EAST ADD BK 33 LT 9A - ZCP 11/28/2017Kodiak Island Borough Print Form Submit by Email
�* Community Development Department
t` 710 Mill Bay Rd. Rm 205 II IIII II
Kodiak AK 99615 IIII I I
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 14927
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2018-021
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Douglas Hogen
Mailing Address: 3099 Spruce Cape Rd
Phone Number:
Other Contact email, etc.:
539-5407
Legal Description: Subdv: East Addition
Street Address: 716 Mission Rd
Use & Size of Existing Structures:
Single family dwelling and accessory building garage
Description of Proposed Action:
Site gradinq and fill
Block: 33 Lot: 9A
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: R2 KIBC 17.80 PROP_ID 14927
Lot Area: 13,688 SF
Front Yard: 25'
Lot Width: 60'
Rear Yard: 10'
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Bld'g Height: 35 '
Side Yard: 51
Subd Case No. Plat No. Bld'g Permit No. TBD Bldg Dept
Does the project involve
an EPA defined facility? NO
*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 cubit 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) will comply with the provisions of the Kodiak Island Borough Code and that)
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
Date: Nov 28, 2017
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 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
Date: Nov 28, 2017 CDD Staff:
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
❑
$0.001 ❑
$0.00
Less than 1.75 acres:
Z
,,, A
$30.06D►1 ^T ❑
$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
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PAYMENT DATE
Kodiak Island Borough
11/28/2017
710 Mill Bay Rd.
COLLECTION STATION
Kodiak, AK 99615
CASHIER
RECEIVED FROM
DOUGLAS HOGEN
DESCRIPTION
CZ -2018-021 716 MISSION ROAD KODIAK AK 99615
Zoning Compl _ _ ...... I -Zoning Compliance Permit
Payments: Type Detail Amount
Check 4621 $30.00
Total Amount:
Customer Copy
BATCH NO.
2018-00000279
RECEIPT NO.
2018-00000577
CASHIER
Cashier
$30.00
$30.00
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