LEITE ADD BK 8 LT 6A - ZCP 5/19/2017Kodiak Island Borough Print ForF71 Submit by Email
47Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 15442
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2017-066
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Helm Johnson
Mailing Address: 1522 Kouskov
Phone Number: (907)539-5014
Other Contact email, etc.:
Legal Description: Subdv: Leite Add Block: 8 Lot: 6A
Street Address: 1522 Kouskov
Use & Size of Existing Structures:
Single family residence
Description of Proposed Action:
Addition/utility room construction (related to approved variance 17-019) AND living space addition (bathroom suite, no kitchen)
(10'x12', 2 stories tall).
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 15442
Lot Area: 11755 SF Lot Width: 60' Bld'g Height: 35'
Front Yard: 25 ' Rear Yard: 10, Side Yard: 5 '
Prk'g Plan Rvw? Yes # of Req'd Spaces: 4
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Mother in law apartment does not count as an additional dwelling unit because it does not have kitchen facilities.
Subd Case No. Plat No. Bldg Permit No. TBD Bldg 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
Permit?
Septic Plan
Approval:
Fire
Marshall:
N/A
N/A
TBD Bldg Dept
Proof of EPA notification provided (if required)? NO
*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 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: May 18, 2017
List Other:
Signature:
This permit is only for the proposed project as described by the a plicant. If there are any changes to the
proposed project, including its intended use, prior to or durin is siting, construction, or operation, contact
this office immediately to determine if further review and a proval 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 some expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CDD Staff Certification
Date: May 18, 2017
CDD Staff: Dani en oster
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:
F
$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. ❑ $240.00
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MAY 19 2017 V�
KODIAKIbLAIVU outiWbt
q111AN11 r:MCOAOTMACnrr
PAYMENT DATE Kodiak Island Borough
05/19/2017 710 Mill Bay Rd.
COLLECTION STATION Kodiak, AK 99615
CASHIER
RECEIVED FROM
HELM JOHNSON
DESCRIPTION
CZ2017-066 1522 KOUSKOV ST KODIAK AK 99615
BATCH NO.
2017-00000679
RECEIPT NO.
2017-00001224
CASHIER
Cashier
Comp/ I Zoning Compliance Permit 1 $30.00
Payments: Type Detail Amount
Check 1317 $30.00
Total Amount: $30.00
Customer Copy
Printed hv- Cashier Pane 1 of 1 05/19/2017 OR -33-59 AM
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