USS 444 TR C MISSION RD - ZCP 12/3/2020Kodiak Island Borough Print Farm 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:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description: Subdv:
Street Address:
Use & Size of Existing Structures:
J . r
Block: Lot:
De jripttion of Proposed Action: !�}
R-
41
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: Qu5 PROP —ID 158-59
Lot Area: t 3-1 Lot Width: (t 1 I Bldg Height: 50 1
Front Yard: N k 1N F-1 Rear Yard: N IA R Side Yard: N I N
Prk'g Plan Rvw? N 1 N F-1 # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve
an EPA defined facility? El
*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)? a_
*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 proiects 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? Q List Other:
Date: ,/_ `1 f j 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:
CDD Staff: Fit, Inc,
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
$0.00
$0.00
Less than 1.75 acres:
)Z
$30.00
❑
$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
$240.00
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$ERNIE BROTHERS
Roofing - Siding - Windows - Decks
Kitchen & Bathroom Remodeling
s Fire arld Water Re�torationt
NAME c I Icr Ir r ffesrru i ►"
j
ADDRESS !! s K�,
CITY, STATE AND ZIP CODE X�
JOB LOCATION IF DIFFERENT
TEAR OFF: E"+ re cl-�1_+ L-- 1 I `,
❑/NO TEAR OFF REQUIRED
P. LAYER(S)
RTC
ROOF TO DECKING AND INSTALL NEW 3D # FELT
INSTALLATION: ����^^��',..
V
NTERGAURD THREE FEET ABOVE GUTTERS13_4�NTERGAURD ALONG WALLS'F
❑ WINTERGAURD IN VALLIE$_..____—
INSTALL NEW 3-TABS -ARCHITECTURAL - HAKE STEEL
O MANUFACTURERS WA ANTY OF YEARS
❑,.COLOR:
F7 INSTAL.ts: y �to
Fl PLUMBING VENT FLASHING
❑ ROOF VENTS __.....
BAD DECKING AT $ 1 -_36,0" PER SH T OF
3LYWOOD EXTRA ''�� y��'�' fi
Proposal
Bernie Stallard - Owner
P.O. Box 2400 - Kodiak, AK 99615
Office: 481-3900 - Fax: 481-3922
BernieBjrothers@reagan.com
A
DATE 6 _0Q Lr r
PH8NE(H ME)
DESCRIPTION OF WORK
11�aa�
MINN
❑ N WARRANTYAPPLIES
W w KMANSHIP WARRANTY OF EARS
CLEAN UP & HAUL AWAY ALL TRASH
❑ EAN GUTTERS
CRU NAIL MAGNET
PRICE INCLUDES ALL LABOR, MATERIALS & TAX
We Propose hereby to furnish material and labor -complete in accordance with above specifications, for the sum of:
ows:
IF All material is guaranteed to be as specified. All work to be completed Ina workmanlike manner
according to standard practices. Any alteration or deviation from above specifications Involving Authorized Signature "v
extra costs will be executed only upon written orders, and will become an extra charge over and -
above the estimate. All agreements contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully
covered by Workman's Compensation Insurance.
Acceptance of Proposal- The above prices, specifications and
conditions are satisfactory and are hereby accepted. You are authorized to Signature
do the work as specified. Payment will be made as outlined above. This
proposal becomes a legoand binding contract after 72 hours of acceptance.
Date of Acceptance:y'ILJ Signature
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