USS 3218 LT V-1 REZANOF MHP - ZCP 11/12/2024""
Kodiak Island Borough Community
,!""
Development Department
94
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit
Property Owner/ Applicant:
Mailing Address:
The following information is to be
Permit No
the Applicant:
r
0. D, �4a x. ;4) 9-1; , k6-;)e'rIk, /AK clWi -S
Phone Number: ��
Other Contact email, etc.: -{ 1 yL
Legal Description: Subdv: C4 5S -7,ZI Block: Lot: V -
Street Address: j b _q C� K e ZG 0 0 - r✓ o J-'r:1 ]C, _Ak 1;5(
Use & Size of Existing Structure
M O � ' � '.O
Description of
Site Plan to include lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and
vehicular parking areas, As Built required with all improvement changes.
Staff Compliance Review: Current zoning: /) PROP_iD ( I ( -
Lot Area: N `NIL\, Lot Width: LQ ("�— Building Height:"1
Front Yard: Rear Yard: 10 Side Yard: (�
Parking plan? # Of Req'd Spaces: a As Built: /
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building PermitNo.
Does the project involve
an EPA defined facility? ,
•commercialbuildings, installations(militaryba ,
institutions (schools, hospitals) and reshowmes
with more than four (4)dwelling
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
"Required for all demolitions, for renova rbinR a[ least UO square _ _ _
feet, 2601inearfeet,or35cubic egulatedAsbestos Containing Material(RACM), andfor
renovations lha-r� oad-suppordngstructure/membere..
No issued for such oroiects without proof of EPA
not ficgJjgD-
AD121mcantCertificaltwon:IherebycertifythatIwillcomplywiththe provisions of the KodiaklslandBorough Code andthat I
have the authority tocerttlythisasthe propertyowner, orasarepresentativeofthepropertyowner.I agreetohave identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments?
Date:
List Other:
Print Name:
Dale: �il+'Z, �t 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, 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: Anyzoningcompliancepermitissuedissubjecttothesameexpiradon,suspension, andrevocadonprovisionsasa
building permit issued for the sameconstruction permit **
COD Staff Certification
Date: '11 a CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It 104- Main floor of Borough Building
After -the -Fact 2X the published amount
Not App licable
$0.00
El
$0.00
Less than 1.75 acres:
$30.00
$60.00
1.76 to S.00 acres:
�$60.00
❑
$120.00
5.01 to 40.00 acres:
❑
$90.00
❑
$180.00
40.01 acresor more:
❑
$120,00
$240.00
Transaction Receipt- Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
11/12/2024 10:23AM
Remittance ID:
Kodiak I 11224142154194Cur
Transaction ID:
327868044
KIRK RASMUSSEN
PO Box 2183
KODIAK, Alaska 99615
United States
Visa - 6147
Approval Code: 04806D
Sale
Amount: $60.00
Kirk Rasmussen
907-942-7015
BZ2025-014
3629 E Rezanof Drive
Service Fee: $1.50
Service Fee Type: Dual Transaction
Total Amount: $61.50
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmember's agreement with
the issuer.
Signature
click here to continue.