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MILLER PT 1ST BK 1 LT 3A - ZCP 5/20/2016 (2)Kodiak Island Borough L Print Form Submit by Email Community Development Department Wo 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 - Ph. (907) 486 - 9363 Fax (907) 486 - 9396 21738 http://www.kodiakak.us Zoning Compliance Permit Permit No. BZ2016-071 The following information is to be supplied by the Applicant: Property Owner/ Applicant: Joseph D. and Elizabeth Rubin Mailing Address: PO Box 598, San Marcos, CA 92079 Phone Number: (760) 945-0029 Other Contact email, etc.: joedrubin@gmail.com Legal Description: Subdv: Miller Point 1st Addition Block: 1 Lot: 3A Street Address: 3233 Balika Lane, Kodiak, AK 99615 Use & Size of Existing Structures: Single-family residence (mobile home) and accessory building. Description of Proposed Action: Demolition of existing mobile home (removal and delivery to landfill for disposal) and demolition of existing accessory building. 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: .48 acres Front Yard: 25 ' Prk'g Plan Rvw? Not Applicable Staff Compliance Review Notes: Plat/ Subdivision Requirements? Current Zoning: R2 Lot Width: N Rear Yard: 101 # of Req'd Spaces: KIBC 17.80 Bld'g Height: Side Yard: PROP_ID 21738 35' 5' Subd Case No. Plat No. 93-36 Bld'g Permit No. TBD Building Dept. Does the project involve NO an EPA defined facility? *Commercial buildings, installations (military bases), institutions (schools, hospitals) and residences with more than four (4) dwelling units. Driveway N/A Permit? Septic Plan N/A Approval: Fire N/A Marshall: Proof of EPA notification provided (if required)? N / A *Required for all 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 Applicant Certification: I hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that) 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? Not Applicable Date: May 20, 2016 List Other: N/A Signature: Joseph D. Rubin 7i 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: 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: May 20, 2016 CDD Staff: Jack Maker Payment Verification Zoning Compliance Permit Fee Pa�ble in Cashier's Office Room # 104 - Main floor of Borough Building After -the -Fact 2X the published amount Not Applicable ❑ $0.00 ❑ $0.00 Less than 1.75 acres: ❑ $30.015. 6-) ❑ $60.00 1.76 to 5.00 acres: ❑ $60.00 ❑ $120.00 5.01 to 40.00 acres: ❑ $90.00 ❑ $180.00 ' 40.01 acres or more: F-1$120.00 ❑ $240.00 Ps MR1 AV 20 7A I -W16 KODIAK ISLAND BOROUGH FINANCE MPARTMENT PAYMENT DATE O5/2O/2O18 COLLECTION STATION CASHIER RECEIVED FROM JOSEPH D.RUB|N DESCRIPTION ZONING PERMIT BP Kodiak Island Borough 71OMill Bay Rd. Kodiak, AK 99615 BATCH NO. 2018'00000474 RECEIPT NO. 2016-00001080 CASHIER Teresa Medina PAYMENT CODE RECEIPT DESCRIPTION ff-T MOT in, z = ing Permit Building Permit $40.00 3233 BALIKA LANE BB 2016-94 JOSEPH RUBIN Zoning Compl Zoning Compliance Permit $30.00 Payments: Type Detail Amount Check 510 $70.00 Total Amount: $70.00 Customer Copy F Printed hv�TpramaMedina Pane 1 mf 1 0512�0/2016O2-539.35PK8