LEITE ADD BK 3 LT 3F - ZCPKODIAK ISLAND BOROUGH Community Development
710 Mill Bay Road (Rm 205), Kodiak, Alaska 99615.6340 - Phone: (907) 486-9362 ZONING COMPLIANCE
FEE: $20.00
PERMIT • Permit #: ?' "7' 9
-11).
(LegalDescription:
2.1
3.
Property Owner/Applicant:
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Number and size of parking s aces required (onsite identification of parking spaces is required - Yes: No:
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Mailing Address: AI , .� �lp ff Phone: W( ff /
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Off-street loadingrequirement: r �'
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Street Address: �1 ;/ 3 f 1 v- , ss --11-Y-• Code #: Tc {•_,(1 Q r\ C3�S3,
Plat related requirements (e.p., plat notes, easements, subdivision conditions, etc.):
Description of Existing Pro erty/Current
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Minimum Required Lot Area: !
QQTax
zoning: /�'t
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$ Width: Cts
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Other requirements (e.g., zero of line, additional setbacks, projections into yards, screening, etc.):
Actual Lot Area:051 � Width: 50-, q f
K -0/---P
Minimum Required Setbacks: Sides: .S /
Front: 'Rear: `CJ
Coastal Management Program Applicable Polices (check appropriate category) - Residential: •v Business:
Maximum Building Height:
Industrial: Other (list):
Use and size of existing structures on the lot: d
Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No:
I
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:
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Description of proposed action
(attach site plan): �`./ �, In
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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:
/ 9 /0./..5.5, nil
,
as 9�Zm
LOT:/�BLOCK:
NEW - '
DEMOLITION
FOUNDATION
FOOTINGS
STEM WALL
PIERS
ZONING COMPLIANCE:
DATE ISSUED: '
TYPE
6_..lit i('I e.
MeL
CZ„ 61t,"5-
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ALTERATION
REPAIR
SUBISIVISION /, SURVEY:
ADDITION
MOVE
DIMENSIONS
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VALUATION BASIS:
BUILDING PERMIT FEE: -
DEPTH IN GRND
f F ,,
/ / it .7 7
r7
itiA,'IhI /%•;5'�v r
NAME'
USE OF BUILDING AUTHORIZED BY
REINFORCEMENT
c... e -ref,, 7° :r
VALUATION:
PLAN CHECK FEE: 2,::',-
:%///
1/1 Vi (. a Pia ef-. 'e
THIS PERMIT:
BOLT SPACING
I S9s AS 1
1g,
0
MAILING ADDRESS:
CRAWL SPACE HEIGHT INCHES
OCCUPANCY GROUP:
TOTAL FEE: --(7_ ��
W
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/ .;.f. tF-'-e) Sl 2 22 6G'
/
CRAWL SPACE VENT SQ. FEET
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CITY & STATE:"
SIZE 3i``)( `/vt'?t HEIGHT ?�'�
'
A B E H I M R='
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/<I, 4'6 + /`
NO-. OF ROOMS- STORIES ?
STRUCTURAL
SPECIES & GRADE
SIZE
SPACING
SPAN
RECEIPT NO: • f^:I If-,
TELEPHONE:
NO. OF FAMILIES /
GIRDERS
,
' —i., i .,
& ^- Vg if
TYPE OF BUSINESS F!! f'd/E
GIRDERS
EACH OF THE FOLLOWING
NAME:,
NO. OF BLDGS NOW ON LOT
JOISTS 1ST FLOOR
F.- ,'
'2)(g4.—
'76, Li(,
% /
DIV. 1 2 -3 4 5 6
STAGES OF CONSTRUCTION
A
% )(/,i/Ter—
USE OF EXISTING BLDGS
JOISTS 1ST FLOOR
REQUIRES INSPECTION BE
R
MAILING ADDRESS:
SIZE OF LOT 55V X 27 ci"
JOISTS 2ND FLOOR
=,'r
.9,,/,2
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fq"
REQUESTED & COMPLETED
C
WATER: PUBLIC
XC
PRIVATE
JOISTS 2ND FLOOR
,:
TYPE OF CONSTRUCTION
PRIOR TO PROCEEDING WITH
H
CITY & STATE
SEWER: PUBLIC
PRIVATE
CEILING JOISTS
r,
a yid
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19' 9'
FURTHER WORK:
E
INSULATION TYPE & THICKNESS:
EXTERIOR WALLS
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TELEPHONE:
-
BEARING WALLS '
';,N' 1?HR FR H.T.
FOR INSPECTION CALL 486-8070
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FOUNDATION
INTERIOR WALLS
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EXCAVATION
STATE LICENSE:
WALLS I`(— °C(
ROOF RAFTERS
UNDERGROUND UTILITIES
ROOF / CEILING R `"i`Sr
TRUSSES
DRIVEWAY PERMIT:
FOUNDATION / SETBACKS
,
NAME: ,://1l1
SHEATHING TYPE &SIZE:
iI
SUBMITTED
FRAMING
/
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/
FURNACE TYPE:
8/,+3e r-iG� %
APPROVED
ROUGH ELECTRICAL
MAILING ADDRESS:
i
FLOOR ?/ rut
WOOD HEATER YES NO
ROUGH PLUMBING
:!-a <oE-omi
WALLS 'f(v
ADECAPPLICATION: -
FINAL
CITY & STATE:
.
ROOF " i t %" Pry, .
TYPE
SUBMITTED .
DATE C.O. ISSUED:
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION,
FINAL APPROVAL
TELEPHONE:
FINISH MATERIAL:
THAT IT IS CORRECT AND THAT I AGREE TO COMPLY WITH ALL
ALASKA FIREMARSHAL REVIEW:
ROOF l'I'lf I<( _
ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION
SUBMITTED: APPROgED: ,v3.1,415 76
STATE LICENSE:
EXTERIOR SIDING (...t Ali I
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INTERIOR WALLS • ;�;,.,,4 rce k
APPLICANT: {,(/f.,a% //air---" %�' , L ':' '`_-
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APPROVED BUILDING OFFICIAL: ry.r.
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NOTES:.- / ` ' ej `�..A �t�1p
( 'ci'' <:-fl Y cr-t, vCA ¢Ls c., 6 ` ..:e. ' - -- (` -?. SYSTE ltDEVELOPME ^FEE 0 !� 4p�
A. ; -- .. WATER $ ' . / ,` DA Q� �.o5 `ti
jj r i %-, `�
��
C 4 = SEWER $ �':.. ! . /A\ RE E.IPT # E`�'� .gil'�
./ TOTAL $ CASHIERS 4:31
Printed In Kodiak, Alaska by C & A Printing Inc.
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