LAKE SHORE EST LT 4 - ZCP 5/22/2018Kodiak Island Borough Print Form Submttb ;Email
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iACommunity Development Department
710 Mill Bay Rd. Rm 205Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 21393
http://www.kodiakak.us
Zoning Compliance Permit Permit No. BZ2018-022^q i 00 ELl
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The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
Use & Size of Existing Structures:
David Dahl
david.dahl61@icloud.com
Subdv: Lake Shore Est
2673 Beaver Lake Dr.
Vacant Lot
Block: Lot: 4
Description of Proposed Action: Construct single family residence with possibility of attached ADU.
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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—ID 21393 (J(�T)4% -
Lot Area: 0.76 Acres Lot Width: 140' Bldg Height: 35'
Front Yard: 25 ' Rear Yard: 20, Side Yard: 10,
Prk'g Plan Rvw? Yes # of Req'd Spaces: 3
Staff Compliance Review Notes:
Plat/ Subdivision Requirements? Could require an additional space if an ADU is built on the property. There is sufficient space
Subd Case No.; } Plat No. 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
Permit?
Septic Plan
Approval: ;
Fire
Marshall:
TBD Bldg Dept
N/A if on City water
TBD Bldg Dept
Proof of EPA notification provided (if required)? NO
*Required for all demolitions, for renovations disturbing at least 160 square
feet 1601inear 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 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. I agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Site Plan List Other:
Date: Sep 29, 2017
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 WHENA 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 some construction permit.**
CDD Staff Certification
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Date: Sep 29, 2017 CDD Staff:
Payment Verification Zoning Compliance Permit Fee
-'Main fl�or of Borough Building
After -the -Fact 2X the published amount
Not Applicable
❑
$0.00
❑
$0.00
Less than 1.75 acres:
n
$30.00
❑
$60.00
1.76 to 5.00 acres:
❑
$60.00
❑
$120.00
5.01 to 40.00 acres:
❑
$90.00
❑
$180.00
40.01 acres or more:
❑
$120.00
❑
$240.00
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1 11. 2017
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