ERSKINE ADD BK 5 LT 19B - ZCP 4/18/2017Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 15201
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2017-028
Subd Case No. S78-046 Plat No. 78-24 Bld'g Permit No. TBD by Building Dept.
The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Joel Wiersum
Mailing Address:
P.O. Box 1676, Kodiak, AK 99615
Phone Number:
Owner: (907) 512-7789
Other Contact email, etc.:
Contractor: Renew Homes (Tyrone Walker) (907) 942-5127
Legal Description:
Subdv: Erskine Add. Block: 5 Lot: 19B
Street Address:
413 E Rezanof
Use & Size of Existing Structures:
Dental Office
Description of Proposed Action:
Interior remodel of building first floor to include new plumbing, new cabinets, and floors, no
change to building footprint or established use..P_ t f�ittIZO f
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: R2 KIBC 17.80 PROP—ID 15201
Lot Area: 14,767
Lot Width: 60' Bld'g Height: 35'
Front Yard: 25 '
Rear Yard: 10' Side Yard: 5' -10' streetside crnr
Prk'g Plan Rvw? Not Applicable
# of Req'd Spaces:
Staff Compliance Review Notes:
Plat / Subdivision Requirements? Proposed action does not change building footprint or reduce available off-street parking.
Applicant states that proposed action will not disturb any Regulated Asbestos Containing Materials (RACM).
Subd Case No. S78-046 Plat No. 78-24 Bld'g Permit No. TBD by Building Dept.
Does the project involve YES
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:
N/A
N/A
TBD by Building Dept.
Proof of EPA notification provided (if required)? N / A
*Required for all demolitions, for renovations disturbing at least 160 square
feet 2601inear 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 proiects 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►
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? Not Applicable
Date: Dec 8, 2016
List Other: N/A
Signature: Joel Wiersum
This permit is only for the proposed project as described by the app'ient. 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 same expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CDD Staff Certification
Date: Dec 8, 2016 CDD Staff: Jack Maker
Payment Verification Zoning Compliance Permit Fee Payablein Cashier
Not Applicable ❑ $0.00
Less than 1.75 acres: ❑
$30.01
1.76 to 5.00 acres: ❑
$60.00
5.01 to 40.00 acres: ❑
$90.00
Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
❑ $ 0.00
❑ $60.00
❑ $120.00
❑ $180.00
40.01 acres or more: ❑ $120.00��� ❑ $240.00
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DEC 09 2616 f-/tc/0
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