USS 1682 TR B-1 - ZCP 6/15/2018Kodiak Island Borough Print Form Submit by Email-
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710 Mill Bay Rd. Rm 205 III I IIII III
a Kodiak AK 99615
' Ph. (907) 486 - 9363 Fax (907) 486 - 9396 16572
http://www.kodiakak.us
Zoning Compliance Permit Permit No. BZ2018-071
The following information is to be supplied by the Applicant: / �rN
Property Owner / Applicant: Kodiak Assembly of God (rrl Cf/� Op� > / [22 r) reAU cA, O wh
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
PO Box 747
907-486-3894
borghy@kodiakag.org
Subdv: USS 1682 TR B-1 Block: Lot:
Street Address: 3416 Woodland Dr
Use & Size of Existing Structures:
Church
Description of Proposed Action:
Replace outside stairs on the north side of the building.
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 16572
Lot Area: 2.43 Lot Width: 60' Bld'g Height: 35'
Front Yard: 0. Rear Yard: 10, Side Yard: 5 '
Prk'g Plan Rvw? # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
No changes to actual footprint of the building.
Subd Case No. Plat No. Bld'g Permit No. TBD Bldg 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 Bldg Dept.
Proof of EPA notification provided (if required)? NO
*Required for all demolitions, for renovations disturbing at least 160 square
feet 160 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) 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: Jun 15, 2018
List Other:
Signature: vp-za
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: Jun 15, 2018
CDD Staff: Dani en a� sster
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: ❑ $30.00 ❑ $60.00
1.76 to 5.00 acres: NX $60.0 ❑ $120.00
5.01 to 40.00 acres: ❑ $90.00 ❑ $180.00
40.01 acres or more: ❑ $120.00 ❑ $240.00
PAID
JUN 15 2
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