KADIAK AK UNIT 1A - ZCP 7/19/2017Zoning Compliance Permit
VS
Print For Submit by Email
G2DlS-O0�6M�
Permit No.
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: Subdv:T/j ()PTT- 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: I �— PROP -113 03 996
Lot Area: S 0, 10 �G Lot Width: 60e- i Bldg Height: SjO.-f
Front Yard: 2 57 jrce'-f Rear Yard: Z- 5 tet, f Side Yard: 5 F1
Prk'g Plan Rvw? VIA # of Req'd Spaces: NIA
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Subd Case No. Plat No. Bldg Permit No. �104--d4D
Kodiak Island Borough
Community Development Department
710 Mill
Bay Rd. Rm 205
Kodiak AN 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit
VS
Print For Submit by Email
G2DlS-O0�6M�
Permit No.
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: Subdv:T/j ()PTT- 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: I �— PROP -113 03 996
Lot Area: S 0, 10 �G Lot Width: 60e- i Bldg Height: SjO.-f
Front Yard: 2 57 jrce'-f Rear Yard: Z- 5 tet, f Side Yard: 5 F1
Prk'g Plan Rvw? VIA # of Req'd Spaces: NIA
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Subd Case No. Plat No. Bldg Permit No. �104--d4D
Does the project involve V
an EPA defined facility? 5
*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 notification provided (if required)?
'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
NZ A
N A
-1-(2 X61
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: 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: 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: %Z 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
El
$0.00
❑
$0.00
Less than 1.75 acres:
❑
$30.00
$60.00
1.76 to 5.00 acres:
❑
$60.00
$120.00
5.01 to 40.00 acres:
El
$90.
F]
$180.00
40.01 acres or more:
®
$120. l n
M
$240.00
UU�Hn16iii1q) 0Ui1UUUV,
CIM 4 hl r`C F11:0A 0TAlf r7Arr
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
Comp!.__ _ 1_ 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
Printed hv: Cashier Pane 1 of 1 07119/2.017 10.07.58 AM
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