BELLS FLATS BK 7 LT 15D - ZCP 7/29/2020Kodiak 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.
The following information is to be supplied by the Applicant:
Property Owner / Applicant: 4% K Kph u rA clr-,) )
Mailing Address: �Q Box -i'S �
Phone Number: 0 _ 6-39_ Z4,0
Other Contact email, etc.:`-}�D�-� j�� �-� (�{v�"al z C074�
Legal Description: Subdv: %Q -k -'s -T5 1 Block: Lot:
Street Address: 10956-91 SAY DP,-
Use & Size of Existing Structures:
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Description of Proposed Action:
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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:
Lot Area: 11"A'5 5 f� Lot Width:
Front Yard: Rear Yard: 90
Prk'g Plan Rvw? I f # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
El
Bld'g Height:
Side Yard:
PROP—ID a
23
2
Subd Case No. Plat No. Bldg Permit No.
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 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 1 will comply with the provisions of the Kodiak Island Borough Code and that I
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? �) I fl a
Date: -I /Z, ( 9,t In
List Other:
Signature: aa�—
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: e7 JtR 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: $30.00 ❑ $60.00
1.76 to 5.00 acres: ❑ $60.00 ❑ $120.00
5.01 to 40.00 acres:
40.01 acres or more:
❑ $90.00
❑ $120.00
❑ $180.00
❑ $240.00
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Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
07/21/2020 02:01PM
Remittance ID
Kodiak072120175925603 Wel
Transaction ID:
248809528
AARON WALTON
PO Bx 173
KODIAK, Alaska 99615
United States
Visa - 8161
Approval Code: 06520D
Sale
Amount: $30.00
Aaron Walton
907-539-2609
BZ2021-002
10989 Womens Bay Dr.
Service Fee: $1.00
Service Fee Type: Dual Transaction
Total Amount: $31.00
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmember's agreement with
the issuer.
Signature
click here to continue.
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