USS 3218 TR R-2A - ZCP 2/4/2019rint Form Submit by Email
Kodiak Island Borough. -P_ .
Community Development Department
710 Mill Bay Rd. Rm 205
n Kodiak AK 99615
Ph. 907 486 - 9363 Fax 907 486 - 9396
http://www.kodiakak.us
16342
Zoning Compliance Permit Permit No. CZ2019-039
The following information is to be supplied by the Applicant:
Property Owner / Applicant: KANA
Mailing Address: 3449 Rezanof Drive East
Phone Number: 907-486-9800
Other Contact email, etc.: Gerry Kernan 907 539 7471 Gerry.kernan@kodiakhealthcare.org
Legal Description: Subdv: USS 3218 TR R -2A Block: Lot:
Street Address: 3449 Rezanof Drive East
Use & Size of Existing Structures:
Clinic/business building
Description of Proposed Action:
Remove closet from room #245 and adding a wall to #244 to join rooms into one office space
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: 3.24 Acres
Current Zoning: R2 KIBC 17.80
Lot Width: 60'
Front Yard: 25 ' Rear Yard: 10,
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
No change to foot print
Bldg Height:
Side Yard:
PROP—ID 16342
35 '
5'
Subd Case No. Plat' Ngo. 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:
Ni /A
N/A
TRn Rlrin nPnt
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: 1 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. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Site Plan List Other:
Date: Feb 4, 2019 Signature: L
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 RM DO 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: Feb 4, 2019 CDD Staff: a na-Fo er
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
$60.00
❑
$120.00
1.76 to 5.00 acres:
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5.01 to 40.00 acres:
❑ $90.00
❑
$180.00
40.01 acres or more:
❑ $120.00
❑
$240.00
PAID
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