LEITE ADD BK 3 LT 11A - ZCP• ZOVG COMPLIANC PERMIT(pagelof3)
PermilT 2-506 g
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
Property Owner/Applicant: fni-d-rws.C(1ser-y--. (6- C.4"c--414)
Required Applicant Information:
1.
Mailing Address: i7 rs
Phone: 7/1)
2. Legal Description: 1---eti_ 6 • 1)--)l0cic 114
Street Address: [ [ Y'\ 70 -7 -Th -
3 Description of proposed action: fri>1171,€ f e-- p1c(c..€_ (2O)i,
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 WITH A COPY OF THE APPLICABLE CODE SECTIONS THAT APPLIES TO YOUR
DEVELOPMENT ACTIVITY
Zoning District 0 Parking Requirements 0 Solid Waste Removal Requirements
STAFF COMPLIANCE REVIEW Parcel No. R
Current Zoning: R 1 — Sr -(Z.. Required Lot Area: 37 2-60 421.
Required Setbacks: Front: 2, s Side: S Rear ( Building Height:
nSo(ref)
(Setbacks other than zoning, district standards to be noted on the attached site plan)
5. Number & size of parking spaces required:
6. Off-street loading requireinents:
Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage p an review,
etc.)
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc. kit/4—
ACMP Policies: Res. y Bus. 0 Ind. 0 Other 0 Consistent with KIB Yep No0 Attachment: Yes0 N
Zoning Compliance Permit Fee
Payable in Cashier's Office
Room # 104
Fee Schedule:
Assembly Resolution
1.75 acres
0 acres
3,5.01 to 40.00 acres
1-40.01 acres or more
3 -rt
$30.00
60.1)0
$90.00
$120.00
PrITI To.mnintpc/Pnrmc/7nnina rnmnlianr, Annlirroinn
Construction Disposal Deposit
Payable in Cashier's Office
Room # 104
Fee Schedule:
(per KIB Assembly Resolution
Eff. July 1.2005)
than 250 sq. ft. $250.00
251 to 500 sq. ft. $500X0
501 or greater sq. ft. $1000.00
PtISTP 1 nf 1
Kodiak Island Borough
Finance Department
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A
BUILDING PERMIT IS REQUIRED
r
"EXPIRATION: A zoning compliance perrnit,will become null and voidiif the building Or use-atithorizeci by
such permit is not commenced within 180 days from the date of issuance, or if th6buiilding construction or use
abandoned at any time, after the' work is commenced, for a period of 180 days. B;8./.4stiakvoikican benf
recommenced, a new permit must first be obtained. (Sec. 106.4.4 Expiration, 199t UBC) per KIBC 17.03.06,0i :1
. Subd. Case #: /1" Plat #: Bldg Permit #i" -7i0. ---T4:7
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.
By:
Date:
Title:
Supporting documents documents attached (check one): Site Plaw-El'iti. :s -Built Survey: 0
Other (List):
4. Commun evelo TfT Department
By: 1 Title: Afefoe-
5. Fire Marshal (UFC) by/date:
6. Septic System Plan Approved by/date:
/1)/4 ---
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,
r)r 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 TernnIntpc/Pnrrne/7nnino rnmnliartre. Annliratic, -
Pnopl nf 1
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING ADDRESS ,
(7 /3 -, ; v':t
i; .-5I o --
i 'k
CLASS OF WORK
NEW
DEMOLISH
LOCALITY I \C✓aiG'�/
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING tr-islc er,��
W
Z
0
2,61 Ff, 4-/ 0111 y Ci .b C Y'i O, d C,.1iSCJ 6�
SIZE OF BUILDING24 nO al HEIGHT 3 j 1
MAIL ADDRESS d
NO. OF ROOMS
/1
NO. OF FLOORS
CITY TEL. NO.
NO. OF BUILDINGS
VALUATION
BLDG. FEE
s
PLAN CHK. FEE
TOTAL
-7 r0
i J
NAME ,`
NO. OF BUILDINGS NOW ON LOT
c)
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
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
0
1-
U
re
N
z
0
U
" EIL
ei3k. v\ M i iu e tcti
MATERIAL
EXTERIOR,
PIERS
WIDTH OF TOP
10 L) Sei ie LCW\Q
WIDTH OF BOTTOM
bx 1(c,
12A la
CITYKo %Q L • / k.
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE]t,l SE f9O8 2 7
SIZE
SPA..
SPAN
J
0
J
DESCRIPTION
SUBDIVISION
Lc'1'e
GIRDERS
JOIST 1st. FL.
/bcf-
JOIST 2nd. FL.
Z x/2
LOT NO. BLK.
J) —A
JOIST CEILING
2x/0
abc
EXTERIOR STUDS
DO NOT WRITE. BELOW THIS LINE
1. Type of Construction
I, II, III, IVV; VI
2. Occupancy Group A, B, C, D, E,
F, G, H, I, J Div. 1, 2, 3, 4,
3. Fire Zone 1 2-3 4
INTERIOR STUDS
ROOF RAFTERS
2 x4 1,1'ez
BEARING WALLS
24 "c+:
xc, /4,b(
/Dr
COVERING
EXTERIOR WALLS Cecici -
ROOF1'Ae'i0, 1
INTERIOR WALLS `> hee"t'Y'Oc i{ REROOFING
FLUES
FIREPLACE 8 " / t FL. FURNACE
KITCHEN WATER HEATER
FURNACE . •/VIgtal GAS OIL
I hereby acknowledge that I have read
this application and state that the
above is correct and agree to comply
with all CityOrdinances and State
Laws regulating builllding construction.
Applicant'�(� fib(
-�, I7 .Oc ®62.) 2- 4-A��
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3N11 A.Ui3d0ad
A
PLOT PLAN
H
81
100
3N11 AiM3dO2id
H
221
0
m
W
N
r sf,.(
(A-4= , s ✓o -,_0--a A, d 0-4 A V . c -v -s
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0,„1-.JLe,-/„L_ vJlii,„1-2.
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,STREET
SSS p.., evti
Approved: CHIEF BUILDING OFFICAL
PLANNING & ZONING INFO.
ZONING DISTRICT
A R
TYPE OF OCCUPANCY
NUMBER OF STORIES
3
TOTAL HT.
S HAX
AREA OF LOT / 0 (i z.
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LIIR
REAR YAR01 /JC <
Approved: ZONING ADMiNIS• RATOR
/411 /I • /I
.fie /7.7
L
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