KODIAK TWNST BK 3 LT 10B - ZCP 6/17/2026 (2)G UUIUTLI.AI\U
Permit
2. Legal Descri
Street Address:
pti on
3. Description of Existing Property lcurrent Zoning:Bu srqt €s,/
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$2s.00
Kodiak Islantl Borough, Community Development Department, 710 Mill Bay Road (Rm.205), Kodiak, AK 99615
PH:(907)48 6-9362 Fax(907)486-9396 http:/hvrvw.kib.co.kodiak.
1. Property Own erlA nt:trn
Mailing Address:o
t'fr { to rtol Bloc 3
Tax
toL
Minimum Required Lot Area:
Actual Lot Area:
Minimum Required Set
Rear:
Width
Front:Side:_
Maximurn Building Height:
Use and size of existing structures on the lot: -
Number & size of parking spaces required per parking/site plan dated : 7o BE &ieAJrul, eb
ry-ttreet loading requirem
.zflatlsubdivision related req
ents
uirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc.
Other Requirements (e.g . zero lot line additional setbacks, projections into yards, screening,etc
Coastal Management Pro grarypplicab
Residential _ Busin ess -/ Industri
le Policies (check appropriate category)
al Other
Is the proposed action consistent with the KIB Coastal Management Program:
Attachment: Yes No-
yes 7 No
Descriptionofproposedaction(attachsiteplan):
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Zoning
Peya ble
Fee
, / -',r !'-.,.1*F{
r$
III Fard tn Full IrI
nsd r ak isiard Boroug
hod r ak Ar. 99b15
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\\d ove\Departmens\C D\Tem p I ates\Com Dev\Zon i n g C om p I i an ce Perm i t. d oc
7-
/
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rHrloRM DoES Nor auruOlzE coNSTRUCiroN
WHEN A BUILDING PERMIT IS REQUIRED
,r rr TI N:rance authorized
such permit is not commenced within 180 days from the date of issuance. or if the buildine 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 #:AJ +Permit#3 /\// +
5. Driveway Permit (State, Borough, City) by/date:/vk
6. Applicant Certification: I hereby cenifr that I will comply with the provisions of the Kodiak Island
Borough Code and that I have the authority to certifr this as the property owner, or as a
representative of the property owner. I agree to have identifiable comer markers in place in the field for
verifi cation of setbacks.
&By:Title:
6)t-u S r
,J d-{t
-+04 6a1-^-i4'u tn
Supporting documents attached (check one): Site Plan As-Built
Other (List),r4-,q-t/L
(\r*LrlA I c,;J nJ4tz4lltl \
U c
8. Commun
9. Fire Marshal (UFC) by/date:
Date:3 -3 -c'/
for zoning,
Title:
ilb
10. Septic System Plan Approved /u+-
ThispeffirthepropoSedproiectasdescribedbytheapplicant.
ere are chan s to the ln I ed us
\\dove\Departnr en ts\C D\Tem p I ates\Com DevZon i ng Com p I i an ce Perm i t. d oc
oro
a
I
revised
or to or duri sitin constructio contact this ffic
to determin if
proie ct is necessary.
)
LA#DOII O YY ASIE -'t1 EE
Kodiak Island Borough,Ensin.ie
(Per KIB Resolution 2003-20)
& Facilities Department, 710 Mill (Rm .223), Kodiak, AK 9961 50*oad
PH:(907)a8 6-9348 Fax(907)486-9394 http:/Avrvw'kib.co.kodiak.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT
OR ZONING COMPLIANCE PERMIT IS REQUIRED
l. Property Owner/APPlicant:
Mailing Address:Phone:
2. Legal DescriPtion
Street Address:TaxCode: R l7?fiVbL
3. Description of proposed action (attach site plan):#toz
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 certiff this as the property owner, or as a
representative of the property owner.
Title:
Date:
Supporting documents attached (check one): Site Plan-As-Built Survey:
Other (List)
8. Solid Waste Disposal Fee: (check one)
-250
square $250.00 Deposit
500 or less: $500.00 Deposit
(See attached form for details)square feet: $ I .000.00 Deposit
By
u7 Solid Waste Disposal Fee
/o,/b _// lrrS
N :\CD\Templates\ComDev\F-Sol id Waste Fee.doc
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PAGE A2/64DADC6L/26/2AO4 13:58
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-SUBJ ECT CORRECT ADDRESS
FROM KODIAK ISLAND BOROUGH
P. O. BOX 1246
KODIAK, ATASKA 996 I5
DATE 3-22-74
FOLD
Hi
A Mr. Randall from California, who owns Lot 10, Block 3, ot
ln to a rezoni . He also
noted in his letter that he has tried many timestto have his address
listed correctly but has failed. Here is his address lf you do not have :
pLEASE REpLy TO
---->
SIGNED Donene Mr. F tank Randall
2050 Freemont
DAT E SIGN ED
(Ds
RETAINED BY SENDER
P O Bax l3g7
I
APPLICATION FOR BUILDING PERMIT AND CEHTIFICATE OF OCCUPANCY - CITY OF KODIAK - KODIAK ISLAND BOROUGH - BUILOING 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 (oFFrcE usE oNLY)
1 Lz
STREE tr \tq,c
T ADDRESS CLASS AND SCOPE OF WORK SPECIFICATIONS BUILDING PERIT/IT NUMBEB:DATE OF APPLICATION:
NEW DEMOLITION FOU N DATION FOOTINGS STEM WALL PIERSLOT:BLOCK 3 ALTERATION REPAIR TYPE
ZONING COMPLIANCE:
i,
DATE ISSUEP:
IDV
ADD!TION MOVE DIM ENSIONSSUBDIVISION / SURVEY
1 DEPTH IN GRND
VALUATION BASIS:
\
BUILDING PERMIT FEE:
REINFORCEMENT
*r.+_LKr-lq
r{AME
BOLT SPACING c
VALUATION:
(1
PLAN CH ECK FEE:
CRAWL SPACE HEIGHT I NCH ES
USE OF BU!LDING AUTHORIZED BY
. THIS PERMIT:
\SO. FEETCRAWL SPACE VENT
SIZE HEIGHT
TOTAL FEE:
orCITY & STATE
I NO. OF ROOMS STORIES STRUCTU RAL SPECIES & GRADE SIZE SPACING S PAN
NO OF FAMILIES GIRDERS
FIECEIPT NO
o
W
)
R
TELEPHON E
TYPE OF BUSINESS GIRDERS
NO. OF BLDGS NOW ON LOT JOISTS 1ST FLOOR
OCC U PANC YG R OU P:
t
Ii.'
NAME
USE OF EXISTING BLDGS JOISTS 1ST FLOOR
SIZE OF LOT JOISTS 2N D FLOORMAILING ADDRESS
WATER: PUBLIC PR IVAT E JOISTS 2ND FLOOR
SEWER: PUBLIC PRIVATE CEILING JOISTSCITY & STATE:
EXTERIOR WALLS
BEARING WALLS
EACH OF THE FOLLOWING
STAGES OF CONSTRUCTION
REQUIRES INSPECTION BE
REOUESTED & COMPLETED
PRIOR TO PROCEEDING WITH
ANY FURTHER WORK:
FOR INSPECTION CALL 486.8070TELE PHONE
FOUNDATION
INSULATION TYP E & THICKNESS:
INTERIOR WALLS EXCAVATION
WALLS ROOF RAFTERS
TYPE OF CONSTRUCTION
UNDERGROUND UTILITIES
A
R
C
H
I
E
N
G
STATE LICENSE
ROOF ICEILING TRUSSES FOUNDATION / SETBACKSDRIVEWAY PERMIT:
SUBMITTED FBAMINGNAME
t t (c6{FURNACE TYPE
APPROVE D ROUGH ELECTRICAL
SHFATHING TYPF & SITF
FLOOR ROUGH PLUMBING
c
o
It MAILING ADDRESS
WALLS FINAL
ROOF
NO
T\PE
WOOD HEATER YES
ADEC APPLICATION:
SUBM ITTEDCITY & STATE
FINAL APPROVAL
DATE C.O. ISSU E D
TELEPHONE
+ v{
FINISH MATERIAL
ROOF
LOCAL FIREMARSHAL REVIEW
SUBMITTED:APPROVE D
EXTERIOR SIDING
;
A
C
T
o
R STATE LICENSE
INTERIOR WALLS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION,
THAT IT IS CORRECT AND THAT IAGREE TO COMPLY WITH ALL
ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTTON
APPLICANT:APPROVED - BUILDI,NG OFEICIAL:\-/
NOTES:
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Rev. 1-97 PRrrrgo rr Koorrx, Alrsxe av PnlNr Mrsrens or Koorex
MAILING ADDRESS