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USS 3218 COMM TR 1 OF TR S-5A-1 - ZCP 7/6/2016Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907) 486 - 9396 http://www.kodia ka k.us Zoning Compliance Permit Print Form Submit by Email Permit No. CZ2017-001 The following information is to be supplied by the Applicant: Property Owner/Applicant: Safeway Inc/Joe Janus Mailing Address: 1121124th NE, Bellevue, WA 98005 Phone Number: 425-201-64 Other Contact email, etc.: joe.janus@safeway.com Legal Description: Subdv: USS 3218 Tr 1 of S -5A-1 Block: Lot: Street Address: 2685 Mill Bav Road Use & Size of Existing Structures: Existing Safeway store / 37,461 SF Description of Proposed Action: New and relocated display cases (both heated & cooled), beer cooler enlarged, all new checkstands and relocated boat order checkstand. Floral cooler and work space redesign. Redesign of existing fresh cut production room. No load supporting structural members are being removed under this scope of work. 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 16353 Lot Area: 5.18 acres Lot Width: Not Applicable Q Bld'g Height: 50' a Front Yard: Not Applicable Rear Yard: Not Applicable El Side Yard: Not Applicable El Prk'g Plan Rvw? No # of Req'd Spaces: Staff Compliance Review Notes: Plat/ Subdivision Requirements? Parking plan review not necessary for interior remodel of store. Subd Case No. Plat No. Bldg Permit No. Does the project involve YES an EPA defined facility? •Commerclal bulldings, installations (military bases), Institutions (schools, hospitals) and residences with more than four (4) dwelling units. Driveway Permit? N/A Septic Plan Approval: NIA Fire Marshall: TBD Proof of EPA notification provided (if required)? N f A 'Required forall demolitions, forrenovations disturbing at least 160square feet 260 Linear feet, or3S cublcfeet of Regulated Asbestos Containing Material (RACM), and forrenovatlons that remove a load -supporting structural member. No permit will be issued for such projects without proof of EPA notification Applicant Certification: l hereby certify that l 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? Other Q List Other: Proposed floor plan Date: 7/6/2016 Signature: Joe Janus i t %-10M & This permit is only for the proposed project as described by the cppfftrif"If ther_ar 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 same expiration, suspension, and revocation provisions as a building permit issued for the some construction permit.** CDD Staff Certification Date: 7/6/2016 CDD 5taff. 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 D $0.00 Less than 1.75 acres: ❑ $30.00 ❑ $60.00 1.76 to 5.00 acres: ❑ $60.00 ❑ $120.00 %C 5.01 to 40.00 acres: D X C�_ $90.00.,R ❑ $180.00 40.01 acres or more: ❑ $120.00 ❑ $240.00 PAID JUL 19 2016 KODIAK ISLAND BOROUGH FINANCE DEPARTMENT PAYMENT DATE 07/19/2016 COLLECTION STATION CASHIER RECEIVED FROM SAFEWAY, INC. DESCRIPTION 2685 MILL BAY RD Zoning Compl Kodiak Island Borough 710 Mill Bay Rd. Kodiak, AK 99615 BATCH NO. 2017-00000016 RECEIPT NO. 2017-00000061 CASHIER Teresa Medina RECEIPT DESCRIPTION TRANSACTION AMOUNT Zoning Compliance Permit $90.00 CZ 2017 00 Payments: Type Detail Amount Check 11538 $90.00 Customer Copy Total Amount: $90.00 Printed hv.- Teresa Medina Pane 1 of 1 07/19/2016 08:17:08 AM