KODIAK TWNST BK 19 LT 37A - ZCPKODIAK ISLAND BOROUGH Community Development
710 Mill Bay Road (Rm 204), Kodiak, Alaska 99615-6340 - Phone: (907) 486-5736, ext. 255 or 254 ZONING COMPLIANCE
PERMIT Permit #: GZ- / / -- e2-
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Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No:
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Mailing Address: ql / //, '//c .ec .cPhone: 1-( ' G -� S-S" Sr-
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Legal Description: k en 0i,'7:4-7,/ ,l be_(r (ct
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Street Address: L/ // //,'//cry Tax Code #: 2 ( 3 ) / 'v 3 /
Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): %U p
Description of Existing Propertyicurrentzoning: (. 2 — (6,6 Ras� -i
26Li
Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.): N 4
Minimum Required Lot Area: ( Width: (o C7 'f :
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Actual Lot Area: i 3, (Zq 35 Width: l 2 -+
Minimum Required Setbacks: Sides: � ,/'" ,��//,r' ``;; �d�' �-iir' ' =...✓
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Coastal Management Program Applicable Polices (check appropriate category) - Residential: X Business:
Front: w Q c °v Rear: (Op xf
Maximum Building Height: - �� 2tt' ((JJ
Industrial: Other (list):
Use and size of existing structures on the lot: J "f---V_ In (S a 0
Is the proposed action consistent with the KIB Coastal Management Program? - Yes: Y No:
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If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(i\ess))
describes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No:
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Description of proposed action (attach site plan): ID P_.t.c_, ,(e-., �-- / / 1 ' GJ,' G+% .t.2 1-410
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`' 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 havdentifiable corner markers in place in the ield for verification of setbacks. q.
By: , ,/ r /7 % ( Title:
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Supporting documents attached (check): Site plan: • uitt survey: Other (list):40
6.
Community Development staff for zoning, by: 1 _ 7 Date: /7 Title: I 5-6---C..../. 6-u"A47..,�„_,...1,__—,
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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:
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Driveway Permit (State, City of Kodiak, Borough) issued by: Date:
9. Septic system PLAN approved by: Date:
Distribution: File( Building Official (ApplicantTHIS FORM.DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED
lune 1991
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APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT
Telephone: 486-8070 700 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:
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LOT : BLOCK
NEW
DEMOLITION"-
.
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE :
DATE ISSUED:
TYPE
C 71 c-, ,, _ - ' _.
f ,_.
5 yC Al /
ALTERATION
REPAIR
SUBDIVISION/SURVEY:,_
ADDITION
MOVE
DIMENSIONS
VALUATION BASIS:
BUILDING PERMIT FEE: -
DEPTH IN GRND
f ff )
NAME: --•---
USE OF BUILDING AUTHORIZED BY THIS
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
r: f
{ -4 .r,. ,.• /---- t 1.1,11* f r'' C! .-i -=, .. -s
PERMIT:
BOLT SPACING
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MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL
Wil /1, Afit.,,,..,,75,
CRAWL SPACE VENT SO. FEET
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N
CITY &STATE:
SIZE HEIGHT
SPECIES
A B E H I M -
RECEIPT NO.: - L� ` .. .-
; V t
R
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NO. OF ROOMS STORIES
STRUCTURAL
& GRADE
SIZE
SPACING
SPAN
TELEPHONE : ;
NO. OF FAMILIES
GIRDERS
DIV. 1 2 .3. 4 5 6
EACH OF THE FOLLOWING STAGES OF
i. ---/f"'&~- ) 5 t '5
TYPE OF BUSINESS
GIRDERS
CONSTRUCTION BEIIUIRES INSPECTION
NAME:
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
A
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
TYPE OF CONSTRUCTION
BE REDUESTED & COMPLETED PRIOR TO
R
SIZE OF LOT I
JOISTS 2ND FLOOR
PROCEEDING WITH ANY FURTHER WORK:
C
WATER: PUBLIC ,
PRIVATE
JOISTS 2ND FLOOR
I 11
FOR INSPEC7IONCALL 486-8070
H
CITY & STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
111 IV V
/
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
1 HR FR H.T.
EXCAVATION,
E
TELEPHONE
BEARING WALLS
UNDERGROUND UTILITIES
N
G
FOUNDATION
INTERIOR WALLS
DRIVEWAY PERMIT:
FOUNDATION /SETBACKS
STATE LICENSE :
WALLS
ROOF RAFTERS
SUBMITTED
FRAMING
ROOF / CEILING
1 TRUSSES
APPROVED
ROUGH ELECTRICAL
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
ROUGH PLUMBING
C
ADEC APPLICATION:
FINAL �.
MAILING ADDRESS:
FLOOR
WOOD HEATER YES NO
SUBMITTED
DATE C.O. ISSUED:
T
WALLS
FINAL APPROVAL
R
CITY & STATE:
ROOF
TYPE
ALASKA FIREMARSHALL REVIEW:
A
C
TELEPHONE :
FINISH MATERIAL:
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT IS
SUBMITTED: APPROVED:
1.
ROOF
CORRECT AND THAT I AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS
CONSTRUCTION
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STATE LICENSE
EXTERIOR SIDING
REGULATING BUILDING
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R
INTERIOR WALLS
APPLICANT: '
APPROVED -BUILDING OFFICAL:
NOTES: Utility Connection Fee
Water $ Date
Sewer Receipt
Total Cashier