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USS 3218 TR R-2A - ZCP 3/18/2020Kodiak Island Borough Print Form Submit by Email Community Development Department 710 Mill Bay Rd. Rm 205 II I I I II II I II I Kodiak AK 99615 II I III I I III Ph. (907) 486 - 9363 Fax (907) 486 - 9396 16342 http://www.kodiakak.us Zoning Compliance Permit Permit No. CZ2020-039 The following information is to be supplied by the Applicant: Property Owner / Applicant: KANA Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: Clinic/business 3449 East Rezanof Drive Kodiak, AK 99615 907-486-9800 Jonah Kastar 907-373-8513 Subdv: USS 3218 TRACT R -2A Block: Lot: 3449 East Rezanof Drive Description of Proposed Action: Ceiling replacement, lighting, mechanical/duct work 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: RR2 KIBC 17.60 PROP ID 16342 Lot Area: 3.24 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: interior work, no change to footprint Subd Case No. Plat No.�"x Bld'g Permit No. ail .: 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 proiects without proof of EPA notification Applicant Certification: I hereby certify that) will comply with the provisions of the Kodiak Island Borough Code and that) 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? Other List Other: Authorization letter Date: p?_a?_daQ24:1-7 Signature: This permit is only for the proposed project as describedbAe 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: 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: 5.01 to 40.00 acres: 40.01 acres or more: ❑X $60.00 ❑ $90.00 ❑ $120.00 After -the -Fact 2X the published amount ❑ $0.00 ❑ $60.00 ❑ $120.00 ❑ $180.00 ❑ $240.00 KOD[AKAREA NATIVE ASSOCIATION 3449 Rezanof Drive East I Kodiak, Alaska 99615 1 907.486.9800 1 www.kodiakhealthcare.org AUTHORIZATION TO SIGN AND REPRESENT Date: 11 October 2019 Kodiak Island Borough Community Development Department Dear Janel Day: Authorization to Sign Permit Application(s) for KANA MAIN UPGRADES PROJECT RFP -2019- 0010 This notice is to verify that the company cited below is authorized to apply for and/or sing documents are required to complete Planning and Zoning Compliance and Building Permits relating to the project listed above. If there is any questions or issues that need resolution please contact the Project Coordinator for KANA Project Address 3449 Rezanof Drive East Kodiak, AK 99615 Authorized Contractor Orion Construction, Inc. 3038 N. Caribou Street Wasilla, AK 99654 907-631-3550 Contractor POC(s) Patrick Merow 907-727-5165 patrickmngmail.com Jonah Kastar 907-373-8513 ionahknr orionconstructioninc.com; Yours truly, Jeffery . Murray Project Coordinator Jeff.murray(@-odiakhealthcare.org 907-942-5940 cc: Project Binder Serving the communities of Akhiok I Karluk j Kodiak I Larsen Bay I Old Harbor I Ouzinkie I Port Lions