T30S R28W TL 2805 ZACHAR BAY - ZCP 1/19/2018Kodiak Island Borough
Print Form Submit by Email
Community Development Department
�* 710Mill Bay Rd. Rm 205
Kodiak AK 99615
' Ph. (907) 486 - 9363 Fax (907) 486 - 9396 18177
http://www.kodiakak.us
Zoning Compliance Permit Permit No. Z2.G
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Steven Chappell
Mailing Address: 1785 GREEN RIVER DR
Phone Number: 502-377-6108
Other Contact email, etc.: s.d.chappell1785@gmail.com
Legal Description: Subdv: T30S R28W TL 2805 ZACHAR BAY Block: Lot:
Street Address: NHN
Use & Size of Existing Structures:
Currently vacant Property
Description of Proposed Action:
Build cabin and accessory structures i�% A(C V 4 Lop typ _
j.S S��wti, c5 C' f- I71��
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: Conservation KIBC 17.50 PROP—ID 18177
Lot Area: 12.5 acres Lot Width: 650, /fiso Bld'g Height: 35 '
Front Yard: 25 '
Prk'g Plan Rvw? N/A
Staff Compliance Review Notes:
Plat / Subdivision Requirements?
M►
Rear Yard: 25 ' Side Yard:
# of Req'd Spaces: 0
25 '
Subd Case No. Plat No. Bldg Permit No. N/A
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
N/A
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
Date:
List Other:
Signature:
I e� �1/,________
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: Jan 4, 2018
CDD Staff: Daniel McKenna -Foster -�-Acr
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - ly�ain floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
El$0.00
F-1$0.00
Less than 1.75 acres:
❑
$30.00
E]$60.00
I
1.76 to 5.00 acres:
$60.00
$120.00
C40
5.01 to 40.00 acres:
$90.n� `�`�)�/�
❑
$180.00
40.01 acres or more:
F-]$120.00 ❑ $240.00
JAM 11 201F
KOD1AKiS�,iuu I�ur�uuG�
�MrAAIw~cn��l,r��h�nrT
PAYMENT DATE
Kodiak Island Borough
BATCH NO.
01/11/2018
710 Mill Bay Rd.
2018-00000355
COLLECTION STATION
Kodiak, AK 99615
RECEIPT NO.
CASHIER
2018-00000714
RECEIVED FROM
CASHIER
STEVEN CHAPPELL
Teresa Medina
DESCRIPTION
1785 GREEN RIVER DR
Zoning Compl Zoning Compliance Permit $90.00
BZ 2018 038
Payments: Type Detail Amount
Check 176 $90.00
Total Amount: $90.00
Customer Copy
Printed hv- Teresa Medina Pane 1 of 1 n1/111201R 04.15.26 PM