LEITE ADD BK 1 LT 14A - ZCPZONIMG COMPLIANCF PERMIT
Permit rt
$25.00
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
1. Property Owner/Applicant: 6L
B
/6//3 m Ls -s Rct Ko-diCeLk Phone:
Mailing Address:
6— ?j? 6-9"
2. Legal Description: iz) ,p/o4 Lei/c. o_Rtztj,o-v. sii(No
Street Address: A1 (ism iCre1614- Tax Code: R ,gob01.0./z/
3. Description of Existing Property/Current Zoning:
Minimum Required Lot Area:
Actual Lot Area:
Minimum Required Setbacks: Front:
Rear:
Width: 6,0
/O? e,*s- r Side: -5-
Use and size of existing structures on the lot:
Maximum Building Height: Z3 5
/L es I'd 95 at/4o
Number & size of parking spaces required per parking/site plan dated: :3
Off-street loading requirements:
Plat/subdivision related requirement (e.g. plat notes, easements,isubdivision conditions, drainage plan review,
etc.) .244eie.,1- el, pi' //: /er
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc)
#4/66
Coastal Management Program Applicable Policies (check appropriate category)
Residential(_ ,--"-- Business Industrial Other
Is the proposed action consistent with the KIB Coastal Management Program: Yes No
Attachment: Yes No
Description of proposed action (attach site plan
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NACD\Templates\ComDev\Zoning Compliance Permit.doc
Zoning Cumplianc
'Payable •IrCashier's
kRooin # 104
TH144'ORM 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 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.
4. Other: Subd. Case #: Plat #:
Bldg Permit #:
5. Driveway Permit (State, Borough, City) by/date:
6. 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: iralr
Title: 0 -U -5-7-1--e-'(
Supporting documents attached (check one): Site Plan As -Built Survey:
Other (List):
8. Co ni D. , e o
By:
137
/L.
ent staff for zoning,
Title:/q70—
Date: ,44et
9. Fire Marshal (UFC) by/date:
10. 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.
1\I:\CD \Templates \ComDev\Zoning Compliance Permit.doc
AS -BUILT SURVEY
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ice:
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Old
.W..i►.. . ash►*ee j
• L G. Ber_
•.• LS -5777 •
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1 hereby certify that 1 have surveyed the following escribcd pro crt :
Lot /4A , block /, Leite AddiAlon Lh 5.
Survey /b8/, plat number 72- 6 ,
/rod/ilk Recording District,
and that the improvements situated thereon are within the property lints
and do not 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 herccoorl.
Date thi '104- • day of ti'atA.. ,2061
I.G.BEI43EE
Registered Land Surveyor
scale: /" = 00 fee/
1 Drawnby:S. A457e/mant Date: 9 Apr-// eool
Solid Waste Fee
(Per KIB Resolution 2003-20)
Kodiak Island Borough, Engineering & Facilities Department; 710 Mill Bay Road (Rm. 223), Kodiak, AK 99615
PH:(907)486-9348 Fax(907)486-9394 http://www.kib.co.kodiak.ak.us
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT
OR ZONING COMPLIANCE PERMIT IS REQUIRED
1. Property Owner/Applicant: / ar%
Mailing Address: //_3 41 5f(- k Phone: C 120 V
2. Legal Description: /V73 Aft Yst, WA- le Lk_Ike kARld;,6 -Scg-u
Street Address: //(3 Tax Code: R
3. Description of proposed action (attach site plan):
Pixoniom(
s7/3 reJi
ZY
4. Applicant Certification: I hereby certify that I vvill 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 bpropr. owner.
By:
Title:.
Date:
Supporting documents attached (check one): Site Plan As -Built Survey:
Other (List):
8. Solid Waste Disposal• Fee: (check one) 250 square feet or less: $250..00 Deposit
• 500 square feet or less: $500.00 Deposit
• 5c>500 square feet: $1.000.00 Deposit
(See attached form for details)
NACEATemplateslComDev\F-Solid Waste Fee.doc
Solid Waste Disposal Fee
•
BUILDING DEPARTMENT— CITY / BOROUGH OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
Applicant to fill in between heavy lines.
OF OCCUPANCY
BUILDING ADDRESS
CLASS OF WORK
NEW
DEMOLISH
LOCALITY
ALTERATION
REPAIR
NEAREST CROSS ST.
ADDITION
MOVE
BUILDING PERMIT NO.
DATE ISSUED
USE OF BUILDING
NAME
SIZE OF BUILDING HEIGHT
Z MAIL ADDRESS
NO. OF ROOMS
NO. OF FLOORS
O CITY TEL. NO
NO. OF BUILDINGS
VALUATION
S
BLDG. FEE
S
PLAN CHK. FEE
10101
F
Cr
W w
F W
Zl7
NAME
NO. OF BUILDINGS NOW ON LOT
BUILDING
PLUMBING
ELECTRIC
NO. OF FAMILIES
FOUNDATION
ROUGH
ROUGH
ADDRESS
SIZE OF LOT
FRAME
SEPTIC TANK
FINISH
CITY
USE OF BLDG. NOW ON LOT .,"--1
SPECIFICATIONS
PLASTER
FLUES
SEWER
FIXTURES
GAS
MOTORS
STATE LICENSE NO.
FOUNDATION
FINAL
FINISH
FINAL
tY
0
U
5
I—
Z
O
U
NAME
MATERIAL
EXTERIOR,
PII RS
WIDTH OF TOP
ADDRESS
WIDTH OF BOTTOM
CITY
DEPTH IN GROUND
R.W. PLATE (SILL)
STATE LICENSE NO.
SIZE
SPA..
SPAN
SUBDIVISION
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO. BLK.
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
11. Type of Construction
yp Co st uction
I, 11, III, IV, V, 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
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE.
KITCHEN WATER HEATER
FURNACE
GAS OIL
I hereby acknowledge that I have read
this application and state that the
above is correct and agree to comply
with all City Ordinances and State
Laws regulating building construction.
--d�i�ant
'`` t
3N11 AiLl3dOLld
A
PLOT PLAN
r
SETBACK
3N11 Al 3dOLld
STREET
PLANNING & ZONING INFO.
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES ;=- TOT AL III.
AREA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR
By: By•
BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
CLASS OF WORK
BUILDING ADDRESS
LOCALITY
NEAREST CROSS ST.
K
Z
O
NAME
NEW
DEMOLISH
ALTERATION
REPAI R
ADDITION
MOVE
USE OF BUILDING
SIZE OF BUILDING 111 IGIT
0
U
K
Z
0
U
Q
J
DESCRIPTION
MAIL ADDRESS
CITY
NAME
ADDRESS
CITY
NO. OF ROOMS
NO. OF FLOORS
NO. OF BUILDINGS
NO. OF BUILDINGS NOW ON LOT
NO. OF FAMILIES
STATE LICENSE NO.
NAME
ADDRESS -
SIZE OF LOT
USE OF BLDG. NOW ON LOT
SPECIFICATIONS
FOUNDATION
MATERIAL
EXTERIOR,
PI RS
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO
VALUATION
S
BUILDING
WIDTH OF TOP
CITY
STATE LICENSE NO.
SUBDIVISION
105 NO. BLK.
WIDTH OF BOTTOM
DEPTH IN GROUND
R.W. PLATE (SILL)
SIZE
SPA ._
SPAN
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL
JOIST CEILING
EXTERIOR STUDS
DO NOT WRITE BELOW THIS LINE
`. Type of Construction
I, 11, 111, IV, V, 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
FOUNDATION
FRAME
PLASTER
FLUES
FINAL
BEARING WALLS
COVERING
EXTERIOR WALLS
ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS Olt
I hereby acknowledge that I have read
this application and state that the
above is correct and agree to comply
with all City Ordinances and State
Laws regulating buildin ccpnsttruction.
Applicant
DATE ISSUED
BLDG. FEE
PLAN CHK. FEE
TOTAL
PLUMBING
ROUGH
SEPTIC TANK
SEWER
GAS
FINISH
ELECTRIC
ROUGH
FINISH
FIXTURES
MOTORS
FINAL
i( f` .,%' 7C -G, o%/ f X47 ,%e5
,(
�i
AW 14°
ei /f . rtc?T�
3N11 Al2i3dO2 d
A
PLOT PLAN
101t/V
SETBACK
3N11 AJLl3dO?=Id
STREET,', r
Aale 441111.`.X-- /it
PLANNING & ZONING INFO.
I
Werez
ZONING DISTRICT
TYPE OF OCCUPANCY ..
J
NUMBER OF STORIES
AREA OF LOT Ai 7 7
FRONT YARD SETBACK FROM PROP. LINE
TOTAL HT. S Q/IIC
/./0
SIDE VAR) SETBACK FROM PROP. LINEl $
REAR YARD
Approved: CHIEF BUILDING OFFICAL Approved: ZONING ADMINISTRATOR /t'h' 3
By: By.