ELDERBERRY HGTS 3RD BK 5 LT 8 - ZCP 10/24/2017Kodiak Island Borough
* 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
Property Owner/ Applicant
Mailing Address:
Phone Number:
Other Contact email, etc.:
Print Form Submit by Email
III IIIIIIIIIIIII
� II II I III
16052
Permit No. CZ2018-015
The following information is to be supplied by the Applicant:
Jurey Fortaliza
1627 Lynden Way
942-1934
jfortaliza111@hotmail.com
Legal Description:
Subdv: Elderberry Heights 3rd
Street Address:
Use & Size of Existing Structures:
Two story, Single Family Residence
Block: 5 Lot: 8
Description of Proposed Action:
Addition of Accessory building for potential home occupation use.
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: Business KIBC 17.90 PROP ID 16052
Lot Area: 8,602 Lot Width: 105 Bld'g Height: 35 '
Front Yard: Rear Yard: Side Yard: 10'
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat/ Subdivision Requirements:
SFR site plan shows 3,223 SF of living space (applicant notified of exclusion of garage and basement). 10' side yard setback on Selief,
5 on opposite side. 10% d sT6 0l'(,ti s wr of r s r0
O.t� ca [1,I60,0 0
Subd Case No. Plat No. Bld'g 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 projects without proof of EPA notification
Applicant Certification: 1 hereby certify that l 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: Oct 24, 2017
Signature:
This permit is only for the proposed project as , ribe pplicant.lf�h 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
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 ❑ $0.00
Less than 1.75 acres:
❑X
$30.0-- ❑ $60.00
1.76 to 5.00 acres:
❑
$60.00 ❑ $120.00
5.01 to 40.00 acres:
❑
$90.00 ❑ $180.00
40.01 acres or more:
❑
$120.00 ❑ $240.00
PAID
mtk__
2 4 20
OCT
1%001AK1SUAWU OWUUur
r1W1 (%t!nC0ArsrnA01T
�O lH913N
---�4 4 -
4/01
LU
T