LEITE ADD BK 5 LT 19 - ZCP 6/11/2019V
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15409
Zoning Compliance Permit Permit No. CZ2019-061
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Jerron Nelson
Mailing Address: 1413 Kouskov
Phone Number: 907-942-1489
Other Contact email, etc.:
Legal Description: Subdv: Leite Addt Block: 5 Lot: 19
Street Address: 1413 Kousdov
Use & Size of Existing Structures:
Sinqle family residence
Description of Proposed Action:
Adding 16x24' addition off the back of the existing structure.
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: 5,981sf
Current Zoning: P�P (t KIBC 17.75
Lot Width: Not Applicable
Front Yard: 25' Rear Yard: 10'
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: 3
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Bld'g Height:
Side Yard:
Subd Case No. Plat No. Bld'g Permit No.
PROP—ID 15409
35'
5'
Kodiak 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
V
Print Form Submit by Email
IIIIIIIII
III
III
15409
Zoning Compliance Permit Permit No. CZ2019-061
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Jerron Nelson
Mailing Address: 1413 Kouskov
Phone Number: 907-942-1489
Other Contact email, etc.:
Legal Description: Subdv: Leite Addt Block: 5 Lot: 19
Street Address: 1413 Kousdov
Use & Size of Existing Structures:
Sinqle family residence
Description of Proposed Action:
Adding 16x24' addition off the back of the existing structure.
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: 5,981sf
Current Zoning: P�P (t KIBC 17.75
Lot Width: Not Applicable
Front Yard: 25' Rear Yard: 10'
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces: 3
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Bld'g Height:
Side Yard:
Subd Case No. Plat No. Bld'g Permit No.
PROP—ID 15409
35'
5'
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: 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. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? Site Plan
Date: Jun 15, 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 some expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CDD Staff Certification
Date: Jun 5, 2019 CDD Staff:
F.
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:
N
$30.00 ❑ $60.00
1.76 to 5.00 acres:
❑
$60.00 ❑ $120.00
5.01 to 40.00 acres:
❑
$90.00` ❑ $180.00
40.01 acres or more:
❑
$120.00 M U $240.0
JUN 05 2849
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