NEW KODIAK BK 9 LT 8 - ZCP 6/10/2019Kodiak Island Borough
Community Development Department
pis
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 ;Fax (907) 486 - 9396
http://www"kodiakak.us
Print Form Submit by Email
Zoning Compliance Permit Permit No. 0;.010/ -oda
The following information is to be supplied by the Applicant:
Property Owner / Applicant: (Owner) DOT State of Alaska /(Applicant) SOA Court System - Jack Bailey Facilities Manager
Mailing Address: 820 W 4th Ave, Anchorage, Alaska 99501
Phone Number: 907 264-8283
Other Contact email, etc.: jbailey@akcourts.us
Legal Description: Subdv: New Kodiak
Street Address: 204 Mission Road, Room 124, Kodiak,AK 99615
Block: 9 Lot: 8
Use & Size of Existing Structures: Existing two story State of Alaska Building with the Court System as the primary user.
Description of Proposed Action: No Change of Use or number of occupants. Changes to less than 50% of the building
Work to consist of interior renovations to two courtrooms, clerk area and one jury room. Some minor abatement will done.
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: y 15
Front Yard:
Prk'g Plan Rvw?
Staff Compliance Review Notes:
Plat / Subdivision Requirements?
Current Zoning: Q v-5 PROP -11D CJ� sar]
Lot Width: ,J Bld'g Height:
Rear Yard:
# of Req'd Spaces:
Side Yard:
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve
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:
Proof of EPA notification provided (if required)?
*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 thatl 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? Site Plan List Other: First and Second Floor Plans (Partial Set)
Date: Jun 3, 2019 Signature:
This permit is only for the proposed project as described by the applicanIf 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: Anyzoning 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: 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
$0.00
Less than 1.75 acres:
$30.00
$60.00
1.76 to 5.00 acres:❑
$60.00 (.�"�
$120.00
5.01 to 40.00 acres:
❑
$90.00p
$180.00
40.01 acres or more:
$120.00WdF
[)OF
$240.00
JUN 0 4 2019
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