RUSSIAN RIVER EST LT 10 - ZCP 9/19/2017Kodiak 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. BZ2018-016
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Michael and Tamara Amberg
Mailing Address: P.O. Box 1093, Kodiak, AK 99615
Phone Number: (907) 539-2248
Other Contact email, etc.: threesons@gci.net
Legal Description: Subdv: Russian River Estates Block: ---- Lot: 10
Street Address: 12740 Middle Bay Drive, Kodiak, AK 99615
Use & Size of Existing Structures: Vacant
Description of Proposed Action: Construction of new single-family residence as shown on attached site plan.
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:
Lot Area: 0.92 acres
Front Yard: 25 '
Prk'g Plan Rvw? Yes
Staff Compliance Review Notes:
Plat/ Subdivision Requirements?
Current Zoning: RR1
Lot Width:
120'
Rear Yard: 20'
# of Req'd Spaces: 3
KIBC 17.70
PROP_ID a
Bld'g Height: 35 '
Side Yard: 15'
Subd Case No. Plat No. Bld'g Permit No. TBD by Building 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:
TBD by Building Dept.
TBD by Building Dept.
TBD by Building Dept.
Proof of EPA notification provided (if required)? N / A
*Required for all demolitions, for renovations disturbing at least 160 square
feet 2601inear 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 thatl 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: N/A
Date: Sep 19, 2017 Signature: Michael Amberg
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: Sep 19, 2017 CDD Staff: Jack Maker
Payment Verification Zoning Compliance Permit Fee PayaK4in Cashier's
Not Applicable ❑ $0.00
Less than 1.75 acres: $30.00
1.76 to 5.00 acres: E]$60.00
Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
C❑ $120.00
5.01 to 40.00 acres: ❑ $90.00 i � ❑ EDIAK
LI 1V VVk--11/L1/A
40.01 acres or more: ❑ $120.00 ❑ I--
PAID SEP 19 2017
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710 Mill Bay Rd Kodiak AK 99616
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PAYMENT DATE
09/19/2017
COLLECTION STATION
CASHIER
RECEIVED FROM
MICHAEL & TAMARA
AMBERG
DESCRIPTION
12740 MIDDLE BAY DR
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
BATCH NO.
2018-00000135
RECEIPT NO.
2018-00000290
CASHIER
Teresa Medina
PAYMENT CODE• •AMOUNT
Zoning Compl
Zoning Compliance Permit
$30.00
_.--------------.___...__
BZ 2018 016
Payments:
Type Detail Amount
Check 11979 $30.00
Total Amount:
$30.00
Customer Copy
-----------:---------------------------------------------------------------------- --------------------------------- -- _...------------.--
Printed hv: Tprpsa Medina Pane 1 of 1 09/19/2017 11-5RAR AM
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