USS 3464 LT 13 - ZCP 5/31/2017Kodiak Island Sorough
Community Development Department
1710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
jjVtp://viw--,,;.kodiakak.us
Zoning Compliance Permit Permit No. yz 2o«
The following information is to be supplied by the Applicant:
Property Owner / Applicant: ] ' t /�N� ` �1 X/
Mailing Address: �(%! � X % Z /1 . tq /<
Phone Number: G?O 7- LZQ S
Other Contact email, etc.: P. D 5,-3 g 55�
Legal Description: 5 bd 3 y b y Block: Lot 3
Street Address:
Use & Size of Existing Structures:
Description of Proposed Action
U v.
3to2� GT Melo; WAY
(2-r Cl e r, �-u - - � a M e--- --
G�d► �16 (V 20 X 2y )i\Vg
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 Z-1 -03
Lot Area: - -Q 1 I/ acic S Lot Width: B!d'g Height: 3 S
Front Yard: 0, Rear Yard:
Prk'g Plan Rvw? Y 1 # of Req'd Spaces
Staff Compliance Review Notes:
Plat / Subdivision Requirements?
70
Side Yard:
vie
Subd Case No. Plat No. Bld'g Permit No. 7 Q D v w JCC
Does the project involve �)
an EPA defined facility? �V
*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 notitication proviaeo <<t requirea) r
*Requiredfor all demolitions, for renovations disturbing at least 160 square IV CZ
feet 2601inear feet, or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and
for renovations that remove a lood-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
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.
S l J_e p r'C4--
Attachments? OVI (d pip-' List Other:
Date: ��3 ( /20 ( q 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.**
CDD Staff Certification
Date: �j (3 i ( Za t CDD Staff:
moment 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
M
$0.00
Less than 1.75 acres:
$30.0(f,)yk
❑
$60.00
1.76 to 5.00 acres:
❑
$60.00
❑
$120.00
5.01 to 40.00 acres:
40.01 acres or more:
[]
❑
$90.00
$120.00
k
❑
❑
$180.00
$240.00
PAIV
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PAYMENT DATE
05/31/2017
COLLECTION STATION
CASHIER
RECEIVED FROM
DAVID & WANDA JENTRY
DESCRIPTION
3622 OTMELOI WAY
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
BATCH NO.
2017-00000698
RECEIPT NO.
2017-00001260
CASHIER
Teresa Medina
Zoning Compl Zoning Compliance Permit I $30.00
BZ 2017 096
Payments: Type Detail Amount
Check 2262 $30.00
Total Amount: $30.00
Customer Copy
Printed hv- Teresa Medina Pane 1 of 1 05/31/2017 10.43.30 AM
Cie,
LOT 13
USS,
3464
113.5' 14.7'
a�11 t
C Tt 0 1-01,
JJJ'�'
w"aA( f .c,A
MEANDER LINE
U.S.SURVEY 3464
19.1'-
18.3'
w
- MEANDER LINE
U.S.SURVEY 3464
ISLAND LAKE
20' 0 10' 20'
PROPOSED ADDITION TO HOUSE
LOT >3
U.S. SUVEY 3464
KODIAK A
DRd IN Br 4r-0
7- ASTD K RECORDING DISTRIC
scar sBaar
f of PBaacr Bo. 17-0110403
f"=20' f
PRIPA"D POR DAVID JENTRY
ST. DENNY SURVEYING INC.
P.O. BOX 388, SODUK, AGSEA 99615 (807) 481-3500
THIS SHEET IS LESS THAN �' IT IS A REDUCED PRINT - SCALE ACCDRDNGLY
Jentry Addition
Olen Associates, Inc.
David t Wanda Jentry�,„.Ns....
D
3622 Otmeloi Way
Kodiak, Alaska