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LAKE ORBIN LT 1 - ZCPKodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486-9363 Fax (907) 486-9396 htto://www.kodiakak.us Zoning Compliance Permit Pr nt Form 11 im { Submit by'Emai IIIIIIIU 111 23700 Permit No. BZ2016-020 1 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: The following information is to be supplied by the Applicant: Edward and Cam( Mahoney 3944 Spruce Cape Road, Kodiak, AK 99615 (907) 539-1234/(907) 942-0471 builders@ptialaska.net Subdv: Lake Orbin 11499 Kaisin Drive, Kodiak, AK 99615 Block: Lot: 1 Vacant Description of Proposed Action: Construction of new single-family residence as depicted on 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: Current Zoning: RR1 KIBC 17.70 PROP_ID 23700 Lot Area: 1.25 Acres Lot Width: 120' Bld'g Height: 35' Front Yard: 25 ' Rear Yard: 20' Side Yard: 15 ' Prk'g Plan Rvw? Yes 11 of Req'd Spaces: 3 Staff Compliance Review Notes: Plat / Subdivision Requirements? Subd Case No. Plat No. 2013-2 Bldg Permit No. TBD Does the project involve an EPA defined facility? 'Commercial buildings installations (military bases), institutions (schools, hospitals) and residences with more than four (4) dwelling units. NO • Driveway Permit? Septic Plan Approval: Fire Marshall: Required Proof of EPA notification provided (if required)? N / A *Required forai demolitions, for renovations disturbing at least 160 square feet, 260 linear feet, or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and for renovations that remove a load -supporting structural member. No permit will be issued for such projects without proof of EPA notification Required TBD 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 of building setback (yard) requirements. Attachments? Site Plan Date: Oct 13, 2015 List Other: Plat and floor plan drawings Signature: Cami Mahoney 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 WHENA BUILDING PERMIT 5 REQUIRED. ** 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.** CDD Staff Certification Date: Oct 13, 2015 - CDD Staff: Jack Maker Payment Verification Zoning Compliance Permit Fee Paya Not Applicable Less than 1.75 acres: 1.76 to 5.00 acres: 5.01 to 40.00 acres: 40.01 acres or more: O ice Room # 104 - in Cashier's Main floor of Borough Building ❑ 50.00 ❑X $30.0Q ❑ 560.00 ❑ $90.00 ❑ 5120.00 After -the -Fact 2X the published amount PAM O moo ❑ $6o.0o ❑ 5120.00 O 5180.00 ❑ 5240.00 C, , OCT 13 2015 KODIAK ISLAND BOROUGH FINANCE DEPARTMENT 1' PAYMENT DATE Kodiak Island Borough 10/13/2015 710 Mill Bay Rd. COLLECTION STATION Kodiak, AK 99615 CASHIER RECEIVED FROM CAMI MAHONEY DESCRIPTION BZ -2016020 11499 KALSIN DRIVE KODIAK AK 99615 PAYMENT CODE Zoning Compl RECEIPT DESCRIPTION Payments: Zoning Compliance Permit Type Detail Check 5913 BATCH NO. 2016-00000120 RECEIPT NO. 2016-00000318 CASHIER Cashier TRANSACTION AMOUNT $30.00 Amount $30.00 Printed hv: Cashier Total Amount: $30.00 Pane 1 of 1 10/1312015 OR:50:17 AM SiTEPIAN fob ISZ0_0I to - ©a_c). 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