PASAGSHAK 2ND BK 2 LT 17 - 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
http://www.kodiakak.us
Zoning Compliance Permit
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Print Form Submit by Email
Permit No. B-V,02�- c-)0 i
The following information is to be supplied by the Applicant:
W
Legal Description: /� ^ 14
G f AC K ��
Subdv: IJ,,f �i f'1 l� Block: f` Lot:
Street Address: l 1 1 I 1 O I � U r N W 4 y
Use & Size of Existing Structures: ``/��
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: RRI
Lot Area: I's A--�
Front Yard: 2-S-1
Prk'g Plan Rvw?
Lot Width:
Rear Yard: 2--o I
# of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat/ Subdivision Requirements:
PROP_ID
Bldg Height: TO
Side Yard:
Subd Case No. Plat No. Bld'g 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: 1 hereby certify that) 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? 11-C 1CAf1
Date: 7 /4 o
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 same construction permit.**
CDD Staff Certification
Date: _ i?, i I v ,o CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's
D °
7 12iIZ� �
L� 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: ❑ $90.00
40.01 acres or more: ❑ $120.00
Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
❑ $120.00
❑ $180.00
❑ $240.00
$1
1 3
7' 1 475tb
1, 6 4 A.
N 89 0 3 7' 4 7 E
163.67
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