ISLAND LAKE BK 2 LT 1 - ZCP 11/9/2018Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit
Property Owner / Applicant
Mailing Address:
Phone Number:
Other Contact email, etc.:
Le al Descri tion:
Print Form Submit by Email
21200
Permit No. BZ2019-024
The following information is to be supplied by the Applicant:
Segunda Paneda et al
P.0 Box 2273
g p Subdv: ISLAND LAKE BK 2 LT 1 Block: 2 Lot: 1
Street Address: 3273 Ptarmigan Pass St
Use & Size of Existing Structures:
Single Family Residence with deck
Description of Proposed Action:
Add additional deck 10'x5'
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: R1 KIBC 17.75 PROP—ID 21200
Lot Area: 6000 sf Lot Width: 60' Bldg Height: 35 '
Front Yard: 25 ' Rear Yard: 10, Side Yard: 5 '
Prk'g Plan Rvw? Yes # of Req'd Spaces: 3
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Bldg 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:
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 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 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: Nov 9, 2018
List Other:
Signature: Imo. _ � _ a
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: Nov 9, 2018 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$0.00
Less than 1.75 acres: 0 $30.09?],kV $60.00
1.76 to 5.00 acres: --E] --$60.00..._-- /� 1 0 $120.00
5.01 to 40.00 acres: $90.00 l $180.0
40.01 acres or more: ❑ $120.00PAID $24 .
NOW 13 2018
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