KADIAK AK UNIT 1A - ZCP 9/26/2012Kodiak Island Borough
h' Community Development Department
710 Mill Bay Rd. Rm 205
as ,
Kodiak AK 99615
Ph. (907) 486 - 9362 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit
Print Form Submit by Email
Permit No. CZ2013-025
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Univ of Alaska
Mailing Address: 3890 Univ Lake Dr., Ste 110, Anchorage, AK.
Phone Number: 907-786-4900
Other Contact email, etc.: c/o Ben Davies 907-786-4900
Legal Description: Subdv: Kadiak AK Unit Block: Lot: 1
Street Address: 117 Benny Benson
Use & Size of Existing Structures: 2,220 sqft computer lab & offices
Description of Proposed Action: Interior remodel & reconfigurations (no additional sgftgs added)
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: Public Use KIBC 17.130 PROP -0
Lot Area:
Front Yard:
Prk'g Plan Rvw? No
Lot Width:
Rear Yard:
# of Req'd Spaces:
Plat / Subdivision No changes to existing prk'g
Requirements?
Does the project involve
an EPA defined facility?
Bldg Height:
Side Yard:
If YES, do you have an EPA Return Receipt of Notification?
"Permit will not be issued until receipt is submitted to KIB"
Subd Case No. Plat No.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Bld'g Permit No.
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?
Date: Sep 26, 2012
List Other:
Signature:
u0QD --,,
Keith Willard (for Ben Davies, signature on file)
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: A zoning compliance permit will become null and void if the building or use authorized by such permit is not
commenced within 780 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 UBQ per KiBC 17.15.060 A.**
CDD Staff Certification
Date: Sep 26, 2012 CDD Staff. Martin LydickV I /I
(r
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office RooFh # 104- Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
(—
$0.00 j-
$0.00
Less than 1.75 acres:
(—"
$30.00 F—
$60.00
1.76 to 5.00 acres:
F—
$60.00 r
$120.00
5.01 to 40.00 acres.
F
$90.00c+
$180.00
40.01 acres or more:
r
ryry
$120.00 SEP 26 L0� (�
$240.00
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Source: Esri, i -cubed, USDA, UISGS, AEX, GeoEye, Getmapping, Aerogrid, IGN, IGP, and the GIS User Community
Facilities Planning
& Construction
UNIVERSITY of A.LASICA ANCHORAGE
To whom it may concern,
3890 University Lake Drive, Ste 110
Anchorage, Alaska 99508-46b9
T 907.786.4900 • F 907,786,4901
www,uaa,alaska,ec1u/fpc
I, Ben Davies, the UAA Facilities Planning & Construction assistant project manager for this project, .
authorize Keith Willard, representing DBR Construction, Inc. permitting authority for the UAA Kodiak
Community College Student Services Remodel project # 12-0017, Bid number 12-28.
Sincerely,
-OP 15
9 S 1Z
nk114
S. Ben Davies, PMP
Assistant Project Manager
UAA Facilities Planning & construction
3890 University Lake Drive, Suite 110
Anchorage, AK 99508
(907) 786-4900