ALLMAN & LALANDE LT 6A - ZCP 7/14/2017Kodiak Island Borough Print Form Submit by Email
x Community Development Department
eo}.. 710
Kodiak AK9 61 205
Mill Bay Rd. 5III IIIIIVIIIIIIIVIIIIII
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 14745
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2018-004
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Rodrigo De La Cruz
Mailing Address: PO Box 493
Phone Number: 512-7722
Other Contact email, etc.:
Legal Description: Subdv: Allman & Lalande Block: Lot: 6A
Street Address: 1412 Mill Bay Rd
Use & Size of Existing Structures: House Business/Residence
Description of Proposed Action: Demolition and site clearing
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: Business KIBC 17.90 PROP—ID 14745
Lot Area: 7,653 SF
Front Yard:
Prk'g Plan Rvw?
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Lot Width:
Rear Yard:
# of Req'd Spaces:
Bld'g Height
Side Yard:
50'
Front setback: 40 ft from centerline 17.155.010 Additional setback requirements.
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)? N / A
*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 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. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Not Applicable List Other:
Date: Jul 14, 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 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: Jul 14, 2017 CDD Staff:
Payment Verification Zoning Compliance Permit Fee
Not Applicable ❑
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.01 acres or more:
0
yable in Cashier's Office Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
$0.00 El $0.00 CM$30.0(�� 0 $60.00
0 $60.00 0 $120.0A I
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PAYMENT DATE
Kodiak Island Borough
BATCH NO.
07/14/2017
710 Mill Bay Rd.
2018-00000016
COLLECTION STATION
Kodiak, AK 99615
RECEIPT NO.
CASHIER
2018-00000052
RECEIVED FROM
CASHIER
RODRIGO DE LA CRUZ
Teresa Medina
DESCRIPTION
1412 MILL BAY RD
Zoning Compl Zoning Compliance Permit $30.00
CZ 2018 004
Payments: Type Detail Amount
Cash $30.00
Total Amount: $30.00
Customer Copy
Printed hv: Teresa Medina Pane 1 of 1 n7/1d/9(117 nR•d9.17 AM