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BLACK CANYON BK 6 LT 8 - ZCP 1/8/2019Print Form Submit by Email Kodiak Island Borough - -- Community Development Department 710 Mill Bay Rd. Rm 205 II I I I II II I I III I I II I II I I Kodiak AK 99615 II Ph. (907) 486 - 9363 Fax (907) 486 - 9396 19289 http://www.kodiakak.us Zoning Compliance Permit Permit No. BZ2019-033 The following information is to be supplied by the Applicant: Property Owner / Applicant: Patricia Petit Mailing Address: 11379 Womens Bay Dr Phone Number: 907-654-9460 Other Contact email, etc.: Legal Description: Subdv: BLACK CANYON BK 6 LT 8 Block: 6 Lot: 8 Street Address: 27659 Chiniak Highway Use & Size of Existing Structures: Single family residence, accessory buildings (shop/hoophouse) Description of Proposed Action: Fill overburden 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 19289 Lot Area: 10.45 acres Lot Width: Bld'g Height: 35 ' Front Yard: 25 ' Rear Yard: 25 ' Side Yard: 25 ' Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: 3 Staff Compliance Review Notes and Specific Plat / Subdivision Requirements: No change to footprint of existing structures Subd Case No. Plat No. 90-24 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: 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 aroiects 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. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? Site Plan Date: Jan 2, 2019 List Other: Signature: % ) 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: Jan 2, 2019 CDD Staff: 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 ❑ $30.00 ❑ $60.00 ❑X $90. ❑ $120.00 After -the -Fact 2X the published amount ❑ $0.00 ❑ $60.00 $120.00 �1 ❑ $180.00 ❑ $240.0o A JAN 8 ?019 KODIAKISIAW NHOUGh,