RUSSIAN RIVER EST LT 1 - ZCP 4/2/2015o Kodiak Island Borough
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Community Development Department
710 Mill Bay Rd. Rm 205 I I I I II IIIIII II IIII I I
.�` Kodiak AK 99615
Ph. (907) 486 - 9363 Fax(907)486 -9396 22555
h tt p: / /www. ko d i a ka k. u s
Zoning Compliance Permit Permit No. Bz2015 -083
Subd Case No. Plat No. Bld'g Permit No.
The following information is to be supplied by the Applicant:
Property Owner /Applicant:
James Poulos
Mailing Address:
P.D. Box 355 Kodiak, AK 99615
Phone Number:
907 539 -5360
Other Contact email, etc.:
Legal Description:
Subdv: Russian River Estates Block: Lot: 1
Street Address:
12721 Middle Bay Drive
Use & Size of Existing Structures:
SFR
Description of Proposed Action:
Place ± 220 cubic yard of fill from state to level yard. No fill will exceed 5' in height
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: RRi KIBC 17.70 PROP ID 22555
Lot Area: .95 acs
Lot Width: 120' Bld'g Height: 35'
Front Yard: 25
Rear Yard: 20' Side Yard: 15'
Prk'g Plan Rvw? No
# of Req'd Spaces: 3
Staff Compliance Review Notes:
Plat / Subdivision Requirements?
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve If YES, do you have an EPA Return Receipt of
an EPA defined facility? NO Notification?
"Permit will not be issued until receipt is submitted to
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. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? List Other:
Date: Apr 2, 2015 Signature: James Poulos
This permit is only for the proposed project as described by the app icont. 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: 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 anytime, 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 17.7 5.060 A. **
COD Staff Certification
Date: Apr 2, 2015 CDD Staff: Martin Lydick) 't4,
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
Aker - the -Fact 2X the published amount
Not Applicable
FX-
$0.00
F
$0.00
Less than 1.75 acres:
r
$30.00
$60.00
1.76 to 5.00 acres:
F-
$60.00
i-
$120.00
5.01 to 40.00 acres:
F-
$90.00
F-
$180.00
40.01 acres or more:
r
$120.00
r
$240.00