USS 3098 LT 29A MILL BAY RD - ZCP 11/18/2025Kodiak Island Borough
Community Development Department
710 Mill Bay Road Room 202
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcurrie@kodiakak.us
Zoning Compliance Permit Permit No. CV07AA- 0y
The following information is to be supppplied by the Applicant
Kodiak Area Native Association (KANA) c/o Osborne
Property Owner/ApplicantConstruction Company (OCC)
Mailing Address: 3449 E Rezanof Drive, Kodiak, AK 99615
Phone Number: KANA Jim McClelland 724 554 7489 or OCC Randy Barnes 907 322 9234
Other Contact Email, etc..: randy.barnes( Dosborneconstruction.com
Legal Description: Subdv: (aS5 Wq ; , Block: — Lot: Vq A
Street Address: KANA Mill Bay Clinic 2414 Mill Bay Road Kodiak, AK 99615
Use & Size of Existing Structures: Roughly 8,200 sf Health Care Facility
Description of Proposed Action: KANA has a need to modify Rooms 112 & 119 into new offices
and waiting. Modify rooms 120, 121, 122, 124 & 123 with added doors and new flooring. Provide
new flooring in rooms 106, 107, 141, 143, 144 and add new cabinets at Blood Draw. Convert
Room 126 into a Storage Room with new door and lighting.
Applicant Certification: I hereby certify that I will comply with the provisions ofthe 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.
Title: KANA Facilities Mgr
PrintNamc: Jim McClelland
Date: 11/7/2025 Signature: g �y
Site Plan to include lot boundaries and existing easements and builiffngs, 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.
Staff Compliance Review
Does the Project involve EPA Proof of EPA notification provided (if required)?
Defined Facility? `Commerical Buildings, 'Required for all demos, renovations disturbing at least UO sq
Installations, institutions, and residences feet, 260 lineafeet, or 35 cubic it of Regulated Asbestos Containing
With more than four (4) dwelling unites` Material (RACM) and for renovation that remove load supporting structure`
Expiration: Any Zoning Compliance Permit issued is subject to the same expiration, suspension, and revocation
provisions as a building permit issued for the same construction permit.
Current Zoning: qV
Lot Area: L I N— Lot Width: N �p
Front Yard: Q Side Yard: 1\ I Pc
Parking Plan:
Staff Notes: S
Date: A I t'L' Zo t•c6
Pavment Verification
Waived:
Less than 1.75 Acres:
1.76 to 5.00 Acres:
5.01 to 40.00 Acres:
40.01 Acres or more:
Parking Spaces:
Staff Certification
CDD Staff Signature:
Prop. ID: LQi 3o4
Building Height: JZ,)
Rear Yard: k) (A
As -Built: J i V
After the Fact 2X the published amount
$0.00
$0.00
❑
$30.00
$60.00
❑
$60.00 ❑
$120.00
❑
$90.00 ❑
$180.00
❑
$120.00 ❑
$240.00
❑
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
710 Mill Bay Road
Kodiak, AK 99615
907486-9323
11/12/2025 02:27PM
Remittance ID:
Kodiak111225181823609Med
Transaction ID:
343267220
JIM MCCLELLAND
3449 E REZANOF DR
KODIAK, Alaska 99615
United States
Visa - 4404
Approval Code: 081813
Sale
Amount: $30.00
KANA MILL BAY CLIMC
724 554 7489
CZ 2026 21
3449 E REZANOF DR
Service Fee: $2.00
Service Fee Type: Dual Transaction
Total Amount: $32.00
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.