USS 3099 LT 24C SUBLT 1A - ZCP 10/6/2016Print Form
Kodiak Island Borough _.. Submit by Email __.___
Community Development Department
i.�. 710Mill Bay Rd. Kodiak AK 996m 205
5
' Ph. (907) 486 - 9363 Fax (907) 486 - 9396
20896
http://www.kodiakak.us
Zoning Compliance Permit Permit No. BZ2017-039
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Mark Keplinger
Mailing Address: 758 Jackson Lane, Kodiak, AK 99615
Phone Number: (907) 942-2770
Other Contact email, etc.: markbkeplinger@gmail.com
Legal Description: Subdv: USS 3099 Block: Lot 24C Lot: Sublt 1A
Street Address: 758 Jackson Lane, Kodiak, AK 99615
Use & Size of Existing Structures: Single-family residence (MHR) with accessory buildings.
Description of Proposed Action: Demolition of existing single-family residence (MHR) and accessory buildings in preparation for
placement of new single-family residence (MHR) on parcel.
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: R1 KIBC 17.75 PROP -11D 20896
Lot Area: 7,525 sq. ft. Lot Width: 60' Bld'g Height: 35'
Front Yard: 25' Rear Yard: 10, Side Yard: 51
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes:
Plat / Subdivision Requirements? Per determination by CDD Director, the front lot line for this parcel is the shared lot line
this parcel and adjacent Lot 25, Sub Lot 4A.
Subd Case No. Plat No. Bld'g Permit No. TBD by 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. I agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Not Applicable List Other: N/A
Date: Oct 6, 2016
Signature: Mark Keplinger
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 NOTA UTHORIZE 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 same construction permit.**
CDD Staff Certification
Date: Oct 6, 2016 CDD Staff: Jack Maker
Payment Verification Zoning Compliance Permit Fee Paya in Cashier'Y41ce 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 CP
❑ $120.00
5.01 to 40.00 acres: ❑ $90.00 $180.00
40.01 acres or more: ❑ $120.00 PAID $240.0
01Ct06291
KODIAK ISLAND BOROUGH
SNANN: nFPAM MEW
PAYMENT DATE
10/06/2016
COLLECTION STATION
CASHIER
RECEIVED FROM
MARK KEPLINGER
DESCRIPTION
758 JACKSON LANE
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
BATCH NO.
2017-00000175
RECEIPT NO.
2017-00000387
CASHIER
Teresa Medina
PAYMENT CODE RECEIPT DESCRIPTION TRANSACTION AMOUNT.,
Zoning Compl Zoning ---
13Z2017-013-9—
Payments: Type Detail Amount
Cash $40.00
Cash ($10.00)
Total Amount:
Customer Copy
$30.00
Printed hv- Teresa Medina Pana 1 of 1 10/06/2016 03.27.46 PM