Loading...
LEITE ADD BK 2 PTN LT 13 - ZCPg 2t 02c3i s APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486-8070 • 486-8072 Fax: 486-8600 710 Mill Bay Road, Room 208 (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: DEPTH IN GRND 0 W NCITY R NAME: USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING MAILING ADDRESS: CRAWL SPACE HEIGHT INCHES OCCUPANCY TOTAL FEE: GROUP: CRAWL SPACE VENT SQ. FEET ABEFHIMRSU & STATE: SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS STORIES RECEIPT NO: TELEPHONE: NO. OF FAMILIES GIRDERS TYPE OF BUSINESS GIRDERS DIV. 1 2 3 4 5 6 EACH OF THE FOLLOWING STAGES OF CONSTRUCTION REQUIRES INSPECTION BE REQUESTED & COMPLETED A R C H 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: PUBLICI 1 PRIVATE I JOISTS 2ND FLOOR TYPE OF CONSTRUCTION PRIOR TO PROCEEDING WITH I 11 111 IV V N 1 -HR FR H.T. ANY FURTHER WORK: FOR INSPECTION CALL 486-8070 CITY & 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 C T R A C T 0 R NAME: SHEATHING TYPE & SIZE: FURNACE TYPE: FLOOR APPROVED ROUGH ELECTRICAL MAILING ADDRESS: WOOD HEATER YES NO TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: FINAL 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 TELEPHONE: FINISH MATERIAL: KODIAK FIREMARSHAL REVIEW: a SUBMITTED: • 'R E 61$ ROOF STATE LICENSE: EXTERIOR SIDING 0TH 9 APPROVED - BUILDING OF INTERIOR WALLS NOTES: ,---- 104 Qr N Received 44 r Finance Department .,, t City of Kodiak _. r 6 St lieN ‘,9"' PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486-8070 710 Mill Bay Road LEASE 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 TYPE SUBDIVISION / SURVEY: ADDITION _REPAIR MOVE DIMENSIONS VALUATION BASIS: BUILDING PERMIT FEE: DEPTH IN GRND NAME USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE: BOLT SPACING CRAWL SPACE HEIGHT INCHES OCCUPANCY GROUP: TOTAL FEE; O W MAILING ADDRESS: AB E H I MR CRAWL SPACE VENT SQ. FEET N R CITY & 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 NAME: NO. OF BLDGS NOW ON LOT JOISTS 1ST FLOOR USE OF EXISTING BLDGS JOISTS 1ST FLOOR R C MAILING ADDRESS: SIZE OF LOT JOISTS 2ND FLOOR WATER: PUBLIC! I PRIVATE I JOISTS 2ND FLOOR TYPE OF CONSTRUCTION PRIOR TO PROCEEDING WITH I II III IV V FR H.T. ANY FURTHER WORK: FOR INSPECTION CALL 486-8070 H E CITY & STATE: SEWER: PUBLIC f PRIVATE CEILING JOISTS INSULATION TYPE & THICKNESS: EXTERIOR WALLS BEARING WALLS N G TELEPHONE: FOUNDATION N 1 -HR EXCAVATION INTERIOR WALLS UNDERGROUND UTILITIES OOZE - m <o1-OQ STATE LICENSE: NAME: WALLS ROOF RAFTERS ROOF / CEILING SHEATHING TYPE & SIZE: TRUSSES FURNACE TYPE: O DRIVEWAY PERMIT; FOUNDATION / SETBACKS SUBMITTED FRAMING APPROVED ROUGH ELECTRICAL FLOOR WOOD HEATER YES NO 'TYPE ROUGH PLUMBING MAILING ADDRESS: ADEC APPLICATION: FINAL WALLS SUBMITTED DATE C.O. ISSUED: CITY & STATE: r ROOF I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ,ALASKA THAT IT IS CORRECT AND THAT I AGREE TO COMPLY�ALL ` :ia ORDINANCES AND LAWS REGULATING BUILDING C CTIgh c `V' APPLICANT: ;.� SEA INA FINAL APPROVAL FIREMARSHAL REVIEW: MITTED: APPROVED: TELEPHONE: FINISH MATERIAL:ilk" ROOF ` ; APPROVED - BUILDING OFFICIAL: STATE LICENSE: EXTERIOR SIDING INTERIOR WALLS NOTES:.waia"� UTILITY CONNECTION FEE citWATER $ DATE 6D EWER $ RECEIPT # ~� L £17. L ted • TOTAL $ CASHIER BUILDING DEPARTMENT — CITY / BOROUGH OF KODIAK Applicant to fill in between heavy lines. APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY BUILDING ADDRESS CLASS OF WORK NEW DEMOLISH LOCALITY ALTERATION REPAI R NEAREST CROSS S cc Z O NAM /1,417 PV ADDITION MOVE BUILDING PERMIT NO. DATE ISSUED USE OF BUILDING J / I\ SIZE OF BUILDING x 1C HEIGHT MAILA RESS T O -, (6; )/d dT/\ ELN %7 NAME NO. OF ROOMS NO. OF FLOORS NO. OF BUILDINGS VALUATION S BLDG. FEE PLAN CHK. FEE TOTAL NO. OF BUILDINGS NOW ON LOT BUILDING PLUMBING ELECTRIC NO. OF FAMILIES FOUNDATION ROUGH ROUGH ADDRESS SIZE OF LOT FRAME SEPTIC TANK FINISH CITY STATE LICENSE NO. USE OF BLDG. NOW ON LOT PLASTER SEWER SPECIFICATIONS FOUNDATION FLUES FINAL GAS FINISH FIXTURES MOTORS FINAL CONTRACTOR NAME MATERIAL LXTF PIOI2, Ell PS WIDTH OF TOP ADDRESS WIDTH OF BOTTOM CITY DEPTH IN GROUND R.W. PLATE (SILL) STATE LICENSE NO. SIZE SPA., SPAN SUBDIVISION GIRDERS JOIST ]st. FL. JOIST 2nd. FL. LOT NO BLK. JOIST CEILING EXTERIOR STUDS DO NOT WRITE BELOW THIS LINE 1. Type of Construction I, II, 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 RAFT' PS BEARING WALLS COVERING EXTERIOR WALLS ROOF INTERIOR WALLS REROOFING FLUES FIREPLACE FL. FURNACE. KITCHEN WATER HEATER FURNACE GAS 011 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. Applicant Approved: CHIEF BUILDING OFFICAL By: 3N11 Al2:13dONd PLOT PLAN A SETBACK 3N11 AiL13dOtdd STREET 77"Tit) // G1 PLANNING & ZONING INFO. ZONING DISTRICT . /"..* —) .its,. /c7rt/. TYPE OF OCCUPANCY / /Z. NUMBER OF STORIES Z TOTAL HT. AREA OF LOT /^ FRONT YARD SE BACK FROM PROP. LINE 'S �(( /4) SIDE YARD SETBACK FROM PROP. LINE - REAR YARD L. Approved: ZONING ADMINISTRATOR "/''3 By• KODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615.6340 - Phone: (907) 486-9362 ZONING COMPLIANCE PERMIT Permit #: FEE: $20.00 CZ- 1 - FEE:, 1. Property Owner/Applicant: Mailing Address: /5-47 1, t get-, epp-, 2.v Legal Description: Pi), , Rx -2_, Street Address: 1 7 Z% tai 1 SS/ av- , !Q 1 • Description of Existing Property/current zoning: Minimum Required Lot Area: Actual tot Area: 6 & 0-29 a" ,.Minimum Required Setbacks: Sides: Front: 8 I - Phone: lire& 6 3 Tax Code #: K 1 a- 090 .Z 6 c3 / R Width: Width: Maximum Building Height: Use and size of existing structures on the lot: 3s Rear: /0r Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: 0 Off-street loading requirement: -49 Plat related requirements (e.g., plat notes, easements, conditions, etc.): oY 1.1 No: Other requirements (e.g., zero lot line, additional setbacks,"projections into yards, screening, etc.): 4A40 Coastal Management Program Applicable Polices (check appropriate category) - Residential: V 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: Y Description of proposed action (attach site plan): ("x'/' ,W/?‘) cAri —' 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 with 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 shall be first obtained to do so. (Sec. 303 (d) Expiration, 1991 Uniform Building Code) -per KIBC 17.03.060 Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that I have the authority k, certify this as the property owner; or as a representative of the 1;rotx.rty owner. I agree to have identifiable corner markers in place in the field for verification of setbacks. By: �3Gt Title: O?.a-/ - 1 Supporting documents attached (check): Site plan: k As -built survev: Other (list): Date: /4"-2-4--- L' 1 ▪ Community Development staff for zoning, by: Title: Date: CDREG FIRED 000053380 11/03/1999 Zoning Crap 8:44:59 PAID $20.00 cry* Paid in Full iii- Kodiak Island Borough Kodiak AK 99615 rcf!71 Apel-03pf • Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.301C) by: . Driveway Permit (state, City of Kodiak, Borough) issued by: Date: Date: 9. Septic system PLAN approved by: Date: !u!v 1. 1c1O4 ern jCD /1 7 TO: CITY OF KODIAK P.O.BOX 1397 • KODIAK, ALASKA 99615 API ATION FOR CERTIFICATE OF REG ST iION (SALES AND SERVICE TAX) DATE OF APPLICATION ACCOUNT NO. NAME OF FIRM fr /5,a 7 MrSsi.;) ©rr 3,2i Cro.,vs J2 LOCATION ADDRESS MAILING ADDRESS NAME OF OWNER HOME ADDRESS Zgob BUSINESS PHONE 6 s -Be, STREET . 7j L/) C (jj 12 CITY 'STATE ZIP CODE STREET TYPE OF BUSINESS `---4DP°7 1 7?,2 CITY • STATE ZIP CODE HOME PHONE S DATE BUSINESS STARTED '6/8g ALASKA BUSINESS LICENSE NUMBEFJ3,. TYPE OF. ORGANIZATION: INDIVIDUAL t PARTNERSHIP CORPORATION OTHER (EXPLAIN BELOW) IS BUSINESS SEASONAL IF YES, APPROXIMATE DATES THAT BUSINESS IS OPERATED EACH YEAR .r S ,e / acu�4To�s t,/ w�11 ge_ P 17 ,� /4 Tr -ROM E T : TO > �" /Z-1 Sr;PIlar O2v �'Ce—�'? / , s APOPr r ' . -7130 i . ,F wr 4 G u wU2- ! -e. -5 ,.;•Lf / NO OF MONTHS I IGNATURE & TITLE OF APCANT t Y 1.t1— vvtvtt t•••L.• 1 4..4, tt +1 tllts 5 1,l.+t\Jt t11 Vtl 4.rVRrVt1/'t t iVtY NAME' r.i. - I - TITLE MAILING ADDRESS: HOME ADDRESS: PHONE: NAME '.. : TITLE MAILING ADDRESS: HOME ADDRESS: PHONE: r, NAME TITLE MAILING ADDRESS: HOME ADDRESS: PHONE: NAME . -.I : i;; '` TITLE „ MAILING ADDRESS: j . HOME ADDRESS: PHONE: REVENUE OFFICE •