RUSSIAN CRK BK 1 LT 3 - ZCP 11/7/2019-- Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit Permit No. '&LZOZO--GZq
The following information is to be supplied by the Applicant:
Property Owner / Applicant: {Le -,A 'f— �e 1 q s o
Mailing Address: %p d 90X 31`9
Phone Number: 5 — Z Roo
Other Contact email, etc.:
Legal Description: Subdv: Block:
Street Address: / L1 2—
Use
Use & Size of Existing Structures: C
q 8' �x 9 G ..
Lot:
Description of Proposed Action:
e— Rc:o-f
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: Business KIBC 17.90
Lot Area: 1,03 Lot Width: Not Applicable Bld'g Height:
Front Yard: Not Applicable Rear Yard: Not Applicable Side Yard:
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
PROP_ID
Not Applicable
Not Applicable
Subd Case No. Plat No. Bldg 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 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? Not Applicable List Other:
Date: "I Z 7 - l cl
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: �, C CDD Staff:
M
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 ❑ $180.00
40.01 acres or more: E] $120.00I $240.00
""P 2 7119
�s.
4.�1
KQDIAWLAivutsuHUUGH
l±1mRl . rneodof"Afirer
PAYMENT DATE
C19/27/2019
COLLECTION STATION
CASHIER
RECEIVED FROM
FRIENDS CONTRACTORS
DESCRIPTION
642 COTTONWOOD CIR
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
Customer Copy
Total Amount:
BATCH NO.
2020-00000156
RECEIPT NO.
2020-00000355
CASHIER
Cashier
Printed by: Cashier Page 1 of 1 0912712019 02:21:08 PM