NEW KODIAK BK 3 LT 8 - ZCP 4/23/2025Kodiak Island Borough
Community Development Department
7', 710 Mill Bay Road Room 202
o^0--`4Kodiak, Alaska 99615
*" Phone (907) 486-9363 Fax (907) 486-9396
bcurrie@kodiakak.us
Zoning Compliance Permit Permit No. C.-L ' 037
The following information is to be supplied by the Applicant
Property Owner/Applicant: SCG n Glear
Mailing Address: 'a/ � 5hebocv c 7fi
Phone Number: 50- (0 � �- -/
Other Contact Email, etc..:
Legal Description: Subdv:
Block:
Street Address: 2 ) 6 5hel f lief 5;�—
Use & Size of Existing Structures: Churc h l 0o ee S a� iT 5o0C)6—
Lot:
Description of Proposed Action: C hAl(ae. C/Se L-14 S)x%,">S �W 3 /ij�fJ✓� i'zt w�,
(%pjY�ft� �95V 4 1%Pwn 5MY5' L re-)-4L 22272
YProve- fvae, reWy -Aril a�cr•
�o✓ D�S,G, � ��, a-f
Applicant Certification: I hereby certify that I 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 ofbuilding setback (yard) requirements.
Title: Print Name: 5�A Cle'#"/ DAfCt—
Date: Signature: 1/1^ L
Site Plan to include lot boundaries and existing easements and buildings, proposed location ofnew construction,
access points, and vehicular parking area, As -Built required with all improvements changes.
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.
Compliance Review
Does the Project involve EPA Proof of EPA notification tded (if required)?
Defined Facility? `Commerical ildings, 'Required for all demos, renov ' ns disturbing at least UO sq
Installations, institutions, and r idences feet, 260 lineafeet, or 36 c c a of Regulated Asbestos Containing
With more than four ( elling unites' Material (RACM) and for reno ion that remove load supporting structure`
Expiration: Any Zoning Compliance Permit issued is subject to the same expiration, suspension, and revocation
provisions as a buildingpermit issued for the same construction permit.
Current Zoning:. q b Prop. ID: 11t5i4q6
Lot Area: QI t— Lot Width: Building Height:
Front Yard: )w (,A'— Side YardA2 IA� Rear Yard: Q I-J.—
Parking Plan: U A Parking Spaces: N)(A— As -Built: _�-
Staff Notes: iNA\� V13Uy\�.2 i t� F �( r�Ct� IADOY'\ _
Staff Certification
Date: (� I .� f Z 5— CDD Staff Signature:
Pavment Verification
After the Fact 2X the published amount
Waived: $0.00 ❑ $0.00 ❑ 0 2�00/
Less than 1.75 Acres: $30.00 [� $60.00 ❑ RECEIVED
1.76 to 5.00 Acres: $60.00 ❑ $120.00 ❑ A PP 7 ? ?pr,
5.01 to 40.00 Acres: $90.00 ❑ $180.00 ❑ Kodtak Island Borough
Finance Department
40.01 Acres or more: $120.00 ❑ $240.00 ❑
PAYMENT DATE
04/23/2025
COLLECTION STATION
CASHIER
RECEIVED FROM
SEAN CLEARY
DESCRIPTION
216 SHELIKOF ST
CZ 2025 037
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak AK 99615
Payments: Type Detail Amount
Check 3001 $30.00
Total Amount:
BATCH NO.
2025-00000242
RECEIPT NO.
2025-00000919
CASHIER
Teresa Medina
Customer Copy
Printed by: Teresa Medina Page 1 of 1 04/23/2025 03:26:55 PM