ALEUTIAN BK 10 LT 30 - ZCP 6/5/2012 (2)Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
a Kodiak AK 99615
Ph. (907) 486 - 9362 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit
Print Form SubmitbyEmail
I I IIIIIIIIIIIIIIIIIII III
14564
Permit No. CZ2012 -84
The following information is to be supplied by the Applicant:
Property Owner /Applicant: Richard Lindholm
Mailing Address: Box 474
Phone Number: 486 -8297
Other Contact email, etc.:
Legal Description: Subdv: Aleutian Homes Sub. Block: 10 Lot: 30
Street Address: 412 Birch
Use & Size of Existing Structures: SFR
Description of Proposed Action: Reroof
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: RI KIBC 17.75 PROP ID 14564
Lot Area: .11 AC
Front Yard: Not Applicable
Prk'g Plan Rvw? Not Applicable
Plat / Subdivision
Requirements?
Lot Width: Not Applicable
Rear Yard: Not Applicable
# of Req'd Spaces:
Bld'g Height: Not Applicable
Side Yard: Not Applicable
Does the project involve If YES, do you have an EPA Return Receipt of Notification?
an EPA defined facility? N/A "Permit will not be issued until receipt is submitted to KIB" N/A
Subd Case No. Plat No. Bldg Permit No.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Applicant Certification: 1 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 of building setback (yard) requirements.
Attachments? Not Applicable List Other:
Date: Jun 5, 2012
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, or operation, contact
this office immediately to determine if further review and approval of the revised project is necessary.
** EXPIRATION: Azoning compliance permit will become null and void if the building or use authorized by such permit is not
commenced within 180 days from the date of issuance, or if the building construction or use is abandoned at any time, after the
work is commenced, for a period of 180 days. Before such work can be recommenced, a new permit must first be obtained. (Sec.
106.4.4 Expiration. 1997 UBC) per KIBC 17.15.060 A. **
CDD Staff Certification
Date: Jun 5, 2012 C d ff: Bud Cassidy
Payment Verification Zoning ComrW &I� it , ,eePPayable in Cashier's Room # 104- Main floor of Borough Building
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Not Applicable r $0.00
Less than 1.75 acres: r $30.00
1.76 to 5.00 acres: j— $60.00
5.01 to 40.00 acres: F $90.00
40.01 acres or more: F— $120.00
After - the -Fact 2X the published amount
F $0.00
F- $60.00
F— $120.00
F $180.00
F— $240.00