KODIAK TWNST BK 1 LT 10A-18A, 20 & USS 1995 BK 1 LT 1 & 2A - ZCP 7/1/2026 (3)3frJJO 3nN3n3U
:3NOHd : ss3 uoov 3noH :SS3UOOV 9Nl-llVtll
3-'lJ'rI f r^lvN
3NOHd ss3uoclv 3noH : SS3 U OOV
3-11rr
:3NOHd :ss3uoov 3r^loH :SS3UOOV 9NIIIVhI
3-lIrl 3hIVN
-t\L,Itvuoduof, uo dTHSU3NIUVd v Jr cr3rSldt/lof, 38 0r
1.8'll NOrlv3nddv Jo 31vo
91966 VySV-lV 'yVlOOy
16t I XO8'O'd
yvlcoy Jo AllS :or
:SSSUOOV 3hIOH : ss3uoov
INVf,IIddV JO S.lIII ? 3UNIVNCIS
f, .l /s
SHINOY! JO 'O or NOU J e?34
'{*bt1*, st ZatrV
uvf^ Hf,v3 031vu3do st ss:tNrsnS IVHI s31vo frvwrxouddv's]A lt .IVNOSV] S SS3NISNB SI
(nnorre Nrv-rdxr) g3HIO NOIIVUOdUOf dIHSUfNIUVd rvno rn rcN I NOILVZINV9UO JO fd^
U38NNN fSNff,I.l SS3NISNs VYSV-IV
U IU VIS SS3 N ISNS 3IVC
SS3NISNE JO sdAI
300f, d tz 3IVTS Al t3 l33H15Hd 3WOH SS3 U CIC]V
f NMO JO 3IAV
3c]0f dtz 3lVIS AIIf,I33 U IS SS3UCIOV ENI'IIVlA
3 NOHd SS3UCIOV NOIIVf,O-]
aH1 'L, J-n
U IJ JO 3[^IVN
'oN rNnof,f,v
SICIU
'O
IIV)IJIIUI) UOT NOIIVNO v
vl I)tAUIS 0t{v sII
BUILDING DEPARTMENT. KODIAK ISLAND BOROUGH
(AppLtcANT TO F|LL tN ALL TNFORMATTON WITHIN HEAVY LINES.
APPLICATION FOR BU!LDING PERMIT AND CERTIFICATE OF OCCUPANCY
PLEASE PRINT, USE BALL.POINT PEN, AND PRESS FIRMLY.)
BUILDING PERMIT NUMBER
VALUATION: (BASIS)
SANITATION PLAN APPROVAL BY AN AOEC.CERTIFIEO INSTALLER IS
REQUIREO PRIOR TO ISSUANCE OF A BUILDING PERMIT WHERE PUBLIC
WATER ANO/OR SEWER IS NOT AVATLABLE FROM A CERTIFICATEO
INSYALLER'S PLAN APPROVAL RECEIVEO .
PR IOR TO THE ISSUA ITHER THE OWNER OF THE
PROPERTY OR HIS AUTHORIZEO AGENT MUST SlGN THIS APPLICATION OR
GRANT OTHER WRTTTEN PERMISSION FOR THE OESCRIBED WORK TO BE
PE R FO RM EO.
TAX LOT NO. OATE
OwNgp PER
OWNERSHIP TRANSFERREO. IN PROCESS, TO
CLOSING OATE, OEEO RECOROEO
PER
(BY)
PLOT PLAN
(A StrE PLAN MAY ALSO BE REQUTRED)
ST R EET
NOTE: APPLICANT SHALL SHOW BUILOING SETBACKS
FROM PROPERTY LINES. AS PERPENDICULAR DISTANCES
FROM PROPERTY LINES TO BUILDING. OIMENSIONS OF
STRUCTU RE SHALL BE SHOWN ON THE PLAN.
ZONING CODE COMPLIANCE
ZONING DISTR ICT
TYPE OF OCCUPANCY
NO. OF STORIES TOTAL HGT
AREA OF LOT
SETBACKS FROM PROPERTY LINES:
FRONT REAR
srDE (L)srDE (R)
REQ'D OFF.STR EET PAR KING
C.U.P. OR VARIANCE
o1
t'
APPROVED, BUILD!NG OFFICIAL APPROVED, ZONING OFFICER
-
CLASS AND SCOPE OF WORK
NEW DEMO L I SHI
suBDlvlsloN/suRVEY
-v-J REPAIRALTERATION
J MOVE
LOT NO.BLOCK NO.
ADDIT ION
(
E
l(,/roDATE ISSUED
BLDG PERM IT
STREET AOORESS
-
PLAN CHK FEE
NEAREST CROSS STREET NO. OF ROOMS
NtO. OF FAM ILIES
USE OF BUILDING
SIZE OF BUILDING HGT
FLOO RSr&t
4"'TOTAL
AM OU NT
<r/.( - ,-$
INSPECTION SCHEDULEt>NO. OF BU ILDINGS N OW ON LOT
USE OF BUILOINGS
NAM E
f ELECT R ICALBUILDINGPLUM B I NGSIZE OF LOT FOUNDATION ROUG H ROUGH
WATER: PUBLIC PR IVATE
MA!LING ADDRESS
SEPTIC TANK F IN ISH
PR IVATESEWER: PUBLIC FIXTU RESSEWE R
FRAME
PLASTER/BD
SPECIFICATIONS
trldz
3o C lTY, STATE TELEPHONE
GAS MOTO RSFLU ESEXTPIERS FINALFINALFOUNDATION
TY PE
I
F IN ISH
OEPTH IN GNO
HGT FIN GRADE EACH OF THE ABOVE INSPECTIONS MUST BE REQUESTEO ANO THAT
WORK APPROVEO PR IOR TO ANY ADOITIONAL WORK PROGRESSING
BEYONO THAT POINT. AS REQUIREO BY UBC SECTION 305. FOR EACH
INSPECTION. 24 HOURS NOTICE IS REQUIREO. TELEPHONE THE KODIAK
ISLANO BOROUGH ENGINEERING OEPARTMENT. 486.5736, EXT.273.
srzE SPANSPA.
P.T. PLATE (StLL)
GIRDERS
STRUCTU RAL NOTES:
tNsTALLATtON OF (MtNtMUM) r E-tNCH 8Y 2O-FOOT CULVERT lS REQUIREO
AT EACH OR IVEWAY ACCESS TO THE PROPERTY.
JO ISTS T ST FL R.
gs
ileq ltl
NAM E
C ITY, STATE
STATE LICENSE NO.
JOISTS zND FLR.
JO ISTS CLG
NAME
EXT STUOS
I NT STUOS""ffiiaLTa^nsnL
ROOF RAFTERS
T R USSES't\,I"i=, L r-1A- Ffi\
BEARING WALLS
GoFo(
g,
Fzo(J STATE LICENSE NO.I
INSULATION, FNON
ROOF/CLGWALLS
sH EATH I NG, WALLS/EXT
FLOORROOF
FIN ISH, EXT WALLS
ROOF
WOOD HTRFLUES, FIREPL
KITCH EN
FURNACE, TYPE
I HEREBY ACKNOWLEOGE THAT I HAVEREAD THIS APPLICATION, THAT IT IS
CORRECT, ANO THAT I AGREE TO COMPLYWITH ALL O RD INANCES AND LAWSREGULATING BUILDING CONSTRUCTION.
APPLICANT
(FOR OFT|CE USE ONLY: CIRCLE)
1. OCCUPANCY GROUP
2. TYPE OF CONSTRUCTION
I
FR
H I M;*R
2345
lv vtt ll!
T.HR.
ABE
otvtstoN 1
N H.T
R PROPERTY LINER
lrlIo
UJ
=J
F
E,l!o.og,
G
UJ
eo PROPERTY LINEFR
a
I
I BY
F-
WATER HTR
BY
CLASS OF WORK
DEMOL ISH
EUILDING ADDRESS
ALTE RATION REPA I R a)
BUILDING PERMIT NO DATE ISSUED
LOC ALI T Y
ADDIT ION MOVE BLDG. FEENEAREST CROSS ST
USE OF BUILDING
SIZE OF BUILDING HE IG HTNAME PLAN CHK. FEE
NO OF ROOMSMAIL ADDRESS
NO. OF FLOORS
V A LUATION
5
TOTA L
:lr) r)l '.1 i'l.lriii(r',BUILD!NG PLUMBING ELECTRIC
tr
trlz3o
f.IO. OF BUILDINGS NOW ON LOT FOUNDAT I ON ROUGH ROUGHN AME
NO. OF FAMILIES FRAME SEPTIC TANK F IN ISH
SIZE OF LOT PLASTER SEWE R F IXTU RESADDRESS
USE OF BLDG. NOW ON LOT FLUES GAS MOTORSC ITY
SPECIFICATIONS F INAL F IN ISH FINAL
FOUNDATION
tr
LrJlrl
=(,z
LrJ
l
I STATE LICENSE NO
MATE R IAL EXTER IOR PIERS
NAME
WIDTH OF TOP
WIDTH OF tsOTTOMADDRESS
DEPTH IN GROUND
CI TY
R.W. PLATE (StLL)
SIZE SPA.SPAN
tro
U
GFzoU STATE L!CENSE NO,
GIRDERS
JOIST lst. FL
JOIST 2nd. FL
SUBDIVISION
JOIST CElLING
EXTE R IOR STUDS
zoJF
o=t{UJ6;
lrJo
LOT NO.BLK
INTERIOR STUDS
ROOF RAFTE RS
BEARING WALLS
COVER!NG
EXTERIOR WALLS ROOF
REROOFINGINTE RIOR WALLS
FLUES
F I RF PLACE FL. FURNACE
KITCHEN WATER HEATER
orLFURNACEGAS
DO NOT WRITE BELOW THIS LINE
I ,rpe or construction
l, ll, lll, lv, v, vl
2. Occupancy Group A, B, C, D, E,
F, G, H, l, J Div. 1,2,3, 4,
3.FireZoneL234 f hereby acknorvledge that I have read
this application and state that the
above is correct and agree to complywith all City Ordinances and State
Laws regulating building construction.
Applicant
BUtLDTNG DEPARTMENT - C|TY I BOROUGH OF KODTAK
Applicant to fill in between heavy lines.
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE
OF OCCUPANCY
ZONING DISTRICT
TYPE OF OCCUPANCY
NUMBER OF STORIES
AR EA OF LOT
FRONT YARD SETBACK FROM PROP. LINE
SIDE YARD SETBACK FROM PROP. LINE
REAR YARD
Approved: ZON ING ADMIN ISTRATOR
PLOT PLAN
1'no
1'
mn{
fz
m
Y
U
oF
UJ(r)
PLANNING & ZUNING INFO.
TOTAL HT
Approved: CHIE F BUILDING OFFICAL
By
zi,l
I<-;r-
STR EET
)
BUIIDING DEPARTMENT CITY OF KODIAK
Applicant to f ill in between heavy lines.
APPTICATION FOR BUILDING PERIAIT AND CERTIFICATE
OF OCCUPANCY
BUILDING PERMIT NO.
ab-
VALUATION
FOUNDATION
FRAME
PI-ASTER
FLU ES
FINAL
TOTAL
ROUGH
$
FEE
ROUGH
DATE ISSUED
BLDG FEE
PLAN CHK.
SEPTIC TANK FIN ISH
SEWER FIXTU RES
GAS MOTORS
FIN ISH NAL
1'Io1'
mI{
Ez
m
PLOT PLAN
vU
oF
UJo
REPA I R
I
I Move
NO. OF BUILDTNGS NOW ON LOT
NEW DEMOLISH
ALTERATION
ADDITION
HEIGHT
NO. OF FLOORS
USE OF BU !LDING
NO. OF FAM ILIES
SIZE OF LOT
SIZE OF BU ILDI NG
NO. OF ROOMS
clTY
STATE LICENSE NO.
C ITY
NAME
ADDR ESS
BU !LDING ADDRESS
LOCA L I TY
t{ld
E-tr
UJ
0.
MAIL ADDRESS
TEL. NO.
e,l!ld
=ozld
N AME
tr,oFU
E,Fzou
ST
cl TY
NEAREST
NAM E
A DDR ESS
STATE LICENSE NO
suBDrvlstoN
LOT NO BLK
USE OF BLDG. NOW ON LOT
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 i.
PIERSMATERIAL
SPAN
IOR STUDS
I NTER
BEARING WALI-S
RI
EXTER IOR
K ITCHEN
otL
S
GASFU RNACE
SPECIFICA
W IDTH OF BOTTOM
DEPTH IN
GIRDERS
JO IST T ST FL.
FL. FURNACE
WATER HEATER
EXTER IOR
TION
Type of Construction
r, II, III, IV, V, VI
3. Occupancy Group A, B, C, D, E,
F, G, H, I, J Div. 1, 21 3, 4,
S.FireZone 12 34
1. District
4. Use ZoneS
zoJl<0.
!tE'iu-o]do
Mlp Nut,tBE
No. ASSIGNED BY-
FrEuo CHecx
PLANNING &ZONING INFO
TYpe oF OccuPANEY
Torel Fuoon Ane.a,
NUUBER oF Sronles Toreu Hr
Anel oF Lor
Fnorsr Ylno Srrsle K trP()M Pnop. Lrnre
Sr op Ynno Srrglcx FFlcrM PRoP. Lrnr
Reln Yano
New CoxsrRucrtoN
CxeNce oF
TO
FROM
Auren
FLU MEING ELECTRIC
WIDTH OF TOP
JOIST 2xo FL.
JOIST CEILING
INTER IOR \^/ALLS