USS 2538A LT 5A-1B KIB PROJECTS OFFICE/MENTAL HEALTH COMPLEX - ZCP 6/5/2018Kodiak Island Borough Print Form Submit by Email
Community Development Department
710Mill Bay Rd. Rm 205
Kodiak AK 99615 II I I I II I II II I I III I II II III
$ Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us 24318
Zoning Compliance Permit Permit No. CZ2018-047
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Kodiak Island Borough
Mailing Address: 710 Mill Bay Road, Kodiak, AK 99615
Phone Number: 907 486-9343
Other Contact email, etc.: dconrad@kodiakak.us
Legal Description: Subdv: USS 2538A Block: Lot: 5A-16
Street Address: '_WZ f, /�,�Ian li�,� TgWl —
Use & Size of Existing Structures://
KIB Engineering and Facilities Projects Office/ mental health professional offices and housing
Description of Proposed Action:
Replacement mental health professional office and housing building roofing on 13 rear porch awnings and replacement of gutters.
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: Public Use KIBC 17.130 PROP_ID 24318
Lot Area: 2.49 acres Lot Width: 60' Bld'g Height: 50'
Front Yard: 25' Rear Yard: 25 ' Side Yard: 25 '
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Proposed action does not change building footprint or reduce available required off-street parking. No RACM will be disturbed
during proposed action.
Subd Case No. Plat No. Bld'g Permit No. TBD by Building Dept.
Does the project involve YES
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 by Building Dept.
Proof of EPA notification provided (if required)? N / A
*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: I hereby certify that I 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? Not Applicable
Date: Jun 5, 2018
List Other: N/A
Signature: Dave Conrad, A ting Director, KIB Eng'neering and Facilities Dept.
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: Jun 5, 2018 CDD Staff: Jack Make
Payment Verification Zoning Compliance Permit Fee
Not Applicable ❑
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.01 acres or more:
ble in
$0.00
$30.00
Q $60.00
❑ $90.00
❑ $120.00
Office Room # 104 - Main floor of Borough Building
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After -the -Fact 2X the published amount
InA
❑ $0.00 rwffiq
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❑ $60.00 JUN 0 5 2080
❑$'I 91AKibLANUtJUKUUGf�
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❑ $240.00
PAYMENT DATE Kodiak Island Borough
BATCH NO.
06/05/2018 710 Mill Bay Rd.
2018-00000673
COLLECTION STATION Kodiak, AK 99615
RECEIPT NO.
CASHIER
2018-00001275
RECEIVED FROM
CASHIER
BERNIE'S BROTHERS
Teresa Medina
CONSTRUCTION
DESCRIPTION
717 MILL BAY RD KODIAK ISLAND BOROUGH
Zoning Comp] Zoning Compliance Permit $60.00
CZ 2018 047
Payments: Type Detail Amount
Cash $70.00
Cash ($10.00)
Total Amount:I $60.00
Customer Copy
Printed hv- Teresa Medina Pane 1 of 1 06/05/2018 09.39.30 AM