BELLS FLATS BK 2 LT 1E - ZCP 3/25/2016Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
a - Ph. (907) 486 - 9363 Fax (907) 486 - 9396
22237
http://www.kodiakak.us
Zoning Compliance Permit Permit No. BZ2016-065
The following information is to be supplied by the Applicant:
Property Owner / Applicant: David Jackson
Mailing Address: 11248 Kalsin Drive, Kodiak, AK 99615
Phone Number: 907-487-2365
Other Contact email, etc.:
Legal Description: Subdv: Bells Flats Block: 2 Lot: 1E
Street Address: 11248 Kalsin Drive
Use & Size of Existing Structures: Single family residential structure of 1,500 sq ft
Description of Proposed Action: Interior remodel of kitchen and bathroom and addition of deck as depicted in attached site plan.
Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points,
and vehicular parking areas.
Staff Compliance Review: Current Zoning: RR1 KIBC 17.70 PROP -113 22237
Lot Area: 1.31 acres Lot Width: 120' Bld'g Height: 35'
Front Yard: 25' Rear Yard: 20' Side Yard: 15'
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: 3
Staff Compliance Review Notes:
Plat/ Subdivision Requirements? No additional parking required.
Subd Case No. Plat No. Bldg Permit No.
Does the project involve NO
an EPA defined facility?
*Commercial buildings, installations (military bases),
institutions (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway N/A
Permit?
Septic Plan N/A
Approval:
Fire TBD
Marshall:
Proof of EPA notification provided (if required)? N / A
*Required for all demolitions, for renovations disturbing at least 160 square
feet 260 linear feet, or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and
for renovations that remove a load -supporting structural member.
No permit will be issued for such proiects without proof of EPA notification
Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that)
have the authority to certify this as the property owner, or as a representative of the property owner. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Site Plan
Date: Mar 1, 2016
List Other:
Signature: David Jackson
This permit is only for the proposed project as described by the applicant. If there are any changes to the
proposed project, including its intended use, prior to or during its siting, construction, or operation, contact
this office immediately to determine if further review and approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
"EXPIRATION. Any zoning compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CDD Staff Certification
Date: Mar 1, 2016
CDD Staff: Sara Mason
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
❑
$0.00
❑
$0.00
Less than 1.75 acres:
❑
$30.04—
❑
$60.00 r //I 3070
1.76 to 5.00 acres:
❑
$60.00
❑
$120.00 l
5.01 to 40.00 acres:
❑
$90.00
❑
$180.00 PAin
40.01 acres or more:
❑
$120.00
❑
$240.00
MAR 01 2016
KOMAK iSLAND BUHOUGH
FINANGG bE'PARTMENT
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Roy A. Eeklund .l.
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1 hereby certify that 1 have surveyed the following described property.
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and that the improvements situated thereon are within the ptoperty lines
and do not overlap of encroach on the property lying adjacent thereto,
that no improvements on property lying adjacent thereto encroach on
the premises in question and that there are no roadways, transmis-
sion lines or other visible easements on said property except as indi-
cated hereon.
s
Dated this day of 19
NeW ftt�
IarXI q I
PAYMENT DATE
03/01/2016
COLLECTION STATION
CASHIER
RECEIVED FROM
DAVID JACKSON
DESCRIPTION
11248 KALSIN DR
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
BATCH NO.
2016-00000295
RECEIPT NO.
2016-00000766
CASHIER
Teresa Medina
PAYMENT CODE RECEIPT DESCRIPTION TRANSACTION AMOUNT
Zoning Compl
Zoning Compliance Permit
$30.00
BZ 2016 065
Payments:
Type Detail Amount
Check 3070 $30.00
Total Amount:
$30.00
Customer Copy
Printpd hv- Teresa Medina Paan 1 of 1 03101/2016 02.46.17 PM