SUNRISE HAVEN LT 1 - ZCP 9/13/2016Kodiak Island Borough Print Form Submit by Email
;d •. Community Development Department
5 m:u 710 Mill Bay Rd. iak AK 99615 205
5
' Ph. (907) 486 - 9363 Fax (907) 486 -9396
http://www.kodiakak.us 23453
Zoning Compliance Permit Permit No. BZ2017-029
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Gary R. and Janice P. Egbert/Authorized agrnt: Tim Izatt
Mailing Address: 1725 West 2000 South, Lewiston UT 84320
Phone Number: Owner: (434) 770-4504/Agent: (435) 668-2822
Other Contact email, etc.: Owner: gary@egbertfam.com
Legal Description: Subdv: Sunrise Haven Block: Lot: 1
Street Address: 300 Lupine Lane, Kodiak, AK 99615
Use & Size of Existing Structures: Vacant
Description of Proposed Action: Place 592 yards of fill in existing gravel pit.
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: 5.9 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
PROP -11D 23453
Bld'g Height: 35'
Side Yard: 25'
Subd Case No. Sl l-004 Plat No. 2011-18 Bldg Permit No. TBD by Building 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
Permit?
Septic Plan
Approval:
Fire
Marshall:
N/A
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 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
Date: Sep 13, 2016
List Other: Email authorizing Mr. Tim Izatt to act as agent for Gary Egbert.
Signature: �---7
7_.
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: Anyzoning compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a
building permit issued for the some construction permit.**
CDD Staff Certification
Date: Sep 13, 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: ❑ $30.00
❑
$60.00
1.76 to 5.00 acres: ❑ $60.00
❑
$120.00 0�4
5.01 to 40.00 acres: ❑X $90.00.
❑
$180.00;
40.01 acres or more: ❑ $120.00
❑
$240.001
SEP 9 3 201E
KODIAK 1SLANO 90ROUGH
FINANCE 'DEPARTMENT