LEITE ADD BK 5 LT 1A - ZCPZONING COMPLIANCE PERMIT(Pagelof3)
Permi e Z- cob. - 6 �P
Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205), Kodiak, AK 99615
PH(907)486-9362 Fax(907)486-9396 http://www.kib.co.kodiak.ak.us
Required Applicant Informatio I : J ,� �v g,tq l fainh'
1. Property Owner/Ap
//pl
liJicant: L— C 1J C.) u IS i5 e ,e u 11 Q/
Mailing Address: l7'/O ,9,' 55 )D s) igc N4 L. Phone: 91k3355
2. Legal Description:
/7/9- M le Le h; -1 --el yc,
Street Address: / 9/ /:5 511 a) 7 7 i4 €, r�
3. Description o1 p oiposed action: 5L 1/ s' 0 La d YEs
0l ) iv ! i q� e ' ' x, d ' yc // A-, 'V E'er
A. /// l iIP I �/ 7. U i ,
�
�i',L� / 5i,J4-' y / S5
E??t/ng °it/ ) K-9
.60 4&r/rCN&( e
4. Site Plan (page 3 of 3 of this application): to include: Lot boundaries & existing easements, proposed
location of all buildings, access points &vehicular parking areas.
STAFF WILL PROVIDE YOU WIT A COPY OF THE APPLICABLE CODE SECTIONS THAT APPLIES TO YOUR
DEVELOPMENT O IVI'f� n 0 q
ZoningDistrict /ear n e4 uirementsSolid Waste Removal Requirements
STAFF COMPLIANCE REVIEW Parcel No. R J O6'C0(C)
Current Zoning: 23 Required Lot Area:
Required Setbacks: Front: Side: Rear Building Height:
(Setbacks other than zoning district standards to be noted on the attached site plan)
I
5. Number & size of parking spaces required:
6. Off-street loading requirements:
Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc.) • I
i
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc.
ACMP Policies: Res. iirus.I❑ Ind. ❑ Other 0 Consistent with KIB CMP: YesErgOO Attachment: Yes❑ No❑
Zoning Complian FfItI t Fee
Paptre)'n.Casle
o n
i smedut . 1
cMp bI,u, Resolution on
L Osi:-"
tub'
a
gees ttwn 1,/5 acte.
dmt t°�c 00 acres 0.00
S.0Pto T0.00 acres x$90.00
40.01 acres or more $12000 •
rnn Tam„ latec/Fn,.,,crinn:no rn,,,nnanre AnnIiratin..
Construction Dis P.Sa�1 Deposit
Payable' ashier's 0(ice
oom 0104
Fee Schedule:
(per KIR Assembly. Resolution
Etr. July 1, 2005)
Less than 250 sq. ftix$0.00 J
251 to 500 sq. ft. $500.00
501 or greater sq. ft. $1000.00
AH/OTHER FISEC3
03/06/2006 12:42:10
060013696 Zoning Cep
PAID
30.00
*0 Paid in Full 0*
Kodiak Island Boroug
Kodiak AI 99615
(901) 486-9324
Paoe I of 1
6144 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 clays 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.
I. Subd. Case #:
Plat #: Bldg Permit #:
2. Driveway Permit (State, Borough, City) by/date:
3. 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 have identifiable corner markers in place in the field for
verification of setbacks.
Y.
Date:
Title:
Supporting documents attached (check one): Site Plan: 0 As -Built Survey: ❑
Other (List):
4. Come Devejopient Department
By:
Title: 4P
Date: �roG
5. Fire Marshal (UFC) by/date:
6. Septic System Plan Approved by/date:
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.
rnn Temnlnwe/Fnnneflnnino r mmnlianre Annlirati Pnoe7 of 1
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:
- e%to r
DEPTH IN GRND
O
I W
ECITY
R
NAME
USE OF BUILDING AUTHORIZED BY
THIS PERMIT:
REINFORCEMENT
VALUATION:
PLAN CHECK FEE:
I ? ' > 2
BOLT SPACING
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE:
ABE H 1 MR
CRAWL SPACE VENT SQ. FEET
& 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
A
R
C
HCITY
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
I II III IV V
N 1 -HR FR H.T.
ANY FURTHER WORK:
FOR INSPECTION CALL 486-8070
& STATE:
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
TELEPHONE:
FOUNDATION
BEARING WALLS
INTERIOR WALLS
EXCAVATION
STATE LICENSE:
WALLS
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
SUBMITTED
FRAMING
o o z- m< o - o 1
NAME:
SHEATHING TYPE & SIZE:
FURNACE TYPE:
FLOOR
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:
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