LEITE ADD BK 8 LT 1A - ZCP 4/29/2025Kodiak Island Borough Community
L\ Development Department
r 710 Mill Bay Rd. Rm 205
n Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit
Permit No.' Qa
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Jasmine Gilpin
Mailing Address: 1512 Yanovsky St. Kodiak AK 99615
Phone Number. 907-232-7510
Other Contact email, etc.:
Legal Description:
0asmine.gilpin(a)outlook.com
Subdv:
Street Address: 1512 Y
Use & Size of Existino Structures:
R
LEITE ADD Block: 8 Lot: 1A
ovsky St. Kodiak AK 99615
-_12Yo
+mil \ V'k 00e k)cl
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.
1.
Staff Compliance Review: Current zoning: .�2� �-1 PROP�54y
Lot Area: —1 r ILko
Front Yard: ZJ '
Lot Width: LZ
Rear Yard: i11r
Parking plan? IAUC # Of Req'd Spaces: F
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
MR. uec. .t _xA
Building Height:
1
Side Yard: /IU
As Built: ./
Subd Case No. Plat No. Building PennitNo.
Does the project involve
an EPA defined fac1.1,)=d'(L
•commercialbuildings,itonsmilitarybases)
institutions (schools, hesidences
with more than four (4Js.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if r ired)?
`Required for all demolidans, for renov ns disturbing at least UO square
renovations thatremovea
AoolicantCertification: lherebycertifythat I willcomplywiththe provisionsof the KodiaklslandBorough Code andthat I
have the authoritytocertifythisasthe propertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? \Ic` List Other:
Date: `
Print Name:
�YhtV1L
1 1 nt V
Date:
Signature:
/�0
This permit is only for the proposed project as descried by the applicant If there are any changes to the
proposed project, including its intended use, prior to or during itssiting, 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. Anyzoningcompliance permitissued issubject to thesameexpiration, suspension, and revocation provisions asa
building permit issued for the sameconstruction permit **
COD Staff Certification
Date: A3ti, ai57 CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashiers Office Room /t 104-Main floor of Borough Building
After -the -Fact 2X the published amount
Not App licable $0.00 ❑ $0.00
Lessthan 1.75acres: �$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
O1/31/2025 02:38PM
Remittance ID:
Kodiak013125183709476Cur
Transaction ID:
331075635
JASMINE GILPIN
1512 Yanovsky St.
KODIAK, Alaska 99615
United States
Visa - 4573
Approval Code: 09632D
Sale
Amount: $30.00
Jasmine Gilpin
907-232-7510
CZ2025-022
1512 Yanovsky St.
Service Fee: $1.00
Service Fee Type: Dual Transaction
Total Amount: $31.00
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.