LAKESIDE 2ND LT 2A - ZCP 10/19/2016 (2)- _
Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
-FAPh.
(907) 486 - 9363 Fax (907) 486 - 9396
NOt
http://www.kodiakak.us
Zoning Compliance Permit
Print Form _ Submit by Email
Permit No. 2, -Z -2_0t-7 p44
The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Mailing Address:
Phone Number:�'� %'�f� 1
Other Contact email, etc.: _
Legal Description: Subdv:
Street Address:
Use & Size of Existing Structures:
Description of Proposed Action:
L'
Block: Lot:--
,,74—
Use
7 >-
. K0 b 1 'p— V{
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:
Lot Area: -'I Lot Width: �i Z��j� Bldg Height:
Front Yard: N 11i Rear Yard
Prk'g Plan Rvw? )
Staff Compliance Review Notes:
Plat / Subdivision Requirements?
nV A_ Side Yard
# of Req'd Spaces: ?V A—
Subd Case No. Plat No. Bld'g Permit No.
PROP_ID
VvFJ
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 260 linear feet, or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and
for renovations that remove a load -supporting structural member.
No ermit 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)
have the authority to certify this as the property owner, or as a representative of the property owner. 1 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 some construction permit.** A
CDD Staff Certification
Date: 16 / 0 y ( 1p 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:
❑
$60.00
❑
$120.00
5.01 to 40.00 acres:
❑
$90.00
❑
$180.00
40.01 acres or more:
❑
$120.00
❑
$240.00
("JO -4,V14
Kodiak Island Borough
OFFICE of the MANAGER
7101IN0 I3ay Road
Kodiak, Alaska 99615
Phone (907) 486-9304 Fax (907) 486-9374
E-mail: ddNorukukodiakak.us
AGREEMENT TO STORE MOBILE HOME ON
KODIAK ISLAND BOROUGH LANDS
SECTION 1. LICENSE GRANTED:
The Ko Island Borough, hereinafter referred to as "Licensor," enters into an agreement on
this 10 day of 2016, with 40\j{, A 0 t A 1 -1 -,'--whose address is
°-B,ax t ? V69*V-, 4,4Q referred to as "Licensee," to create a license for outdoor storage
of a mobile one (e ("Lic nse")").
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 armointment onlv. Only
one mobile home per owner is allowed for outdoor storage numoses onland of the Kodiak Island
Borough.
SECTION 3. LICENSED PROPERTY:
This License is ONLY valid for OUTDOOR MOBILE HOME STORAGE located at:
( 2647 Selief Lane
SECTION 4. TERM:
The right, privilege, and license granted herein shall continue, and exist from the date this
License Nvas entered into until the 31" 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.
A$.00 FEE LICENSE #MH2O16- 02— EXPIRES: December 31, 2018
SECTION 6. NONTRANSFERABLE:
This License is restricted to the Licensee(s) named herein.
SECTION 7. CONDITIONS:
In addition the items stated above, the I/we, as Licensee, hereby agree to the following:
A. CYC RTIFICATION MUST BE PROVIDED BY QUALIFIED
ENVIRONMENTAL ASSESSMENT THAT THE MOBILE HOME CONTAINS NO
ASB TOS OR LEAD BASED PAINT.
B. ( 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 BOR UGH LAND AT THE
TE INATION OF THE LICENSE.
C. (t.17
7HE LICENSEES) SHALL PROVIDE TIE DOWNS OR ANCHORS AT THEIR �j D
OWN EXPENSE TO SECURE THE MOBILE HOME FROM WIND OR SEISMIC }c
MO ENT.
D. ( OBILE HOME OWNER WILL PERMIT BOROUGH STAFF TO f
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.
LICENSEES) PRINTED NAME(S):
vV--% tj\ A 1—L C
LICENSEE(S) SIGNATURE(S):
C—C /I/
ADDRESS:
PHONE: —�/ J �O EMAIL ADDRESS:
DESCRIPTION OF MOBILE HOME: (Year, Make, Model, Color, Size)
Ef
BOROU
ATURE:
Date: /0/15 // �
$250.00 FEE LICENSE #MH2O16-()'L- EXPIRES: December 31, 2018
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'0/13/2016 11:2-t 907222691 Ei ALASKA SEP`JICE AGEM' PAGE 02 04
Effective JatetactGber 19, 2016
Western Surety Compa
MUNSE AND PERMIT BOLD
K_h OW ALL PERSONS BY THESE PRESENTS: Bond No. 71839933
ThaLwe, oLrania, LLC
of Kcdiak �i , State of a asPrinaipal.
and WESTER14 SURETYCOMPANY, a corpoxation duly licensed to do mrety basinew in the State
Ala s ka as Surety, azo held and firmly bound unto for
Kodiak Island Borough Stateof laska
, as Oblige®, in the penal
gum of =•'%^Q Tnauaand and 001 _ S2,OJO.00pI)
lawful money of the United States, W be paid to the Obligeo, for w1teb payment well and trAy to be maci4.
we bind ourselvras and our legal representatives: firmly by these presents.
THE COIJDITION OF THE ABOtiF 03_1GATION IS SUCH, That whereas, the Principal has b+jen
licensed klobiie HGme L-ae,meat
by the Obligee.
NCW THEREFORE, if The Principal xhall faithfully perform the duti" and in all things comply
with the lays and ordinances, ilwluding ell muendments thexem, pertaining to the li-�tnso or permit
applied for, then this obligation to be void. otherwise to remain in full fume and effect until
Q�wt,obec 19th wed by Continuation Certi$rate.
This bond may be terminated tat any time by the Surety ur.on sending noticre in writing, by First Class
U.S. ;vizi �;' the Obligee and to the Principal at the address last known to the Swvty, and at the
sxp .ive (66) days frim the mailing of said nottne, this bond shall :pro fctCW tsrtLinata and
to upon be relievad from any liability for any act& or omisaions of the Princ.pal
s>a tj Regardless of the number of years this bond snaL continue in force, the namber of
cade ag s bond, and the numbpr of premiums which shall be payable or paid, the Svxety's
t= 11 b bil al.l rot be cumulative from year to year cr period to period, and in no event s:1e11
%t.1t tell } uity* for all elaime exceed the amount set forth above. Any revision of the bone:
m muletive.
15th dayof October .v 2cie
CUPANIA , Ur -
Principal
%t21L — Principal
WESTT-R_E:.T
ER�;idi
CPAVY
2
By �•
Paul T fi at- Vice President
ForT 532-12-Ml5
.E; la/2C�lo 17.:27 9072: 2'691ei ALASKA SEPVTCE AGENY PR:iE 03/04
ACENCAVLEDGPAENT OF MTRETY
STATE OF SOUTH DARDTA ss {Corporate =csr)
0 , -TNTY OF MiN :EFiAHA
C..m this _;3'.11_. —day r£ Cs;,",ebt;z 2^' c' ; b -*re me, the undarsign4dofficer,
pers,wally appea.Ya3 pau= T • u P).�`_ wao acl:c:uwk ged hirm.elf to ba chit Voceeaid
oMotr o1 WESTER -14 SUR.M 001�9ANY, a ecrporatiom and that he as such officer, being au`4horized so to do; executed
tete ibr?gang instrument. for the purposes therein coutainsd, by ?igmng the nainr of the mrporation by i•.mwelf as suet:
o scar.
IN WITNESS WHEREOF, I have hersunt) aet my hard and official seal
;4�h�5rwria�w��raw.�aw+.+.
r M. BENT
NOTARY PUB=Xntaiy Public — South D -&A&
SOUTH M6x=j
yrs�ti�aaw%1441 rwwaww• i
A", cot^a+isai,on Expires March 2, 2020,�Cti,�+p�vLEUGMENTOFPRL\U0?
STATE OF— (Individual or Partnere)
as
OCUNTY OF
C'nUm"s _—.—_ ddTcf �— —__—, _ , befor> me persana;ly appeared
koo a to ttm tube the individual — deac6bod in and who exacated the foregoing insboutnent ar.d acknowledged to me
that _hF — executed tae ;trine
ley COrwi9Cictt IDXXOI-53
STATE CW _
ccUN= of
rotary Public -
ACK1,IOWLEl7Gi4ENT Car .PRD4C;IP_AL
(Cotporste Offtoer)
se
Or. thin day of _._ before me personally appeared
who acknowledged hinar1therrclf to ba the
of --- — a rccporation, and that he/ehe ae
euch offber being auChorized so to do, cwmted tete foregoicg :natr=aat fox tie p wposes therein contained Vj ajg6ng
aw name orbit ,or(•,ucsikm by uLmeslflherse!r as suoh aMcer
vly c�r=iir-iai expires
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Date
Sept 29 2016
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Friend Contractors,
General Construction 8t
Energy Specialists
Services Performed by:
Friend Contractors, LLC
P.O. Box 175
Kodiak, Alaska 99615
LLC
Services Performed for:
Ourania LLC
Constantinos giannopoulri5-
Po Box 1959
Kodiak, Alaska 99615
Potentially Hazardous Materials Building Inspection Report
Project Name: Jacksons Trailer Park
Trailer - 2707 Thurston Lane (#51) — No Suspected Materials Found
This Trailer is a 14' x 61' Two 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, interior walls have fiberglass batt
insulation and sheetrock and wood paneling throughout the trailer. Ceilings have a cellulose paneling ceiling.
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 and exposed wood subfloor.
Jerrol Fri
EPA/AHERA — Asbestos certificate # T-24585 - 27647