RUSSIAN CRK LT 14C - ZCP 6/11/2019Kodiak Island Borough IPrint Form Submit by Email
Community Development Department
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710 Mill Bay Rd. Rm 205 I I I
e Kodiak AK 99615 I II I II
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Ph. (907) 486 - 9363 Fax (907) 486 - 9396
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http://www.kodiakak.us
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ZoningCompliance Permit
p Permit No. BZ2019-ORg' aor
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Michael Wall
Mailing Address: 12593 Noch Dr.
Phone Number: 654-4171
Other Contact email, etc.:
Legal Description: Subdv: Russian Creek
Block: Lot: 14C
Street Address: 12593 Noch Dr
Use & Size of Existing Structures:
Single family residence
Description of Proposed Action:
Fill permit
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: RR1 KIBC 17.70 PROP ID 22470
Lot Area: 42,257sf Lot Width: Not Applicable Bld'g Height: Not Applicable
Front Yard: Not Applicable Rear Yard: Not Applicable Side Yard: Not Applicable
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat/ Subdivision Requirements:
Subd Case No. Plat No. Bld'g Permit No.
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:
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 I 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? Not Applicable List Other:
Date: May 24, 2019
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 some construction permit.**
CDD Staff Certification
Date: May 24, 2019 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:
❑
$90.00
A& $180.00
40.01 acres or more:
E]$120.00If—P%
$240.00
MAY 24 201
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