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USS 2878 LT 1A-2 - ZCP 11/4/2019Kodiak Island Borough Print Form Submit by Email +# Community Development Department 710 Mill Bay Rd. Rm 205 d w Kodiak AK 99615 I II I I III Ph. (907) 486 - 9363 Fax (907) 486 - 9396 23203 http://www.kodiakak.us Zoning Compliance Permit Permit No. BZ2020-025 The following information is to be supplied by the Applicant: Property Owner / Applicant: Steven Russell Mailing Address: 3152 Woody Way Loop, Kodiak Phone Number: 907-539-2627 Other Contact email, etc.: Legal Description: Subdv: USS 2878 Block: Lot: 1A-2 Street Address: NHN Chiniak Use & Size of Existing Structures: Vacantlot Description of Proposed Action: small fill projects from State work 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: Conservation KIBC 17.50 PROP—ID 23203 Lot Area: 10.08 AC Lot Width: 250' Bldg Height: Front Yard: 25' Rear Yard: 25' Side Yard: Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: Staff Compliance Review Notes and Specific Plat / Subdivision Requirements: ai J Subd Case No. plat No. Bldg Permit No. 35' 25' 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: Proof of EPA notification provided (if required)? NO *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 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? Not Applicable List Other: Date: Sep 25, 2019 Signature: J " 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 same construction permit.** CDD Staff Certification Date: Sep 25, 2019 CDD Staff: E v" 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 l ❑ $60.00 1.76 to 5.00 acres: ❑ $60.00 S y ❑ $120.00 5.01 to 40.00 acres: $90.00 ' $180.00 40.01 acres or more: ❑ $120.00 $240 r SFP25WON pp,,QQ NTT