ISLAND VISTA BK 3 LT 1 - ZCP 5/5/2017Kodiak Island Borough
Community Development Department
' 710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
htto://www.kodiakak.us
Zoning Compliance Permit
Property Owner / Applicant:
Mailing Address:
Phone Number:
Print Form Submit by Email
Permit No. b 7-- 2-017 -0,?�`-I
The following information is to be supplied by the Applicant:
Douglas Mathers
PO Box 2916 Kodiak Alaska 99615
907 654 4591/ 907 486 4591
Other Contact email, etc.: mathers@gci.net
Legal Description:
Subdv: Island Vista
Street Address: 2171 Harbor Way
Use & Size of Existing Structures: 1200 sq footprint single family residence.
Description of Proposed Action: 20 X24 foot garage one story.
Block: 3 Lot: 1
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: PROP_ID 2-0 51 �
Lot Area: 0. l Z A0. -t-5 Lot Width: ( Z Q Bid'g Height: 3 S 1
Front Yard:
Rear Yard: 20
Prk'g Plan Rvw? /V//+
# of Req'd Spaces: N(
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Side Yard: /S /
Subd Case No. Plat No. Bld'g Permit No. T 6D 8 V
Does the project involve nl /l Proof of EPA notification provided (if required)? ,may
an EPA defined facility? 1 �/ 'Required for all demolitions, for renovations disturbing at least 160 square 1 Vy
*Commercial buildings, Installations (military bases), feet, 260 linear feet or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and
Institutions (schools, hospitals) and residences with for renovations that remove a load -supporting structural member.
more than four (4) dwelling units. No permit will be issued for such projects without proof of EPA notification
Driveway
Permit?
Septic Plan � /
Approval: (�/
Fire r n
Marshall: �� Ue( V
Applicant Certification: I 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. I agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Site Plan List Other:
Date: 5/5/2017 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 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: � 5 0 p ( T 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: 0 $30.00 ❑ $60.00
1.76 to 5.00 acres: ❑ $60.00 ❑ $120.00
5.01 to 40.00 acres: ❑ $90.00 ❑ $180.00vvv/yr
40.01 acres or more: ❑ $120.00 ❑ $240.00
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MAY 052013
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Does the project involve A
an EPA defined facility? IV
*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, 26011near 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 I 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? Site Plan
Date: 5/5/2017
List Other:
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: 5Z5 �ZO CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
Not Applicable
M
$0.00
Less than 1.75 acres:
Er
$30.00
1.76 to 5.00 acres:
El
$60.00
5.01 to 40.00 acres:
$90.00
40.01 acres or more:
$120.00
After -the -Fact 2X the published amount
$0.00
$60.00
$120.00
$180.00
E] $240.00 AID
MAY 052-017
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PAYMENT DATE
05/05/2017
COLLECTION STATION
CASHIER
RECEIVED FROM
DOUGLAS MATHERS
DESCRIPTION
2171 HARBOR WAY
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
BATCH NO.
2017-00000648
RECEIPT NO.
2017-00001172
CASHIER
Teresa Medina
PAYMENT . RECEIPT DESCRIPTION - •i II •
Zoning Comp]
Zoning Compliance Permit
$30.00
BZ 2017 084
Payments:
Type Detail Amount
Check 6264 $30.00
Total Amount:
$30.00
Customer Copy
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