EAST ADD BK 30 LT 2A - ZCP 8/15/2017�-' Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
�� • Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ201g010
The following information is to be supplied by the Applicant:
Property Owner / Applicant: CRIEGHTON CHIROPRACTIC CLINIC
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
P.O. BOX 8963, KODIAK, AK 99615
(907) 487-9798
Subdv: EASTADDITION
Block: 30 Lot: 2A
Street Address: 814 REZANOF DRIVE East, KODIAK, AK 99615
Use & Size of Existing Structures:
SFR/Home Occupation (Chiropractor Clinic)
Description of Proposed Action:
Repair of deck at eastern end of main structure (no change to deck footprint).
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: R3 KIBC 17.85 PROP—ID 14882
Lot Area: 7,241 sq. ft. Lot Width: 60' Bld'g Height: 35 '
Front Yard: 25' Rear Yard: 10' Side Yard: 51
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Proposed action will not disturb any Regulated Asbestos Containing Material (RACM).
Subd Case No. Plat No. Bld'g Permit No. TBD by Building Dept.
Does the project involve YES
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 by Building 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 projects without proof of EPA notification
Applicant Certification: 1 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. I agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Site Plan List Other: N/A
Date: Aug 15, 2017 Signature: Laura Crieghton *,,
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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: Aug 15, 2017 CDD Staff:
Payment Verification Zoning Compliance Perm
Not Applicable
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.01 acres or more:
Payable ' Cashier's Office Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
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, 315 2017
KODIAKiSiANU WtiUN `i
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PAYMENT DATE
08/15/2017
COLLECTION STATION
CASHIER
RECEIVED FROM
CRIEGHTON
CHIROPRACTIC CLINIC
DESCRIPTION
814 REZANOF DR
ng Compl
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
Zoning Compliance Permit
CZ 2017 010
Payments:) Type Detail Amount
Cash $30.00
Customer Copy
Total Amount:
BATCH NO.
2018-00000064
RECEIPT NO.
2018-00000168
CASHIER
Teresa Medina
$30.00
$30.00
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