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BLACK CANYON BK 3 LT 3 - ZCP 12/30/2016Kodiak Island Borough Print Form Submit by Email Community Development Department t 710 Mill Bay Rd. Rm 205 1t Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907) 486 - 9396 19280 http://www.kodiakak.us Zoning Compliance Permit Permit No. BZ2017-52 The following information is to be supplied by the Applicant: Property Owner / Applicant: Todd Dorman Mailing Address: 3451 Tona Lane Phone Number: 907 539 2338 Other Contact email, etc.: Legal Description: Subdv: Black Canyon Block: 3 Lot: 3 Street Address: 27569 Chiniak Hwy Use & Size of Existing Structures: 20'x16' Accessory building for storage Description of Proposed Action: Construct 50'x50 SFR. Build 48'x20' hoop house. 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: Lot Area: 10.12 acres Front Yard: 25' Prk'g Plan Rvw? Yes Staff Compliance Review Notes: Plat / Subdivision Requirements? Current Zoning: Conservation KIBC 17.50 Lot Width: 250 Rear Yard: 25' # of Req'd Spaces: 3 Reviewed. PROP_ID 19280 Bld'g Height: 35 Side Yard: 25' Subd Case No. S97-20 Plat No. 98-30 Bldg Permit No. TBD Bldg Dept 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 TBD by building department Permit? Septic Plan TBD by building department Approval: Fire TBD by building department 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 projects without proof of EPA notification Applicant Certification: I hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that 1 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 List Other: Plat. Date: 12/30/2017 Signature: Todd Dorman 7T4-dlo- 1--2 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 NOTA UTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED. "EXPIRATION. Any zoning compliance permit issued is subject to the same expiration, su ension, and revocation provisions as a building permit issued for the same construction permit.*'* CDD Staff Certification Date: 12/30/2017 CDD Staff: Da el cK - oster 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 PP ❑ $0.00 ❑ $0.00 Less than 1.75 acres: ❑ $30.00 ❑ $60.00 1.76 to 5.00 acres: ❑ $60.00 ❑ $120AI 5.01 to 40.00 acres: $90.0 ❑ $180-00 h 3 0 2016 40.01 acres or more: 40.01 ❑ $120.00 F-1$240.AEC KODIAK ISLAW dUHUUGH .. �in�an�r.Fn�aaarlu��nr� alp m- a - VIOINOY ww OWNERSHIP AFFIDAVIT NOTARY'$ ACKNOWLEDGEMENTS PLAT APPROVAL � �rrt 12-Z R-74 SURPMRS CrRrl,7r,4