ALAGNAK ACRES LT 5 - ZCP 12/2/2020Kodiak Island Borough Print Form Submit by Email
, Community Development Department 11
` 710 Mill Bay Rd. Rm 205 S S a
Kodiak AK 99615
Ph. (907) 4$6 9353 Fax (907) 486.93 V O 1 9 iZS1� ZO
{�pw J/ww.kodiakak.us
Zoning Compliance Permit Permit No.
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The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
Subdv: -! IA„ _ _ L 1 c r, Block: lot: 5
Use & Size of Existing Structures:
of Proposed Action:
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Site Plan to include: tot boundaries and existing easements, existing buildings, proposed location of new construction, access points,
and vehicular parking areas.
Staff Compliance Review: Current Zoning: 6 tS PROP_ID ( V 344
Lot Area: l019 gaC Lot Width.
Front Yard: O1 A Rear Yard:
Bld'g Height: 5 0 1
tQ I A Side Yard: 16IA
Prk'g Plan Rvw? N j k # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Bld'g Permit No.
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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 Jar all demolitions, for renovations disturbing at least 160 square ..
feet, 260 linearfeet, 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 identirtable
corner markers in place for verification of building setback (yard) requirements.
Attachments? List Other.
Date: � } Z13 Signature:
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This permit is only for the proposed project as described by the applican . 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 some expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CUD Staff Certification
Date: Q 17 f a 0 o 0 CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room P4O4 -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:
After -the -Fact 2X the published amount
❑ $0.00
❑ $ 30.00
❑ $60.00
v3 $90.00
❑ $120.00
�1z2�1z0Z,,o
❑ $0.00
❑ $60.00
❑ $120.00
❑ $180.00
❑ $240.00
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
09/ 17/2020 10:24AM
Remittance ID
Kodiak0917201421483951'ar
Transaction ID:
252566946
TIFFANY BASKINS
12647 Highway 72 W
ROGERSVILLE, Alabama 35652
United States
MasterCard Debit - 4888
Approval Code: 444996
Sale
Amount: $90.00
Walmart Real Estate
256-389-8181
CZ2021-013
2911 Mill Bay Rd
Service Fee: $2.25
Service Fee Type: Dual Transaction
Total Amount: $92.25
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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Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
09,/28/2020 11:55AM
Remittance ID
Kodiak0917201421483951'ar
Transaction ID:
253251709
TIFFANY BASKINS
12647 Highway 72 W
ROGERSVILLE, Alabama 35652
United States
MasterCard Debit - 4888
Approval Code: 218321
Credit
Amount: $90.00
Walmart Real Estate
256-389-8181
CZ2021-013
2911 Mill Bay Rd
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.
Laurie Pardoe i n
From: Tiffany Baskins <tbaskins@pettushvac.com>
Sent: Friday, September 25, 2020 7:29 AM
To: Laurie Pardoe
Subject: RE: Receipt for Zoning Compliance Permit
Just wanted to let you know that Wal-Mart has now canceled this job for 2020 and will issue a whole new job in 2021 for
a roof top sweep. Will I need to get a refund for this permit or can I possibly use it later down the road for the new
project?
Thanks for your help and sorry for the troubles.
g P�
r/�bm9
HVAC-DDC CONTROLS -GENERAL CONTRACTING-REFRIG
-rqwx" 08,a44fW
PERMITS/LICENSE
12647 Hwy 72 West
Rogersville, AL 35652
(256)389-8181 Ext.112
Fax: (256)389-8182
www.pettushvac.com
This email and any files transmitted with it are confidential and intended solely for the individual or entity to whom they are addressed. If you have
received this email in error destroy it immediately.
*** Pettus Confidential ***
From: Laurie Pardoe <Ipardoe@kodiakak.us>
Sent: Thursday, September 17, 2020 1:52 PM
To: Tiffany Baskins <tbaskins@pettushvac.com>
Subject: RE: Receipt for Zoning Compliance Permit
Yes, please see the attached permit.
Thank you,
Laurie
From: Tiffany Baskins <tbaskins@pettushvac.com>
Sent: Thursday, September 17, 2020 10:50 AM
To: Laurie Pardoe <Ipardoe kodiakak.us>
Subject: RE: Receipt for Zoning Compliance Permit
Do you have a copy of the permit also?
fell,
ri/R,nln9
eat
HVAC-DDC CONTROLS -GENERAL CONTRACTING-REFRIG
IWO
PFJ?._41TS/LICENSE
12647 Hwy 72 West
Rogersville, AL 35652
(256)389.8181 Ext. 112
Fax: (256)389-8182
www.pettushvac.com
This email and any files transmitted with it are confidential and intended solely for the individual or entity to whom they are addressed. If you have
received this email in error destroy it immediately.
*** Pettus Confidential ***
From: Laurie Pardoe <Ipardoe@kodiakak.us>
Sent: Thursday, September 17, 2020 1:31 PM
To: Tiffany Baskins <tbasl<ins@pettushvac.com>
Subject: Receipt for Zoning Compliance Permit
[CAUTION] This email originated rom outsi a your organic ion xer r on e
attachments or on clicking links from unknown senders.
Hi Tiffany,
Thank you for your payment. Please see the attached receipt for your records.
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