HOSPITAL BK 1 LT 2A-1 - ZCP 6/11/2019Print Form Submit by Email
Kodiak Island Borough - __
Community Development Department
710 Mill Bay Rd. Rm 205 III IIIIIIIIIIIIII III I
Kodiak AK 99615 I I II
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 23656
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2019-052
The following information is to be supplied by the Applicant:
Property Owner / Applicant: KIB/Providence/Architects AK
Mailing Address: 710 Mill Bay Rd.
Phone Number: 907-486-9304
Other Contact email, etc.:
Legal Description: Subdv: Hospital Block: 1 Lot: 2A-1
Street Address: 1915 Rezanof East
Use & Size of Existing Structures:
Hospital
Description of Proposed Action:
Pharmacy Remodel
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: Public Use KIBC 17.130 PROP—ID 23656
Lot Area: 11.82 Lot Width: Not Applicable Bld'g Height: Not Applicable
Front Yard: 24' Rear Yard: 25%/25' Side Yard: 10%/25'
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
No change to gross floor area or building footprint.
.f
Subd`Lase No. Plat No. 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:
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 projects without proof of EPA notification
Applicant Certification: I hereby certify that) 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:
Date: 7 ! 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: May 6, 2019 CDD Staff: Erin Welty
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:
0
$90.00
E]
$180.00 Gk#40.01
acres or more:
$120.00
$240.00
4`0% A I F c b'
MAY 07 M9
KODIAKI�L NUOUNUGF
C'IMAAIP CnC-bA6I'AA1:11►T
PAYMENT DATE
05/07/2019
COLLECTION STATION
CASHIER
RECEIVED FROM
KI B/PROVIDENCE/ARCH I
TECTS, AK
DESCRIPTION
1915 REZANOF EAST
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
PAYMENT CODE I RECEIPT DESCRIPTION
Zoning Compl Zoning Compliance Permit
CZ 2019 052 PID 23656
Payments: Type Detail Amount
Check 38864 $90.00
Total Amount:
Customer Copy
BATCH NO.
2019-00000652
RECEIPT NO.
2019-00001239
CASHIER
Cashier
_$90.00
$90.00
Printed hv- Cashier Pane 1 of 1 05/07/2019 09.34.36 AM
� O
Erin Welty
From: Robert Quarterman <RQuarterman@architectsalaska.com>
Sent: Monday, May 6, 2019 2:08 PM
To: Erin Welty
Subject: FW: PKIMC-SITE PLAN.pdf for CZ -2019-52 (PKIMC Pharmacy)
Attachments: 18023.01 -SITE PLAN.pdf
Robert Quarterman, CSI, CDT
Project Manager
Architects Alaska
900 West 5t" Avenue, Suite 403
Anchorage, Alaska 99501
Tel: 907.272.3567 1 www.architectsalaska.com
From: Robert Quarterman
Sent: Monday, May 06, 2019 9:44 AM
To: 'ewelty@kodiak.ak.us'
Cc: Mark Kneedler; Karen Stephens; 'Bush, John E'; Hunt, Dennis
Subject: PKIMC-SITE PLAN.pdf for CZ -2019-52 (PKIMC Pharmacy)
Erin,
I hope I spelled your name correctly.
Please let me know if I need to revise it.
Good Morning.
The attached site plan is what was provided with the previous Laundry Project at the Providence Kodiak Island Medical
Center.
This is plotted onto a 22x34 sheet.
The Pharmacy Project is an internal TI and will not change the building footprint or parking.
Please let me know if you have any questions or concerns.
I hope this is helpful.
Thanks
Robert Quarterman, CSI, CDT
Project Manager
Architects Alaska
900 West 51" Avenue, Suite 403
Anchorage, Alaska 99501
Tel: 907.272.3567 1 www.architectsalaska.com
MArchitects
Akiska
Anchorage I Wasilla I Bozeman
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