ALEUTIAN BK 9 LT 15 - ZCP 1/24/2018Kodiak Island Borough Print Form Submit by Email
Community Development Department
d� 710 Kodiak AK 9 61205
Mill Bay Rd. 5II I I I II I II I II II I II I II I III
' Ph. (907) 486 - 9363 Fax (907) 486 - 9396 14496
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2018-026
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Todd Dorman
Mailing Address: 3433 Tona Lane
Phone Number: 539-2655
Other Contact email, etc.:
Legal Description: Subdv: Aleutian Block: 9 Lot: 15
Street Address: 810 Hemlock
Use & Size of Existing Structures:
Single family residence
Description of Proposed Action:
Convert storage space into bedroom/bathroom
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: R1 KIBC 17.75 PROP—ID 14496
Lot Area: 5,305 Lot Width: Bld'g Height: 35 '
Front Yard: Rear Yard: 10' Side Yard: 5 '
Prk'g Plan Rvw? Yes # of Req'd Spaces: 1
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
House was built in 1950, only one parking space required. There is sufficient room on the property in front of
and to the side of the house for 3 spaces in any case.
Subd Case No. Plat No. Bld'g Permit No. TBD by 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
Permit?
Septic Plan
Approval:
Fire
Marshall:
TBD by Bldg Dept
N/A
TBD by Bldg Dept
Proof of EPA notification provided (if required)? NO
*Required for all demolitions, for renovations disturbing at least 160 square
feet 2601inear 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) will comply with the provisions of the Kodiak Island Borough Code and that I
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:
Date: Jan 24, 2018 Signature:
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
buildina Permit issued for the same construction Permit.**
CDD Staff Certification
Date: Jan 24, 2018 CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
Not Applicable
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.01 acres or more:
❑ $0.00 r
❑X $30.00`
❑ $60.00
❑ $90.00
❑ $120.00
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
❑ $120.00
❑ $180.00
❑ $240.00 PAIDIM
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