EAST ADD BK 30 LT 1A - ZCP 1/22/2015Kodiak Island Borough Print Form Submit by Email
',� Community Development Department
# 710 Mill Bay Rd. Rm 205
Kodiak AK 99615
- • Ph. (907) 486 - 9363 Fax (907) 486 - 9396 14881
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2015 -047
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Frank Abena Family Trust / Agent: Rod Kiefer
Mailing Address: 2080 Bloomfield Road, Sebastopol, CA 95472
Phone Number: (707) 315 -5262
Other Contact email, etc.: flabena @mindspring.com
Legal Description: Subdv: East Addition Block: 30 Lot: 1A
Street Address: 816 East Rezanof Drive, Kodiak, AK 99615
Use & Size of Existing Structures: Multi- family dwelling unit (triplex)
Description of Proposed Action: Replace decks on northeast side and rear of dwelling unit as depicted in attached site plan.
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:
Lot Area: AS Aci-ES
Front Yard: 25 '
Prk'g Plan Rvw? Not Applicable
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Current Zoning: R3
Lot Width:
Rear Yard:
# of Req'd Spaces
60'
10'
No change to existing parking.
KIBC 17.85
Bld'g Height
Side Yard:
PROP—ID 14881
35 '
5'
Subd Case No. Plat No. Bld'g Permit No. TBD
Does the project involve N / A If YES, do you have an EPA Return Receipt of N/A
an EPA defined facility? Notification?
"Permit will not be issued until receipt is submitted to
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
N/A
N/A
N/A
Applicant Certification: 1 hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that 1
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? Site Plan
Date: Jan 22, 2015
List Other: Agent authorization
Signature: Rod Kiefer
7
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.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
"EXPIRATION: A zoning 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: Jan 22, 2015 CDD Staff: Jack Maker'
Payment Verification Zoning Compliance Permit Fee Payabke in Cashier's Ofifi e Room # 104 - Main floor of Borough Building
After - the -Fact 2X the published amount
Not Applicable
F-
$0.00
F- $0.00
Less than 1.75 acres:
FX-
$30.0 F- $60.00
1.76 to 5.00 acres:
r
$60.00
/ F- $120.00
5.01 to 40.00 acres:
F-
$90.00
PAIM $180.00
40.01 acres or more:
F-
$120.00
F $240.Q0
JAN 2 2 2015
KODIAK ISLAND BOR
FINANCE DEPARTMENT
Kodiak Island Borough Community Development Department
710 Mill Bay Rd. Rm 205, Kodiak, AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http:Hwww.kod iaka k.us
Owner Authorization
Project Name: D e c leis 61 kid 'SA, I. rS
I certify that 1 am the legal owner or otherwise authorized* to sign on behalf of the legal owner.
1 certify that 1 have read and understand the information contained within the submitted
application and the application is true and correct to the best of my knowledge. I authorize
the Borough the limited right of entry to the subject property for the purpose of conducting
investigations related to the application. I understand that knowingly providing false
information on this application may result in any action taken hereon being declared null and
void. I further understand that pursuant to AS 11.56.210, knowingly making a material false
statement, or otherwise providing false information, with the intent to mislead a public
servant in the performance of his /her duty is punishable as a Class A misdemeanor.
Application Type:
Primary Owner: D check if primary contact
, n�' L
Name: 1
Signature:
Company:
Secondary Owner: ❑
Name:
Signature:
Company:
Submit by Email
Print Form
Date Received
check if primary contact
Primary Phone: '7 0 7 _ o3 / S— s 6 c-)- Primary Phone:
E -mail: FI -H-(3 EWCX .p N\Z VN, PKL n4. C-0 rl, E-mail-
APPLICANT CONTACT INFORMATION check ifprimary contact
❑ Contract Purchaser* Authorized Agent* ❑ Person with demonstrated possessory interest in the property*
Name: ro(& �� e�2� Signature:
Company and /or Title: PICA C ����(� �� ,0CtZ3 (" e10—
Mailing Address:
City: r �C State: Zip:
Primary Phone: S 3 G � E -mail: C
*1 understand that 1 must provide the appropriate documentation to prove that I am a contract purchaser/ authorized agent /person with
demonstrated possessory interest in the subject property. Planning staff may photocopy the document to accompany the application.
STAFF USE ONLY: Staff verification of necessary documentation. Staff, initial and indicate document verified. n check if copy retained
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