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LEITE ADD BK 3 LT 4A - Building PermitI 1.-71,111114 V 1 440 Lam+ 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 WHEN A BUILDING PERMIT OR ZONING COMPLIANCE PERMIT IS REQUIRED 1. Property Owner/Ap plicant: Mailing Address: D 6 2. Legal Description: 1_ e (+ Lejfi y Street Address: 1 7 7 ill l5 5 `\ Phone: W1— ScTe-) Tax Code: R 3. Description of proposed action (attach site plan): � � t 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 of the property iwner By: /3'j Title: 241..//tel e/ Date: -g0- 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 DepositlC 500 square feet or less: $500.00 Deposit (See attached form for details) >500 square feet: $1,000.00 Deposit Per ee $006 -/--TA N:\CD\Templates\ComDev\F-Solid Waste Fee.doc Solid Waste Disposal Fee F ikt.b tib/e4/t1t84 6it10733b2 I,onst Iklcp PAID 2,0.8d *** Paid in Fail *** Kodiak island Boroug Kodiak HK 'i'ibi3 tybi! 486-9324 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILDING DEPARTMENT Telephone: 486-8070 • 486-8072 Fax: 486-8071 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: p�� 1-v-.<:(1 1 f - 7 r \ i j 1 ✓y\i CLASS AND SCOPE OF ORK: �x _ �. _ L,- r SPECIFICATIONS: BUILDING PERMIT NUMBER: DATE OF APPLICATION: c_x? L- c i. _ -_ "i:_ LOT: BLOCKS I NEW "X D MOLITION FOUNDATION FOOTINGS STEM WALL PIERS ZONING C9MPLIANCE: DATE ISSUED: // ,_1 'J ,t ALTERATION REPAIR TYPE SUBDIVISION / SURVEY: k ci..--_ ADDITION MOVE DIMENSIONS VALUATION EASIS:r BUILDING PERMIT FEE: { r:-- I Lttir-a_.- 27' f. Z) DEPTH IN GRND O W NAME: t-� v E �,1;_ a �r� ! � ) � USE OF BUILDING AUTHORIZED BY THIS PERMIT: REINFORCEMENT VALUATION: PLAN CHECK FEE-: �� / � ;" �; -'�,-,} BOLT SPACING MAILING—ADDRESS: S1 i7 4(3 7)i / CRAWL SPACE HEIGHT INCHES OCCUPANCYGROUP: TOTAL FEE: i` L ,9...--r co CRAWL SPACE VENT SQ. FEET IICITY R & STATE:, ) '; ,,X, ;-' ,+`l / 1 /`rs SIZE HEIGHT STRUCTURAL SPECIES & GRADE SIZE SPACING SPAN NO. OF ROOMS STORIES RECEIPT NO: TELEPHONE: ' —, ---c)-7-/-4 NO. OF FAMILIES GIRDERS TYPE OF BUSINESS GIRDERS EACH OF THE FOLLOWING STAGES OF CONSTRUCTION A R C H E N G NAME: NO. OF BLDGS NOW ON LOT JOISTS 1ST FLOOR USE OF EXISTING BLDGS JOISTS 1ST FLOOR TYPE OF CONSTRUCTION REQUIRES INSPECTION BE MAILING ADDRESS: SIZE OF LOT JOISTS 2ND FLOOR \7 REQUESTED & COMPLETED PRIOR TO PROCEEDING WITH WATER: I PRIVATE I I STS FLOOR CITY & STATE: SEWER: PUBLIC PRIVATE COEIIL G JOIST ANY FURTHER WORK: FOR INSPECTION CALL 486-8070 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 O N.0 R C T R NAJtME:'2 :1 "% :- 7/': .�'.y f "fi'Y C SHEATHING TYPE & SIZE: FURNACE TYPE: FLOOR APPROVED ROUGH ELECTRICAL MAILING ADDRESS: 3.S -S5 WOOD HEATER YES NO TYPE ROUGH PLUMBING WALLS ADEC APPLICATION: FINAL SUBMITTED DATE C.O. ISSUED: CITY & STATE: I 1, P '' " r ` " I V\ ROOF I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT IT IS CORRECT AND THAT I AGREE TO COMPLY WITH ALL I APPLICANT: /,' ' FINAL APPROVAL TELEP jONE: FINISH MATERIAL: LOCAL FIREMARSHAL REVIEW:. APPROVED: STATE LICENQE: :� U G/ EXTERIOR SIDING j', APPROVED ' BUIL171N -(-F FFCLAL- ' `--- INTERIOR WALLS NOTES: Rev. 1-97 PRINTED IN KODIAK, ALASKA BY PRINT MASTERS OF KODIAK 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 REPAI R NEAREST CROSS ST. ADDITION MOVE w w Z 0 1- U W F Z W NAME MAIL ADDRESS CITY TEL. NO. NAME ADDRESS CITY STATE LICENSE NO. NAME OF ADDRESS USE OF BUILDING SIZE OF BUILDING HEIGHT NO. OF ROOMS NO. OF FLOORS NO. OF BUILDINGS / / BUILDING PERMIT NO. VALUATION S NO. OF BUILDINGS NOW ON LOT BUILDING DATE ISSUED BLDG. FEE PLAN CHK. FEE TOTAL PLUMBING ELECTRIC NO. OF FAMILIES SIZE OF LOT USE OF BLDG. NOW ON LOT Ar FOUNDATION. FRAME PLASTER ROUGH ROUGH SEPTIC TANK FINISH SEWER SPECIFICATIONS FLUES FOUNDATION - FINAL MATERIAL EXTERIOR, PIERS WIDTH OF TOP WI DTH OF BOTTOM M CITY /'-.- J 1 DESCRIPTION STATE LICENSE NO. SUBDIVISION LOT NO. BLK. DO NOT WRITE BELOW THIS LINE 1. Type of Construction I, II, III, IV, 2. Occupancy Group A, B, E, H, 1, M, R Drib 1, 2, 3;4 3. Fire Zone 1 2 3 4 DEPTH IN GROUND R.W. PLATE (SILL) l►. GIRDERS JOIST 1st. FL. SIZE SPA., SPAN JOIST 2nd. FL. JOIST CEILING EXTERIOR STUDS INTERIOR STUDS ROOF RAFTERS BEARING WALLS COVERING EXTERIOR WALLS 1+ L.IyQOF 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 Ordinance's and State' Laws regulating building constrysktilon. Applicant • GAS FINISH FIXTURES MOTORS FINAL 3N11 .112i3dO2id PLOT PLAN H 3N11 Al2i3dO2id SETBACK STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY NUMBER OF STORIES TOTAL HT. 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 APPLICATION FOR BUILDING PERMIT AND CERTIFICATE Applicant to fill in between heavy lines. OF OCCUPANCY BUILDING ADDRESS i Q{• CLASS OF WORK NEW DEMOLISH LOCALITY ALTERATION REPAIR NEAREST CROSS ST. ADDITION MOVE BUILDING PERMIT NO. DATE ISSUED USE OF BUILDING cc Z 0 NAME -SIZE OF BUILDING HEIGHT MAIL ADDRESS NO. OF ROOMS NO. OF FLOORS CITY TEL. NO. NO. OF BUILDINGS VALUATION BLDG. FEE S PLAN CHK. FEE TOTAL • 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 PLASTER SEWER FIXTURES SPECIFICATIONS FLUES GAS STATE LICENSE NO. FOUNDATION • FINAL FINISH MOTORS FINAL 0 U cc F Z 0 U NAME MATERIAL EXTERIOR, PIERS WIDTH OF TOP ADDRESS WIDTH OF BOTTOM CITY DEPTH IN GROUND f R.W. PLATE (SILL) STATE LICENSE NO. DESCRIPTION SUBDIVISION LOT NO. BLK. _ GIRDERS JOIST 1st. FL. JOIST 2nd. FL. /JOIST CEILING DO NOT WRITE BELOW THIS LINE 1111 1. Type of Construction I, II, III, IV, V, VI 2. Occupancy Group A, B, E, H, I, M, R Div. 1, 2, 3, 4 3. Fire Zone 1 2 3 4 EXTERIOR STUDS INTERIOR STUDS SPA., SPAN , , 16, i ROOF RAFTERS BEARING WALLS CF' COVERING EXTERIOR WALLS agie'.5Ic. ,ROOF!' INTERIOR WALLS," F.. ro(, REROOFING FLUES FIREPLACE Cyaj CE KITCHEN-"i'WNTER HEATER GAS > OIL FURNACE 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 44E - 3N11 AJ J3dO2Id PLOT PLAN f ' A r 3N11 £L 3dOzld SETBACK STREET PLANNING & ZONING INFO. ZONING DISTRICT TYPE OF OCCUPANCY NUMBER OF STORIES TOTAL HT. AREA OF LOT FRONT YARD SETBACK FROM PROP. LINE SIDE YARD SETBACK FROM PROP. LINE REAR YARD Approved: ZONING ADMINISTRATOR By. r , By: