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RUSSIAN CRK LT 3B - ZCP 5/19/2017Kodiak 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 22438 http://www.kodiakak.us Zoning Compliance Permit Permit No. BZ2017-091 Property Owner/ Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: Lot with SFR The following information is to be supplied by the Applicant: Malina Holm PO Box 8798 907 512 7774 Subdv: Russian Creek Block: Lot: 36 12117 Gara Dr Description of Proposed Action: Place 9'x24' pre -fab structure on the lot. 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: RR1 KIBC 17.70 Lot Area: 1.37 Acres Lot Width: Front Yard: 25 ' Rear Yard: 20' Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: 3 Staff Compliance Review Notes and Specific Plat/ Subdivision Requirements: PROP—ID 22438 Bld'g Height: 35' Side Yard: 10' Subd Case No. Plat No. Bld'g 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 far 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: 1 hereby certify that l will comply with the provisions of the Kodiak Island Borough Code and that l 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 19, 2017 List Other: Signature: a 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 some expiration, su ension, and revocation provisions as a building permit issued for the same construction permit.** CDD Staff Certification Date: May 19, 2017 CDD Staff: D c na-Foster 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: ❑X $30.00-9^�' ❑ $60.00 1.76 to 5.00 acres: ❑ $60.00 ❑ $120.00 5.01 to 40.00 acres: El ❑ $180.00 40.01 acres or more: ❑ $12AIIk ❑ $240.00 MAY 1 ?017 KODIAKtSLIANu uutWbt MJ 1%WJf `[ tNtDA0'M AChrr PAYMENT DATE Kodiak Island Borough 05/19/2017 710 Mill Bay Rd. COLLECTION STATION Kodiak, AK 99615 CASHIER RECEIVED FROM MALI NA HOLM DESCRIPTION BZ -2017-091 12117 GARA DRIVE KODIAK AK 99615 BATCH NO. 2017-00000679 RECEIPT NO. 2017-00001231 CASHIER Cashier Zoning Compl Zoning Compliance Permit 1_ $30.00 Payments: Type Detail Cash Printed hv- Cashier Customer Copy Pane 1 of 1 Amount $30.00 Total Amount: $30.00 05/19/2()17 nd-22-3n PM