 that is not taxable 4 Taxable part (subtract line 3 from line 2). Enter here and Include In line 18 below 4 2 Rent and Royalty Income or Loss. If you need more space, attach a separate sheet. 5a Are any ef the experlses Jisted below for a vacation home or similar dweiling rented to others (see instructions)?. F� Yes �� No 0°~ b 11 Yes," did you or a member of your family occupy the vacation home or similar dwelling for more than 14 days during the tax year? Yes No 6a Did you elect to claim amortization (under section 191) or depreciation (under section 167(o)) for a rehabili- tated certified historic structure (see Instructions)? 0 Yes No b xmouizabebasis (see Instructions) V. (a) Property (describe mm*n . Total amountcode of rents (c) Total(d) of royalties Depreciation (ex- or tech computation) '� (explain ~,~``." NNet loss , (g)Net income ` Property &. .'1i Property D. '-_, . ' ..• __ Property C. � .. _ 7 Amounts from Form 4835 . , 8 Totals . . ?Y/ /Y'1D 3V/7 ( VI/ 2-2-1 ) • 9 Total rent and royalty income or (loss). Combine amounts in columns (f) and (g), line 8. Enter here and include in line 18 below | ,� Liti2.9> • 000"���~, 1-•;!R�U,. ;, Income or Losses hom--' (b) Employer (a) Name Identification � ' *>xm/"� HE/ eeRG—B*ou/� -7-.V. o'7Y9'/ . .2Z_Z___ . _—_-----___-_ VI. ' --' , � cn _____-_- _'-___-'- -_____-� 62 lO Add amounts in columns (c) and (d) and enter here . . . : .. . . .1 10 ( ) PY7 11 Cottibine amounts in columns (c)and {d}.line l0,and enter net income o,(loss 11 ,P-'1 7) 12 Additional first-year depreciation (see instructions for Iimitations) 12 13 Total partnership income or (lows). Combine lines 11 and 12. Enter here and include in line 18 below 13 �?-47 Estates or 1 Trusts . 14 Add amounts in columns (c) and (d) and enter here 14 ( � 15 Total estate u,trust income u,Vos$. Combine amounts in co/umns(c) and (d), line here and include in line 18 below 14. Enter | 15 . ' ^ : . _- . . 11 E .pot Cl. r on 7)- cS" • oI ( ) 17 Total small business corporation income or (|u:s).Combine amounts }ncolumns (c) and (d), line 16. Enter here and include In line IS below 17 IliqraZil lyq 18 TOTAL Income or (loss). Combine lines 4, 9, 13, 15, and 17. Enter hero and on Form 1040\ Una 1O. ).- 18 c/ /17 1.9 Farmers and fishermen: Enter your dumcf gross farming and fisNng|ocomoupdi- . 4 :F. 1 4 Department of the Trea: Internal Revenue Service O.S. Individual income Tax Return For Privac Act Notice, see Instructions i For the year January 1—December 1, 1980 or other tax yea beginning Use IRS label. Other- wise, please print or type. Presidentia Election Campaign Fund Your first name and initial (if joint return, also give spousa'a name and milia Rot3E/f 8, Bke2oie.; , 3980, ending ast name Present home address (Number and street, including apartment number, or rural route) P. O. 661x a96 City, town or post office, State and ZIP code Koo// AK 996/8 Spouse's societal security —no. Your occupation I> CARrEurER pouse's occupation Do you want $1 to go to this fund? If joint return, does your spouse want $1 to go to this fund? . Yeses Yes j No No Note: Checking "Yes" will not increase your tax or reduce your refund. Requested by Census Bureau for Revenue Sharing A Where do .you live (actual location of ® residence)? (See page 2 of Instructions,) State City, village, borough, etc, /tK KO/3i9K B Do you live within the legal limits of a city, village, etc.? Yes El No C In what county do you live? D In what township do you live? /(DOi04.0 Filing Status Check only one box. Exemptions Always check the box labeled Yourself. Check other boxes if they apply. Income Please attach Copy B of your Forms W-2 here. If you do not have a W-2, see -page 5 of Instructions. Please attach check or money order here. Adjustments to Income (See Instruc• tions on page 10) Adjusted Gross Income 1 2 3 4 5 6a b Single Married filing Joint return (even If only one had income) Married filing separate return. Enter spouse's social security no. above and full name here 110. Head of household. (See page 6 of Instructions.) if qualifying person is your unmarried child, enter child's name j> Qualifying widow(er) with dependent child (Year spouse died p9 19 ). (See page 6 of Instructions.) For IRS use only n' I Yourself Spouse 65 or over 65 or over c First names of your dependent children who lived with you j>. Blind Blind d Other dependents:(3) (1) Name (2) Relationship Number of months lived In your home (4) Did dependent have Income of $1,000 or more? (5) Did you provide more than one.half of dependent's support? 7 Total number of exemptions claimed 8 Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 9 Interest income (attach Schedule B if over $400) 10a Dividends (attach Schedule B if over $400)________ (s1_i, lob Exclusion_/QQ_i , c Subtract line 10b from line 10a 11 Refunds of State and local income taxes (do not enter an amount unless you de- ducted those taxes in ari earlier year—see page 9 of Instructions) 12 Alimony received . . . . . . . . . . . . . . . . 13 Business income or (loss) (attach Schedule C) 14 Capital gain or (loss) (attach Schedule D) . . . . . . . . . .. . . . . . . . . . 15 40% of capital gain distributions not reported on line 14 (See page 9 of Instructions) 16 Supplemental gains or (losses) (attach Form 4797) 17 Fully taxable pensions and annuities not reported on line 18 18 Pensions, annuities, rents, royalties, partnerships, etc. (attach Schedule E) . . 19 Farm income or (loss) (attach Schedule F) 20a Unemployment compensation (insurance). Total received, /6 30 b Taxable amount, if any, from worksheet on page 10 of Instructions 21 Other income (state nature and source—see page 10 of Instructions) Enter number of boxes checked on 6a and b Enter number of children listed on 6c 22 23 24 25 26 27 28 29 30 31 Total income. Add amounts in column for lines 8 through 21 Moving expense (attach Form 3903 or 3903F) . . . Employee business expenses (attach Form 2I06) Payments to an IRA (enter'code from page 10 ) . Payments to a Keogh (H.R. .10) retirement plan Interest penalty on early withdrawal of savings Alimony paid Disability income' exclusion (attach Form 2440) Total adjustments. Add lines 23 through 29 23 24 25 26_ 27 28 29 /f 10c Enter number of other dependents }1s Add numbers entered In boxes above pr. hyo 99 11 12 13 14 15 16 17 18 19 ////i 20b 21 Sa8 -- e— 30 30 "Li 177} /4O3o a3s3a. Adjusted gross Income. Subtract line 30 from line 22. If this line is less than $10,000, see "Earned Income Credit" (line 57) on pages 13 and 14 of Instruc• tions. If you want IRS to figure your tax, see page 3 of Instructions 31 U S. GGVERNmENT PRINTING OFFICE:1980 - 313-081 E t No.: 944249262 a -38.3a. Form 1040 (1980) Form 1040 (1980) Tax Compu- tation (See Instruc- tions on page 11) 32 Amaunt trom line 31•tad.jusYted gross Income). . , 33 if you do not itemize deductions, -enter zero .. . . • . . . . . . : . . . If you itemise, complete Schedule A (Form 1040) and enter the amount from Schedule A, line 41 ... . i Caution: If you have unearned income and can. be claimed as a dependent on your parent's return, check here Qa 0 and see page 11 of the Instructions. Also see page 11 of the Instructions if: . • You are married filing a separate return and your spouse itemizes deductions, OR • You file Form 4563, OR i a You area dual -status alien. 1 34 Subtract line 33 .from line 32.1Use the amount on line 34 to find your tax from the Tax Tables, or to figure your tax on Schedule TC, Part I Use Schedule TC, Part I, and the Tax Rate Schedules ONLY if: •. Line 34 is. more than $20,000 ($40,000 if you checked Filing Status Box 2 or 5), OR • o You have more exemptions than are shown in the Tax Table for your filing -status, OR • You use Schedule G or Form 4726 to figure your tax. Otherwise, you MUST use the Tax Tables to find your tax. 35 Tax. Enter tax here and check if from 0 Tax Tables or g Schedule TC 36 Additional taxes. (See page 12 of Instructions.) Enter here and check if from 0 Form 4970, O Form 4972, 0 Form 5544, 0 Form 5405, or Q Section 72(m)(5) penalty tax . . 37 Total. Add lines 35 and 36 Credits (See Instruc- tions on page 12) 38 Credit for contributions to candidates for public office . 39 Credit for the elderly (attach Schedules R&RP) 40 Credit for child and dependent care expenses 1Formach 2441! 41 investment credit (attach Form 3468) 42 Foreign tax credit (attach Form 1116) 43 Work incentive (WIN) credit (attach Form 4874) 44 Jobs credit (attach Form 5884) = • 45 Residential energy credits (attach Form 5695) 46 Total credits. Add lines 38 through 45 38 39 40 41 42 43 44 45 A3 32 33 . Pea �383� 34 35 36 a339 985- 37 8S 37 Other Taxes (Including Advance EIC Payments) 47 Balance. Subtract line 46 from line 37 and enter difference (but not Tess than zero) . p. 48 Self-employment tax (attach Schedule SE) 49a Minimum tax. Attach Form 4625 and check here ® 0 49b Alternative minimum tax. Attach Form 6251 and check here 50 Tax from recomputing prior -year investment credit (attach Form 4255) 51a Social security (FICA) tax on tip income not reported to employer (attach Form 4137) . 51b Uncollected employee FICA and RRTA tax on tips (from Form W-2) 52 Tax on an IRA (attach Form 5329) 53 Advance earned income credit (EIC) payments received (from Form W-2) - 54 Balance. Add lines 47 through 53 ilr• Payments Attach Forms W-2, W -2G, and W -2P to front. 55 Total Federal income tax withheld . . . . . .. . . .. . 56 1980 estimated tax payments and amount applied from 1979 return . 57 Earned income credit. If line 32 Is under $10.000, see pages 13 and 14 of Instructions 58 Amount paid with Form 4868 59 Excess FICA and RRTAtaxwithheld (two or more employers) 60 Credit for Federal tax on -special fuels and oils (attach Form 4136 or 4I36 -T) 61 Regulated Investment Company credit (attach Form 2439) 55 56 57 58 59 60 61 61031 Refund or Balance Alae 62 Total. Add lines 55 through 61 D► 63 If line 62 is larger than line 54, enter amount OVERPAID 64 Amount of line 63 to be REFUNDED TO YOU 1 p 65 Amount of line 63 to be applied to your 1981 estimated tax . . . Q. f 65 66 If line 54 is larger than Iirie 62, enter BALANCE DUE. Attach check or money order for full amount payable to "Internal Revenue Service." Write your social security number on check or money order . ► ' (Check 1 ' 0 if Form 2210 (2210F) Is attached. See page 15 of Instructions.) b $ 46 47 48 49a 49b 50 51a 51b 52 53 54 g96a y9, j 62 4(03 63 j(v70 64 1109 66 Please Sign Here Under penalties of perjury, I declare that 1 have examined this return, Including accompanying schedules and statements, and to the best of my knowledge and belief It t ee, correct, and complete. Declaration of proparer (other than taxpayer) Is based on all Informat on of which prep a • kn Your signature DateI �Spousa's sign, tura {if finny )giritiy, 110111 muse• - Paid Preparer's Use Only Preparcr's signature ® 47-// - 8o and date Firm's name (or N�14 P 0 £QX yours, if self•employed} and address Ko¢RK Q �/t Check If self•em• plowed E.I. No. i. ZIP code ..99( J Schedule E (Form 1040) 1980 .-RarthtVi;. Property Repct, - in Part!! Pape 2 Property Codes Kind and location of property (e) Cost or other basis I A '.RES/oeAlir L._. _OQJPLEg .,d .1COfTtFfK-A1f3�;I<, ' B Total o c. additional first-year depreciation (Do • gif. S cH7'HC/q; C below. See instructions for iPai1Vl Depreciation Claimed in Part II. If you need more space, use Form 4562. (a) Description of property I ac Data acquired (e) Cost or other basis I I (d) Dapreclatlon allowed or allow• able In prior years (e) Depreciation method (D Life or rate (� Depreciation for this year Total o c. additional first-year depreciation (Do • gif. S cH7'HC/q; not include in items below. See instructions for limitations.)-> 1 %4'a Totals (Property A) f qy $ Total m T t C! 6 0 d additional first-year depreciation (Do not include in items below. See instructions for limitations.)->. ---- ELECT kleLTy Totals (Property B) - 3V0 Total 0. 0 a additional first-year depreciation (Do . not include in items below. See instructions for limitations.) -3 Totals (Property C) ar.allfil Expenses Claimed in PartII Expenses (Description) Properties A B C Taxes . Insurance Interest Commissions Other (list) l› a 7 as 1 1 %4'a (o_nTsg_,seoErz, cAftAce, 5 YtCE. o9 ELECT kleLTy 3V0 Foci- pet- `iY? . 3y t ri * U.S. GOVCRNAICNT PRINTING oMCC 1 19e3 -0-313-o i 3 85.2743657 /en 6 C•42 ‘2 • (-L/ M EWE YEAR OL / 2 - 3 / 0 SCHEDULE OF DEPRECIATION ....—___ PROPERTY . DE PREC ATION DESCRIPTION DATE ACQUIRED COST OR OTHER BASIS ADJUSTMENTS NET DEPRECIATION VALUE ETH- OD YRS. OR ss PRIOR DEPRECIATION DEPRECIATION .THIB YEAR. TOTAL. DEPRECIATION req,e2/i; NO US ,-g- 97 d9 , 9 80! ! i c. 7 7 1?.!? 0 S 1-• ?' 0 111=111111111111112111111 6 . 6,0 , 9 v0 - ,„ _ _ , (KP. .0V 7 / i ii2 . / i V..17 .st- .201/6 fr, 1 P RD ve HEAri.5 Et'/7 VAR. '?0 /0 qp9t/ 1111111111111.1 /0 16 7 . - MIMI. , , - Dtceo-Ec,,9?...9,:i /3 /202, • 6.fi i-;-• 4-7 i i — 5' 3 o• 3 - 4._ • -3 6-7- AS 6....1i e/z. _*,Set.) 0 *13. 139 6 al Z.- /4— at,. "W -R 7 0.0e1 Z - "A- MO/ 111. ei / - AX -4;• 1 R Sili ri q 5 g N / '/e*U" /-/ -27 1 . 0 ; i g0 ! 8 i 1111111 • - ;775 VE - - 7 111111111111111111111111111° 1111111111111111•1111111111111111111111111111111111111111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIII== .11111111111111 11111111111111111111111111111111111111111•111•11111111111 -.... - 1 O 0 1111111111111111111111111111111111111111111111111111111111 ._,.._i ..imillIng311,11,___ mommimmimaimm NIMMIIMIIIIIIIIIIMIIIIIII MIMI /8 IRINEIMII. 1111111111111111111111111111111111111 MIME MI L.-WM.111El 8O 1 (0 4EIBMIIIIMMOINIENNIIm. A MIMI 111111111111111•111111111111111111111111111111MAIIIIIIMEEMIIIIII" IIIIIIIIIIIIMNMIIIIIIIIIIIIIIIIMIIrAIIIIIIIII=IIIIIIIIIM IIIIIIIIIMIMIIIIMIMIIMIIIIMI 11111111111111111M1111111111111111111 11111111111•11111111111111111111111111111 IIIIIIIIIIMIIIIINMIIIIIIIIIIMIIII irgiirliall m'llIl6MIIIIIIIIIIIIIIIIIIIIIUIIIIIIMINII/BISMIMMMMIIIIIIIII ', ..„,, =MEM 1111111111111111111 111111111111111111111111111111111111111 IM11111111111111111111111111111111111111111111=1111111111111111111111111111111111111111111111111111111111111 IIIIIIIIIIIMIIIIMIMIIIIIIIIMIIIIIIIIIMMMIMIIIIIIIIIIIIIIIIIIIIMII 1111111111111111.11111111111111111MIMIMI111111 IIIIIIIIIIIIIUIIIIIIIIIIMIIMIIMIMIIIIIIIIIIIMIIIIIIIIIIIIIIIIMMIIIMIIIIIII Y9 963 • :963 I 11111111111111111111111111 IMMO . ''--./- '3LI-g- .5 . . L. TOTALS MET NO DI S -STRAIGHT LI NE D.B - DECLINING BALANCE S.D. - SUM OF DIGITS "4/476 White copy: File Yellow copy: Building Permit Pink copy: Applicant ZONING COMPLIANCE PERMIT 1. PROPERTY OWNER/APPLICANT Name: Vo(e t i dcte Ka Island Borough Cc • unity Development Department 710 Mill Bay Road, Room 204 z r Kodiak, Alaska 99615 ,,., (907)486-5736 Ext. 255 Zoning Compliance #: Address: 2. LEGAL DESCRIPTION OF PROPERTY Telephone: qk -3077 Street Address: t 6 j .r1-Ze.-4-g ri p J - Lot, block, subdivision: L L. ( Z cl 1(o4c 1ct KcJa i<<(S. 'NIL) 41 S t ie Survey, other (e.g. township/range): LiSS Z53-7 v a Tax code #: g.. t 34 ()II o& Q Minimum Setbacks—Front: sr. ` a� 3. DESCRIPTION OF EXISTING PROPERTY Zoning: 3 , Z Square footage of lot: 1, 53Z Minimum lot width: Z3, e3 Average lot depth: (..40.9 .5 Average lot width: 2-2a..-2, Lot depth to width ratio: Use and size of existing buildings on the lot: -Res QA,L,6,1 (6 ( C S F. Minimum Setbacks—Front: sr. ` a� Rear: /01\(2 -C-i-\CS F' 4. DESCRIPTION OF PROPOSED ACTION (attach site plan) CD� + QZep \c(q.,�n� 51-4-, a (`S i©t.1 ((, eC_'.k 5. ZONING REQUIREMENTS FOR NEW CONSTRUCTION Type of structure(s): D•E..e4z._-}- (,& , Are.,(-----,-, )� \ 11i Minimum Setbacks—Front: sr. ` a� Rear: /01\(2 -C-i-\CS F' 4( Sides: r 41 Additional Setbacks: Maximum projection(s) into required yards: "1 yc).,' FctiL `Te_..tz-a:)"4- - Coy Maximum building height: Maximum lot coverage: ,/'J '- .Number Number and size of parking spaces required: jI JA ^ _ -k-t2, p i- 1, ; Off-street loading requirement: Plat related requirement(s): Other (e.g. zero lot line): 6. CONSISTENCY WITH COASTAL MANAGEMENT PROGRAM N >A- , Applicable policies: Proposed action consistent with Borough Coastal Management Program — Yes No Proposed action conflicts with policies (note policy and describe conflict): Conditions attached to Consistency approval to mitigate conflicts noted above: 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 this as owner, or representative of the owner, of the property(s) involved. Signed (-2� Title atc1-7\42, Date ��rz�s8-6 8. SUPPORT DOCUMENTS ATTACHED Site Plan: $ U �� 14 Other: 9. BOROUGH STAFF AP ROVAL Staff Approval: Signed Title Date Building permit #: AS-- BUILT SUR EY 0• . 149TH ••• Roy A. Ecklund NO. 1638-5 - - ®=/40A/ cap se/ oH/+y ,-ehar this svr'e//i hereby certify that I have survcycd•the following describN'l property: LOT z9, BLS/3 <T. 5% I/ S jrf47-B Al - - de411/A lAsrA. and that the improvements situatedthcrconarc within the rl++l�"qty lines • and do not overlap or -encroach -on the -property Tying adjaN'+�ftpachc to. that no improvements on property lying adjacent thereto on ++ Dated this - the premises in 'question and that there arc no roadwate' transmis- sion lines or other Visible* eaiements on said property 'ext�tlt ""s tndi`:, cared hereon. Scale: /�s 20 day cif 44PCh' ROY A. ECKLUND Registered Land Surveyor-- 1 urveyor 1 Drawn by: t?- �� I Date: 3 /'l %e_""" /4 /. -rte BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. APPLICATIONi'OR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING ADDRESS -1)1 tJCS1 C �1 1 CLASS OF WORK NEW DEMOLISH LOCALITY -3Q4.1.1 n. ALTERATION REPAIR x NEAREST CROSSST. ADDITION x MOVE BUILDING PERMIT NO. - a Co 1 Ca DATE ISSUED USE OF BUILDING ce w -z 0 NAME "0,ber SIZE OF BUILDING ( • If ' HEIGHT Nay MAIL AdS Eo & 1.9b NO. OF ROOMS NO. OF FLOORS CITY TE,L. NO. NO. OF BUILDINGS F VALUATION BLDG. FEE. 14 PLAN CHK. FEE TOTAL NAME NO. OF BUILDINGS NOW ON LOT I BUILDING PLUMBING ELECTRIC NO. OF FAMILIES FOUNDATION ROUGH ROUGH ADDRESS SIZE OF LOT i S 3 oZ FRAME SEPTIC TANK FINISH CITY USE OF BLDG. NOW ON LOT • • PLASTER SEWER FIXTURES SPECIFICATIONS FLUES GAS MOTORS STATE LICENSE NO. FOUNDATION• FINAL FINISH FINAL Ir 0 F- U 1- F - z O U NAME MATERIAL EXTERIOR, PIERS WIDTH OF TOP ADDRESS WI DTH OF BOTTOM CITY STATE LICENSE NO. SUBDIVISION VGA. i' Z'oc4 y e uSS 2537 1 DEPTH IN GROUND R.W. PLATE (SILL) SIZE GIRDERS JOIST 1st. FL. SPA:, SPAN JOIST 2nd. FL. r r/ v4 LOT NO. ' BLK. DO NOT WRITE BELOW THIS 'LINE 1. Type of Construction I; II, III, IV,I,CVI 2. Occupancy Group A, B, , E, H, I, ' M, RTDiv. 1, 2/3;:-.4 3. Fire Zone 1 2 3 4 JOIST CEILING i' rIkP EXTERIOR STUDS y INTERIOR STUDS ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS ROOF INTERIOR WALLS ' `✓ .1 - REROOFING FLUES FIREPLACE FL. FURNACE KITCHEN �` ) WekER HEATER FURNACE GAS OIL t hereby acknowledge that I have read this application and state that the abo'v'e is correct and agree to comply with all City Ordinances and State Laws regulating; building construction. Applicant I 3NI1 A.L I3dOZ1d A PLOT PLAN SETBACK 3NI1 A1213dO2.1d STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY NUMBER OF STORIES TOTAL HT. AREA OF LOT FRONT YARD SETBACK FROM PROP. LINE SIDE YARD SETBACK FROM PROP.'LINE REAR YARD Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR r By: \ �3✓ d. . y. By: AS •BUILT SURVEY , 1 • 'o ml �J971� 1 .Aeti • •• ... ..... •J,f•. ...T ..•i.. 1,1300:". Roy A. Ecklund• 1.:.) ®� ®A'J.A.N.NO. 16381S 9 t. 4. ago es .•• OQ A 90FfSSIONAL�P o .43 • ®0o,'t.DA:b a'. 1 herebycertify that 1 have surveyed thc fo lowing described property: LOT292 BLlX// /.9, miop/ 2 7Z i4JIJ5/T8 , 3-7-.11 SuVvEY, 415. Sv,eve Y and that the improvements situated thereon are within thc property lines and &MI overlap or encroach on the prop:rty Tying adjacent thereto,• that no improvements on. property Tying adjacent thereto encroach on I the premises in question and that there are no ,roadways, transmis- sion lines or other visible easements on said property except as indi- `• cated hereon. Dated this /1 day of Aele°4/ D 19 v Z ROY A. ECKLUND Registered Land Surveyor Scale: /" = /0 ¢a, jt 1 Drawn by: S. Qusf¢rmrn 1 Date: /0 .day -i/ /986 • AS • BUILT SURVEY • • . •� t61..).rtfr4,4,11:r12 ..„„ (A* • _ r. dP� •�F•A�;4SeII • 03.11...:,.....:•;::: A. Ecklund :ht.®F'® ,O. 1633.s ® %, ESSIONAL -P�a 1 hereby certify that I have surveyed thc fo lowing described property: 4°7- e9, ezock /.9 Arrop//9,I` nv /A/5//'L 51-ievEY v 5. SU,evey 8 3-7 - .r3. and that the improvements situated thereon a and dais* overlap or encroach on the prop that no improvements on property lying ad the premises in question and that there sion lines Or other visible easements on sa cated hereon. Dated this c within thc property lines rty lying adjacent thereto,. scent thereto encroach on re no roadways, transmis-. d property except as indi- day of ROY A. ECKLUND Registered Land Surveyor Scale: /" = /D fQ2 f 1 Drawn by: 5..4u671¢r# rnol I Date: k0 elisr// /986.