KADIAK AK UNIT 1A - ZCP 7/19/2017 (2)Print Form Kodiak Island Borough
Submit by Email
Community Development Department
1 710 Mill Bay Rd. Rm 205
o• - Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit Permit No. 3 X56
The following information is to be supplied by the Applicant:
Property Owner / Applicant: University of Alaska Anchorage
Mailing Address: 3890 University Lake Drive, Suite 110 Anchorage, AK 99508-4669
Phone Number: 907-786-4900
Other Contact email, etc.:
Legal Description: `/ A K
Subdv: V` ()WTr 1A Block: Lot:
Street Address: 117 Benny Benson Road, Kodiak, Ak
Use & Size of Existing Structures:
Description of Proposed Action: UST Replacement: Concrete Demolition, excavation, tank replacement, new paving.
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: F I— PROP -11) 0131%
Lot Area: S 0, 10 �G" Lot Width: 60 Bld'g Height: 50
Front Yard: 2 5 jree'-f Rear Yard: —SZ- 5 (et, f Side Yard:
Prk'g Plan Rvw? VIA # of Req'd Spaces: N1 A
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Subd Case No. Plat No. Bld'g Permit No. 1--F,91 6�
Does the project involve vProof of EPA notification provided (if required)?
an EPA defined facility? 1 0--) 'Required for all demolitions, for renovations disturbing at least 160 square
"Commercial buildings, installations (military bases), feet 2601ineor 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 (a) dwelling units. No permit will be issued for such projects without proof of EPA notification
Driveway n r %�
Permit? ��J /
Septic Plan � /�
Approval:
Fire
Marshall:
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 List Other:
Date: Z10Signature:
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. 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: 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:
$30.00
$60.00
1.76 to 5.00 acres:
$60.00
F]
$120.00
5.01 to 40.00 acres:
$90
n$180.00
40.01 acres or more:
®
$120. I D
n
$240.00
" 1 J 2,917 CSL
a')15Q
KOVIANOL wL,rsUt1UUUF,
CIRIAR 'rn1:0A0T#nCQl7
PAYMENT DATE
Kodiak Island Borough
07/19/2017
710 Mill Bay Rd.
COLLECTION STATION
Kodiak, AK 99615
CASHIER
RECEIVED FROM
B&RFISH BY
PRODUCTS
DESCRIPTION
23896 ZCP FOR 117 BENNY BENSON ROAD KODIAK AK 99615
ZoningCompl Zoning Compliance Permit
Payments: Type Detail Amount
Check 23756 $120.00
Total Amount:
Customer Copy
BATCH NO.
2018-00000020
RECEIPT NO.
2018-00000066
CASHIER
Cashier
,$120.00,
$120.00
Printerl hv: Cashier Pane 1 of 1 07/19/2017 10.07.58 AM
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