THORSHEIM LT 18 SUBLT 12A - ZCP 6/21/2016Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
ION Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit Permit No. C12ciLe - o(jS
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Micheal R Davidson
Mailing Address: PO Box 241528 Anchorage, Alaska 99524
Phone Number: 843-819-4676
Other Contact email, etc.:
Legal Description: Subdv: Thorshiem LT18 SubLT 12A Block: Lot:
Street Address:
Use & Size of Existing Structures: Restaurant
Description of Proposed Action: Siding and rot repair
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:
�- Busy I,) es
Lot Area: 12 oG Lot Width: N /1h Bld'g Height:
Front Yard: N //A
Prk'g Plan Rvw? f� 14
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Rear Yard: N i A Side Yard
# of Req'd Spaces:
Subd Case No. Plat No. Bldg Permit No.
PROP ID 15(-015
50
N / 1-t
Does the project involve
an EPA defined facility?
*Commercial buildings, installations Imilitary bases),
institutions (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway
Permit?
N l
Septic Plan
Approval:
N
Fire
Marshall:
N / �
Proof of EPA notification provided (if required)? I /
*Required far all demolitions, for renovations disturbing at least 160 square V
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: 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? List Other:
Date: Signature:
Susan Lacaille TV t- --PL AN Jf� t'_
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 some expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CDD Staff Certification
Date: �_ 3_ 1 CDD Staff: --�&Ve' IV1aS0ln
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
P — I'D
Al
JUNo�2010
Not App'NCE �P�`R ❑
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
01
$0.00
$ 30.00
$ 60.00
$ 90.00
40.01 acres or more: ❑ $120.00
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
❑ $120.00
❑ $180.00
$ 240.00
PAYMENT DATE
06/03/2016
COLLECTION STATION
CASHIER
RECEIVED FROM
Friend Contractors LLC
DESCRIPTION
Michael Davidson CZ2016-065
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
PAYMENT CODE RECEIPT DESCRIPTION
Zoning Compl Zoning Compliance Permit
Michael Davidson CZ2016-065
Payments: Type Detail Amount
Check 16152 $30.00
BATCH NO.
2016-00000499
RECEIPT NO.
2016-00001135
CASHIER
Cashier
$30.00
Total Amount: $30.00
Customer Copy
Printed hv! Cashier Pane 1 of 1 06!0312016 01.41.37 PM