TRINITY ISLANDS TR B - ZCP 12/3/2020Y Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
as Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kocriakak.us
Zoning Compliance Permit Permit No.
The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Mailing Address:
KANA
3449 Rezanof Drive Kodiak AK 99615
Phone Number: 907 654-9668
Other Contact email, etc.:
Legal Description:
Street Address:
Use & Size of Existing Structures:
Existing warehouse id 75x25'
steven.smith@kodiakheatthcare.org
Subdv: Trinity Island B
3472 Rezanof Drive
Block: Lot:
Description of Proposed Action:
Construct 4 new interior storage rooms as detailed on the attached drawings
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: Cu rre nt Zo n i ng: � PROP_iD
Lot Area: I 3 AC , Lot Width: tj 1 Bld'g Height: 5D '
Front Yard: tJ , p" Rear Yard: N 1 & 1 Side Yard: N IN
Prk'g Plan Rvw? # of Req'd Spaces: or -5 50t ,C�in c s�aCG -� a 5 %�
- r• t-'—We.('\0u5-f-
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
5
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 2601inear feet or 35 cubic feet of Regulated Asbestos Containing Materlal (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? Other List Other: KANA Provided drawing
Date: 10-15-2020 Signature: 1i� >FIC/j7rz;
This permit 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 some expiration, suspension, and revocation provisions as a
building permit issued for the some construction permit.*
CDD Staff Certification
Date: 1 1 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:
y7
i❑
$30.00
❑
$60.00
1.76 to 5.00 acres:
$60.00
❑
$120.00
5.01 to 40.00 acres:
❑
$90.00
F]
$180.00
40.01 acres or more:
❑
$120.00
❑
$240.00
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