HOLLAND AC 1ST BK 1 LT 2A - ZCP 7/15/2016Kodiak Island Borough Print Form Submit by Email
Community Development Department
�'' t 710Kodiak m 205
diak AK 9965
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
21185
http://www.kodiakak.us
Zoning Compliance Permit Permit No. 3ZZC)j j " 0o5
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Arthur Zimmer#
Mailing Address: P.O. Box 1582, Kodiak, AK 99615
Phone Number: (907) 486-5832/(907) 942-9098
Other Contact email, etc.:
Legal Description: Subdv: Holland Acres Block: 1 Lot: 2A
Street Address: 170 Island Lake Road
Use & Size of Existing Structures: Single family home
Description of Proposed Action: Demolish existing single family home
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: Business KIBC 17.90 PROP_ID 21185
Lot Area: 2.38 acres
Front Yard: Not Applicable
Prk'g Plan Rvw? No
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Lot Width:
Not Applicable
Rear Yard: Not Applicable
# of Req'd Spaces:
No parking plan required for demolishing structure.
Bld'g Height:
Side Yard:
Subd Case No. Plat No. Bldg Permit No.
50'
Not Applicable
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: 1 hereby certify that 1 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? Not Applicable List Other:
Date: Jul 13, 2016 Signature: Arthur Zimmer
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: Anyzoning compliance permit issued is subject to the some expiration, suspension, and revocation provisions as a
building permit issued for the some construction permit.**
CDD Staff Certification
Date: Jul 13, 2016
CDD Staff: Sara Mason
Payment Verification Zoning Compliance Permit Fee Payable 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:
❑
$30.00
❑
$60.00
1.76 to 5.00 acres:
$60.00
r
❑
$120.00
5.01 to 40.00 acres:
❑
$90.00 (-
❑
$180.00
40.01 acres or more:
❑
$120.00
❑
$240.00
A or- J%
JUL 13 2016
KODIAK ISLAND BOROUGH
FINANCE DEPARTMENT
PAYMENT DATE
Kodiak Island Borough
BATCH NO.
07/12/2016
710 Mill Bay Rd.
2017-00000012
COLLECTION STATION
Kodiak, AK 99615
RECEIPT NO.
CASHIER
2017-00000043
RECEIVED FROM
CASHIER
ARTHUR ZIMMER
Cashier
DESCRIPTION
BZ -2017-005 AND BB -2017-05 170 ISLAND LAKE ROAD KODIAK AK 99615
Zoning Compl I Zoning Compliance Permit _ $60.00
Building Permit BulOng_Permit _ _ _ . $4.0_.00
Payments: Type Detail Amount
Check 3012 $100.00
Total Amount: $100.00
Customer Copy
Printed hv- Cashier Pane 1 of 1 07/1312016 01.35.16 PM