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ASLS 2002-14 TR B UGAK BAY - ZCP 7/31/2017-- ., Kodiak Island Borough Print Form Submit by Email Community Development Department 710 Mill Bay Rd. Rm 205 III IIII Kodiak AK 99615 I I I IIIII II II I I III Ph. (907) 486 - 9363 Fax (907) 486 - 9396 19476 http://www.kodiakak.us Zoning Compliance Permit Permit No. BZ2018-005 The following information is to be supplied by the Applicant: Property Owner/ Applicant: Thomas Dahill Mailing Address: PO Box 2951 Phone Number: 907-978-6616 Other Contact email, etc.: Legal Description: Subdv: ASLS 2002-14 TR B UGAK BAY Block: Lot: Street Address: NHN Use & Size of Existing Structures: Vacant Description of Proposed Action: Site preparation and 13'x9' cabin and potential accessory building 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: Wildlife Habitat KIBC 17.40 PROP—ID 19476 Lot Area: 9.8 Acres Lot Width: 250' Bldg Height: Front Yard: Rear Yard: Side Yard: Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: Staff Compliance Review Notes and Specific Plat / Subdivision Requirements: Subd Case No. Plat No. Bldg 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 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 protects without proof of EPA notification Applicant Certification: I hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that 1 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? Site Plan List Other: Date: Jul 31, 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 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 D $0.00 Less than 1.75 acres: F� $30.00 $60.00 1.76 to 5.00 acres: $60.00 1 $120.00 5.01 to 40.00 acres: ® $90.00� $180.00 40.01 acres or more: E]$120.00 PA$240.QQ-_ 1 JUL 3 12017 KOWAKibLAwouhul *je Ph011ft"MA"- WATr I t, 1. 6_ l `i � � -• Y. t� ��• .�c:•� s' psx � s" i. ... .. n f.�Z:�R) � .. 1 .. � i.: .) .. ..'?:"J'i4'x' �`.--__ . 1 rs� •-ti .. 'i1; V-f,. _ �'� L . ,.. `9 '. j•7; <':j '.5 •I c;� L• ' r V � t 1 , pii��i�5. �k1��da..ir„S;l�11•i :�,ii'� Ar uj PAYMENT DATE 08/01/2017 COLLECTION STATION CASHIER RECEIVED FROM THOMAS DAHILL DESCRIPTION PID 19476 Kodiak Island Borough 710 Mill Bay Rd. Kodiak, AK 99615 BATCH NO. 2018-00000039 RECEIPT NO. 2018-00000118 CASHIER Teresa Medina PAYMENT CODE I RECEIPT DESCRIPTION TRANSACTION AMOUNT ComplianceZoning Permit is BZ 2018 00 Payments: Type Detail Amount Cash $90.00 Total Amount: Customer Copy $90.00 Printed hv- Tarasa Medina Pana 1 of 1 07/31/2017 04.40.40 PM