HOLLAND AC 2ND BK 3 TR P-1C - ZCP 8/28/2017r Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
d6 Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit
Print Form Submit by Email
Permit No. 3ZZO/5-01/
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Alison E. Horn
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
2900 Bayview Drive Kodiak AK 99615
907-942-0265
Subdv: Holland AC 2nd
Street Address: 3070 Balika Lane
Use & Size of Existing Structures:
Description of Proposed Action: Construct new single story duplex
Block: 3 Lot: 131-C
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: P 7—
Lot Area: , 3 ac"t-5
Front Yard: 'Z S
Lot Width: Bld'g Height:
Rear Yard:
10
e
Prk'g Plan Rvw? S # of Req'd Spaces:
Staff Compliance RevieJtrTI otes:
Plat/ Subdivision Requirements?
Subd Case No.
Plat No.
0
PROP_ID 2L{006 -
35i
Side Yard:
5'
Bld'g Permit No.
Does the project involve /� /
an EPA defined facility? / V
*Commercial buildings, installations (military bases),
institutions (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
6
Proof of EPA notification provided (if required)?
'Required for all demolitions, for renovations disturbing at least 160 square JV
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 1 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? � ( 4e ((V, -1
Date: g ZSR Z()
List Other:
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 NOTA UTHORIZE 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: S Z��Zo CDD Staff: -
Payment Verification Zoning Compliance Permit FeeTayable in Cashier's Office Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
$0.00
El $0.00
Less than 1.75 acres:
$30.00
F $60.00
1.76 to 5.00 acres:
$60.00
F-] $120.00
5.01 to 40.00 acres:
$90.00
$180.00
40.01 acres or more:
$120.00
F-] $240.00
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8-28-17
To Whom It May Concern:
I, Alison Horn, authorize John Arndt of JDA Enterprise LLC to act on my behalf
regarding any permitting and zoning compliance associated with construction to be
conducted at 3070 Balika Lane Kodiak AK.
Alison Horn Date
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S 1(T75'45' E
24.00
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OT P� .
f 25fi 1 Sq. Fee
Q.3 Acres
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If 185 i �
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57.83'
6fi.fi4'
124.47' Q
N 73'22'08" E
PAYMENT DATE
08/28/2017
COLLECTION STATION
CASHIER
RECEIVED FROM
JDA ENTERPRISE, LLC
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
DESCRIPTION
BZ -2018-011 3070 BALIKA LANE KODIAK AK 99615
Payments: Type Detail Amount
Check 1940 $30.00
Total Amount:
Customer Copy
BATCH NO.
2018-00000077
RECEIPT NO.
2018-00000199
CASHIER
Cashier
TRANSACTION AMOUNT
$30.00
Printed hv- Cashier Pane 1 of 1 n8/28/2n17 n1.5n-41 PM