ERSKINE ADD BK 9 LT 111A - ZCP 11/4/2019Kodiak Island Borough Print Form Submit by Email
4*r*y Community Development Department
710 Mill Bay Rd. Rm 205 II
a. Kodiak AK 99615 III VIII I
III
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 23526
http://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2020-022
Subd Case No. Plat No. Bldg Permit No.
The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Kodiak Area Native Association
Mailing Address:
3449 Rezanof Drive East
Phone Number:
917-942-5940
Other Contact email, etc.:
Jeff Murray-jeff.murray@kodiakhealthcare.org
Legal Description:
Subdv: Erskine Addition Block: 9 Lot: 111A
Street Address:
323 Carolyn Street
Use & Size of Existing Structures:
Behavioral Health Building
Description of Proposed Action:
Modify front ramps and walkway for ADA compliance.
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: R2 KIBC 17.80 PROP—ID 23526
Lot Area: .50
Lot Width: 60' Bld'g Height: 35'
Front Yard: 25 '
Rear Yard: 10, Side Yard: 5 '
Prk'g Plan Rvw? Not Applicable
# of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
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: I 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? Site Plan List Other:
Date: Sep 4, 2019 Signature: X
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: Sep 4, 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: 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
Co
40.01 acres or more: ❑
$120.00 ❑ $240.00
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