USS 3101 LT 7B - ZCP 7/29/2020Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Aw htta://www.kodiakak.us
Zoning Compliance Permit
Permit No.j7�C�L�-`j
The following information is to be supplied by the Applicant:
Property Owner / Applicant: ,/4 7-N &;A -
Mailing Address:
L -
MailingAddress: 3716) 5/L461rit( kD
Phone Number: 77 -Me)
Other Contact email, etc.:
Legal Description: Subdv: v55 -3/C9/ Block: Lot: 7t+
Street Address: 3 �O , AZ
Use & Size of Existing Structures:
Description of Proposed Action: AL0 14',K z5' / -5,(-y y 4,at)1 J QA,( TO
Site Plan to include: Cot boundaries and existing easements, existing buildings, proposed location of new construction, access points,
and vehicular parking areas.
Staff Compliance Review: Current Zoning: PROP ID �I I
Lot Area: ()� l Kiye Lot Width:
Front Yard:
Prk'g Plan Rvw?
Staff Compliance Review Notes:
Plat/Subdivision Requirements:
Rear Yard:
# of Req'd Spaces:
Bld'g Height:
Side Yard:
J
Subd Case No. Plat No. Bld'g Permit No.
e
Does the project involve C�
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 IeastI60 square
feet 260lineor 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 i 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?
Date:
G)As-/LUAf
List Other:
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 some construction permit. **
CDD Staff Certification
Date: -7 CDD Staff: CD
Payment Verification Zoning compliance Permit Fee Payable in Cashier's Office Room $1104 - Main floor of Borough Building
After -the -Fact 2X the published amount
(�
Not Applicable
Less than 1.75 acres:
❑ $0.00
$30.00
❑
❑
$0.00
$60.00
1.76 to 5.00 acres:
❑ $60.00
❑
$120.00
5.01 to 40.00 acres:
❑ $90.00
❑
$180.00
40.01 acres or more:
❑ $120.00
❑
$240.00
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AS- BUILT SURVEY
"IEPARM BY:
HORIZON LAND SURVEYING INC.
p.0. BOX 1945
KODIAK ALASKA 99615
907 ) 486- 6506
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ll151 laSU VEY rdePLA/P't,peny:
COT y7Acertify
NUM9&R 44100-7, -I'M4K AMOQD/NG
and that the improvements situated thereon are within the property line,
and do not overlap or encroach on the property lying adjacent thor,,
n
that no improvements on property lying adjacent thereto encroach on
the premises in question and that there are no roadways, transmi,
sion linea or other visible easements on said property except .s indi
cated hereon.
Dated [ '^�� day or.MAF-(--u ,20
I.G.BERGEE
Registered Land Surveyor
Scale: /ar = 3D {E'P_7r Drawnbr:S..EU0J7'�rMsnI Date: 2Eo Merck Z12n7
Lightfoot Construction
P.O. Box 1934
Kodiak, Alaska 99615
e-mail light@gci.net
(907) 486-6229 Fax (907) 486-6288
JOB
SHEET NO. -
CALCULATED
CHECKED BY
SCALE
OF_
DATE
car4 0- - (9-
wl4t' -
25`
� 's1,ION
D PRODUCT 207
Lightfoot Construction
P.Q. Box 1934
Kodiak, Alaska 99615
e-mail light@gci.net
(907) 486-6229 Fax (907) 486-6288
JOB
SHEET NO
CALCULATED BY
CHECKED BY_
SCALE
m
m
DATE
DATE
M�,10
D PRODUCT 207