LEITE ADD BK 1 LT 17 - ZCPZONT"TG COMPLIANCE' PERMIT
Permit #_Z- -O(q
$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/,
Mailing Address:
Phone:
42,
2. Legal Description: !�Q iO&i 10-7 17
Street Address: /? 7 LOA Tax Code: Ri.,b20 CO/OC1O
3. Description of Existing Property/C rrent Zoning: /G -
Minimum Required Lot Area: `J, 9,00 i Width: 66
Actual Lot Area: 107OiS Width:
Minimum Required Setbacks: Front: g '' Side: 5 `
Rear: /U ` Maximum Building Height:
Use and size of existing structuresrulon the lot: &Mc e e e 5F/
41. l`% 5(9 l �v (c,, t h i cGA-Tiok9
Number & size of parking spaces required per parking/site plan dated:
Off-street loading requirements:
Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc.)
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc)
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):
Aect 6-/`(-(x4, tutA)docos rionh 1‘. ke,44-1,A. 2oof
N:\CD\Templates\ComDev\Zoning Compliance Permit.doc
NAM iat,HSn
Zoning Compli . ' e it Fee
84/`0/;200 Payable i ffice
010074146
RAIU /L•
-045
25.00
t** Paid in Full *.*
Kodiak Island Bo•roug
Kodiak AK 99615
(907) 486-9324
THIlikORM DOES NOT AUTHRIZIZE 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:
Title:
Date: �/U y
Supporting documents attached (check one): Site Plan As -Built Survey:
Other (List):
8. Confmgihity D • elo , ment staff for zoning, 4
Title:AA E. Date:
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.
N:\CD\Templates\ComDev\Zoning Compliance Permit.doc
1.)41.1.11.1%.11. Y Y440 11.•%,e .1;
(Per MB 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 VVHEN A BUILDING PERMIT
• OR ZONING. COMPLIANCE PERMIT IS REQUIRED
1. Property Owner/App
-,4" /6/'•-e
Mailing Address: / /1 V(6e. ),114_ Phone: -,Terzy-
2. Legal Description: tie Ade:CO g<1 Lor
Street Address: P.-‘11/14 e‘4 COO
Tax Code: R1,,V1)616 LYO
3. Description of proposed action (attach site plan):,Myx.) .etwA1t Atie‘
4. 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 f the property o ne
i By:
Date:
Title:
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
/;500 square feet:. $1,000.00 Deposit
(See attached form for details)
og-orci
60/0v
NACEATemplates\ComDev1F-Solid Waste Fee.doc
Solid WasisposaI Fee
FIREG
0
04/20/2654- • 14414da 4'1)
010074146 COnsi Dubp
FA' A I D
1,006A0 •
*** Paid in Full ***,,
Kodiak Island Boroug
Kodiak AK 99615
(907) 486-9324•
Kodiak Island, Alaska
TIC No.
3038
Last Name Company Name:,
Taxpayer Information 4/20/04 14:03:07
ata:
1 1 ,TxpayeI
2: optY
First Name(s):
VITO
Mailing Address:
'ISOX1486
KODIAK
AK .4p/Cpuptry:. 99615
Carrier Route:
AAAAAAAAAAAA
Format:R '' llllllllllllllll .......
LEITE ADD BK 1 LT 17
TIC20—Please enter TIC number and data selection and press desired function
F1=Add F2=Change F3=Exit F4=Prompt F7/F8=Scroll F24=More Keys
KODIAK ISLAND BOROUGH Community Development ZfJNING CO
710 Mill Bay Road (Rm 204), Kodiak, Alaska 99615-6340 - Phone: (907) 486-5736, ext. 255 or 254
PLIANCE PERMIT
Permit #: Z- % 1— d 73
1. Property Owner/Applicant: (6 �(! (4/ L. L-1 AI2
i
Mailing Address: 13,2-1-t 7 f I ��/(04 Phone:
2. Legal Description: L07-77 gLDCk, )� LE," __-- 19-7 ,01
Street Address: / 3A. q / r l / S.31 uV k' Tax Code #: ll /29)O / O / 7 Q
3. Description of Existing Property/currentzoning:
Minimum Required Lot Area:
Actual Lot Area:
7..g,OP Pi Width:
Width:
Minimum Required Setbacks: Sides:
.5—
Front:
Front•
25-1
60
Rear:
Maximum Building Height:
Use and size of existing structures on the lot: .5F
Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No:
A)b
Off street loading requirement:
ed requirements (e.g., plat notes, easements, subdivision conditions, etc.):
0 er requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc.):
Coastal Management Program Applicable Polices (check appropriate category) - Residential:
Business:
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:
4. Description of proposed action (attach site plan):
el X ;1•i I /Mi< "414)d)2
I\J 1'1 Ci?i _ / ?-Mr /A)Q- S /` i% " ,
Applicant Certification: 1 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 t aavee den ii i• �ablee rner marke i Iaae in the fieldpfor verification of setbacks.
By: I�G/.i',� /,��-2i/ / A i�l � �.�[ ? f/ V 1 S
Supporting documents attached (check): Site plan: As -built survey:
Date: Oh Ja
Other (list): j
. Community Development staff for zoning, by:
Title. 1{^14.NtA/1
. Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.3010) by: Date:
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
;
I
J
BUILDING DEPARTMENT CITY / BOROUGH OF KODIAK
Applicant to fill in between heavy lines.
APPLICATION.FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY ,
BUILDING ADDRESS. k j.
I e en.
/ ( k
CLASS OF WORK
NEW DEMOLISH
LOCALITY
ALTERATION
REPAIR
e".
NEAREST CROSS ST,
ADDITION MOVE
BUILDING PERMIT NO,
DATE ISSUED
USE OF BUILDING 1\1,
0
NAME L „„ (0.1 tc,t 1,13
SIZE OF BUILDING "../, :50- HEIGHT
MAIL ADIr?3,S4
NO. OF ROOMS
NO. OF FLOORS
CITY
TEL. NO.
NO. OF BUILDINGS, t
VALUATION
/;716‘06,0 0
BLDG. FEE
PLAN CHK. FEE
TOTAL
I.1 W
'Z
Z
<
NAME
NO. OF BUILDINGS NOW ON LOT
BLitt -DING
PLUMBING
ELECTRIC
NO. QF 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
cc
0
NAME(
<ET?
ADDRE *r,
MATERIAL EXTERIOR, PIERS
)WIDTH OF TOP
WIDTH OF BOTTOM
CITY
--DEPTH IN GROUND
R.W. PLATE (SILL)
STATE'LICENSE
SIZE SPAN
0
tu
Ei
SUBDIVISION
11
GIRDERS
JOIST 1st. FL.
JOIST 2nd. FL.
LOT NO. '
• BLK.
JOIST CEILING
EXTERIOR STUDS
- DO NOT WRITE BELOVV THIS LINE
1. Type of Construction
I, 11, 111, IV,OVI
2. Occupancy Group A, 13, E, H, 1,
M,(R-Div. 1,
3. FireZone 1 2 34
INTERIOR STUDS
ROOF RAFTERS
BEARING WALLS
COVERING
EXTERIOR WALLS 1 ROOF
INTERIOR WALLS REROOFING
FLUES
FIREPLACE FL. FURNACE
KITCHEN WATER HEATER
FURNACE
GAS OIL
I hereby acknowledge that 1. have read
this application and state that the
above is correct rd agree to comply
with all City oFdinInc74 and State
Laws regulating ui11jxi//g construction.
Applicant
A,--C-;:-A-4012r....-
3N11 AiLl3d0Hcl
A
PLOT PLAN
nNli A1Had0Hci
STREET ..
PLANNING & ZONING INFO,
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIE
TOTAL 'HT.
AREA OF LOT
FRONT YARD SET ACK FROM PROPjCINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
:1
/— 4 -
Approved: Cl-IBF,BUILDING OFFICAL Approved. /NINO tti
By: