BELLS FLATS BK 7 LT 2K - ZCP 6/3/2020Kodiak Island Borough
�`^�,►�� 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. (-z,-)ow - .7.� _.
' The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description: � V -V Subdv:
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Street Address: J 1
!4, X 60,
Use &Size of Existing Structures:
Y1 q
Description of Proposed Action:
Block: Lot:
I
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: PROP—ID
Lot Area: , I) 61C Lot Width: Bld'g Height
Front Yard: Rear Yard: p ' Side Yard:
Prk'g Plan Rvw? # of Req'd Spaces:
Staff Compliance Review Notes:
Plat/Subdivision Requirements:
Subd Case No. Plat No. Bld'g Permit No.
66(
Does the project involve
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)?
*Required for all demolitions, for renovations disturbing at Ieast160 square
feet, 1601inear 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. I agree to have identifiable corner markers in place for
verification of building setback (yard) requirements.
Attachments? List Other:
Date: 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: (_ I CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104- Main floor of Borough Building
Not Applicable
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.01 acres or more:
❑ $0.00
JZ $30.00
❑ $60.00
❑ $90.00
❑ $120.00
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
0 $120.00
❑ $180.00
❑ $240.00
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