LAKESIDE 2ND LT 2A - ZCP 10/19/2016Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
h ttp://www. ko d i a ka k. u s
Zoning Compliance Permit
rnnt rorm i uy rmau
Permit No. $-Z2ok-1- 043
The following information is to be supplied by the Applicant:
Property Owner / Applicant: <- �— �"\ 'A&e /
Mailing Address:
Phone Number:
Other Contact email, etc.: xj���Q I'1
Legal Description: Subdv:
Street Address:
r6«-�
Block: Lot: -;,? 4—
Use & Size of Existing Structures:
Description of Proposed Action:
L KO b 1 -<-1 V Y^-,
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: `fir PROP -11)
Lot Area: _j � 9
Front Yard: N -
Prk'g Plan Rvw? A)
Staff Compliance Review Notes:
Plat / Subdivision Requirements?
Lot Width:
Rear Yard:
# of Req'd Spaces:
Bld'g Height:
Side Yard:�-
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve
an EPA defined facility?
'Commercial buildings, installations (military bases),
institutions (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
"Required for all demolitions, for renovations disturbing at least 160 square
feet, 260linearfeet, 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 I 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:
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: 10 /' qf/ I U CDD Staff:
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:
E]
$60.00
$120.00
5.01 to 40.00 acres:
$90.00
$180.00
40.01 acres or more:
$120.00
$240.00
NV1
Kodiak Island Borough
OFFICE of the MANAGER
710 Mill Bay Road
Kodiak, Alaska 99615
Phone (907) 486-9304 Fax (907) 486-9374
E-mail: ddvorak(a�kodiakak.us
AGREEMENT TO STORE MOBILE HOME ON
KODIAK ISLAND BOROUGH LANDS
SECTION 1. LICENSE GRANTED:
The Kodiak Island Borough he einafter referred to as "Licensor," enters into an agreement on
this _A%1day of 2016, with --5q r?4 �?66,whose address is
1122 ovr�, o J=S -L . , referred to as "Licensee," to create a license for outdoor storage
of a mobile home) ("License").
SECTION 2. PURPOSE:
This License allows Licensee to enter onto lands of Licensor to park and secure a mobile home
for OUTDOOR STORAGE PURPOSES ONLY. Once parked in outdoor storage, further
access to said mobile home will be allowed on a periodic basis by prior appointment only. Only
one mobile home per owner is allowed for outdoor storage purposes onland of the Kodiak Island
Borough.
SECTION 3. LICENSED PROPERTY:
This License is ONLY valid for OUTDOOR MOBILE HOME STORAGE located at:
U/n647 Selief Lane
SECTION 4. TERM:
The right, privilege, and license granted herein shall continue, and exist from the date this
License was entered into until the 31St day of December 2018.
SECTION 5. INDEMNIFICATION:
I/we, as Licensee(s) herein, request that Licensor issue a license to store a Mobile Home as
described below, on Borough land. I/ we, as Licensee(s), agree to be available and on site at the
time the Mobile Home is parked at the storage site. I/we further agree and understand that this is
a license only and that in allowing outside storage of the Mobile Home, Licensor is not acting
as an agent, subcontractor, or a Bailee, and further that Licensor assumes no liability for injuries
or damage arising out of the non -secured outside storage of the Mobile Home, including but not
limited to, damages for failure to properly secure the Mobile Home with anchors or tie downs,
theft, or mold. I/we agree to the fullest extent permitted by law, to defend, indemnify and hold
harmless the Borough as Licensor, its elected and appointed officials, employees,
representatives, and volunteers, against any and all liabilities, claims, demands, lawsuits, or
losses, including costs and attorney fees incurred in defense thereof, arising out of or in any way
connected or associated with this License for outdoor storage of Mobile Home. Further, I/we
agree that Licensor is not responsible for any damages to, or caused by any Mobile Home
moved or stored, regardless of whether the damage was caused by the Licensor's negligence or
otherwise.
$2 0 0 FEE LICENSE #MH2O16- 0 EXPIRES: December 31, 2018
SECTION 6. NONTRANSFERABLE:
This License is restricted to the Licensee(s) named herein.
SECTION 7. CONDITIONS:
In additi to the items stated above, the I/we, as Licensee, hereby agree to the following:
A. (V�CERTIFICATION MUST BE PROVIDED BY QUALIFIED
ENVIRONMENTAL ASSESSMENT THAT THE MOBILE HOME CONTAINS NO
ASBESTOS OR LEAD BASED PAINT.
B. 0 A BOND SHALL BE POSTED IN THE AMOUNT NECESSARY TO
TRANSPORT AND DISPOSE OF THE MOBILE HOME IN THE EVENT THAT
THE MOBILE HOME IS ABANDONED ON BOROUGH LAND AT THE
TERMINATION OF THE LICENSE.
C. (/THE LICENSEE(S) SHALL PROVIDE TIE DOWNS OR ANCHORS AT THEIRQ
OWN EXPENSE TO SECURE THE MOBILE HOME FROM WIND OR SEISMIC
MOVEMENT.
D. "MOBILE HOME OWNER WILL PERMIT BOROUGH STAFF TO
PHOTOGRAPH THE INTERIOR AND EXTERIOR OF THE MOBILE HOME AT
TIME OF STORAGE TO DOCUMENT CONDITION.
"
I HAVE READ THE ABOVE CONDITIONS, UNDERSTAND EACH ITEM, AND
AGREE TO ABIDE BY ALL CONDITIONS.
LICENSEE(S) PRINTED NAME(S):
LICENSEE(S XJS^ IGN,ATU7�s )�
ADDRESS: n `
PHONE: Lf 3-7 —' 42-/ EMAIL ADDRESS: kX2110. 00 e- I
DESCRIPTION OF MOBILE HOME: (Year, Make, Model, Color, Size)
t q -7 6 z-- 11-63 W tA r.R-c4+� lb / ;
$250.FEE
Date: hq li
LICENSE #MH2O16- EXPIRES: December 31, 2018
d
E
0
.Q
0
FE
C
0
.N
0
L
A
(L
d
V
t4
Q
N
d
E
0
0
m
U
O
U)
O
T
C
c
a
O U
O
N co
� N
� O
00
O
N
N
d)
r
r
LO
r
M
r
its �
r
T
x VI
O L A
1
LO
C
N U
N (u
a
U
f0 �
a
U)
a�
U
C
(6
i
C
W
M)
Effective Bate:October 19, 20
Western Surety Company
LICENSE AND PERMIT BOND
KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 71840011
That we, Judith Anne Kidder
of Kodiak , State of Alaska , as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State
Alaska 1 as Surety, are held and firmly bound unto the
Kodiak Borough , State of Alaska as Obligee, in the penal
sum of Two Thousand and 00/100 DOLLARS ( $2, 000.00 )
lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,
we bind ourselves and our legal representatives, firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Mobile Home Payment
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply
with the laws and ordinances, including all amendments thereto, pertaining to the license or permit
applied for, then this obligation to be void, otherwise to remain in full force and effect until
October 19th 2017 , unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class
U,S. Mail,-,,6�'i!tthe Obligee and to the Principal at the address last known to the Surety, and at the
expi ,ive (35) days from the mailing of said notice, this bond shall ipso facto terminate and
th. �'_. sh� i eu on be relieved from an liability for an acts or omissions of the Principal
�'� P Y Y Y p
s>qu{ Regardless of the number of years this bond shall continue in force, the number of
4 ade agai IM ...is bond, and the number of premiums which shall be payable or paid, the Surety's
tai.`lirri of li bili`tall not be cumulative from year to year or period to period, and in no event shall
tl`i1 11
yam' A'b'ility for all claims exceed the amount set forth above. Any revision of the bond
{•--, 3 i
aml£$;lti=g}�,c�•�iim ulative.
Dated this 19th day of October , 2016
p�
Principal
Form 532-12-2015
Principal
WESTER PRET COMPANY
By G-.�
Paul T. Br at, Vice President
rIlkCr■
■ ^
Friend Contractors, LLC
General Construction &
Energy Specialists
Date Services Performed by: Services Performed for:
Sept 29 2016 Friend Contractors, LLC Judith Anne Kidder
P.O. Box 175 1222 Baranof
Kodiak, Alaska 99615 Kodiak, Alaska 99615
------- .__ _ _ ----- _.. ... .------
Potentially Hazardous Materials Building Inspection Report
Project Name: Jacksons Trailer Park
Trailer - 772 Jackson Lane (#81) — No Suspected Materials Found
This Trailer is a 14'x 64' Three bed room single wide trailer on a skirted temporary foundation.
The trailer is a stick framed wall with sheet metal siding and sheet metal roof with a 3" spray urethane coating on
top of the roof, a portion of the foam has been remove from the back of the trailer then a layer of Bituthane Ice
and Water has been applied to the existing roof surface. The interior walls have fiberglass batt insulation and wood
paneling throughout the trailer with one small wall with sheetrock covering. All the ceilings have a cellulose
paneling ceiling, with a sheetrock lid in the bathroom.
Floor coverings are a mix of newer sheet vinyl and older sheet vinyl (brand and style have been previously tested
with no hazardous materials found), Carpet.
Jerrol Friend
r�YA/ Ar1r KA — Asbestos certificate 44 1 -24585 - 27647