SUNRISE HAVEN LT 7 - ZCP 12/6/2019Kodiak Island Borough
wt '� Community Development Department
710 Mill Bay Rd. Rm 205
A Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Print Form Submit by Email
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23459
Zoning Compliance Permit Permit No. BZ2020-043
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Jeanne Friel
Mailing Address: PO BOX 8603
Phone Number:
Other Contact email, etc.:
Legal Description: Subdv: SUNRISE HAVEN
Street Address: 550 Lupine Lane
Use & Size of Existing Structures:
SFR
Block: Lot: 7
Description of Proposed Action:
Fill 200 cubic yards
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: Conservation KIBC 17.50 PROP—ID 23459
Lot Area: 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, 2601inear 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? Not Applicable List Other:
Date: , , I , , . 1. Q Signature: ' i
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: 1 CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
Not Applicable
❑
$0.00
Less than 1.75 acres:
❑
$30.00
1.76 to 5.00 acres:
❑
$60.00
5.01 to 40.00 acres:
Z
$90.00
40.01 acres or more:
❑
$120.00
After -the -Fact 2X the published amount
❑
$0.00
❑
$60.00
❑
❑
$120.00
$180.00
'i A
❑
$240.00
NOV 14 ?t119