USS 1678 TR B LT 9 - ZCP 5/30/2018Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
a6 ' Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 20556
http://www.kodiakak.us
Zoning Compliance Permit Permit No. BZ2018-067
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Mark Anderson
Mailing Address: 1124 STELLER WAY
Phone Number:
Other Contact email, etc.: mark.anderson@gci.net
Legal Description: Subdv: USS 1678 TR B LT 9 Block: Lot: 9
Street Address: 2260 Forest Drive
Use & Size of Existing Structures:
Existing two story home (no existing documentation on file)
Description of Proposed Action:
Prepare site to replace septic system . Clearing and grubbing, bringing septic and property into compliance.
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
Current Zoning: RR1
Lot Width:
KIBC 17.70
Front Yard: 25' Rear Yard:
Prk'g Plan Rvw? Yes # of Req'd Spaces: 3
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Bld'g Height:
Side Yard:
PROP—ID 20556
35'
15'
Subd Case No. Plat No. 78-8 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:
TBD Bldg Dept
TBD Bldg Dept
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 protects 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
List Other:
Date: May 30, 2018 Signature: Z44�
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: May 30, 2018 CDD Staff. Da
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104- Main floor of Borough Building
Not Applicable
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.01 acres or more:
❑ $0.00
■
■
After -the -Fact 2X the published amount
5,11111M
❑ $90.00
❑ $120.00
❑ $0.00
❑ $60.00
❑ $120.00
�� ❑ $180.00
PAIR$240.00
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