USS 3218 TR T-2A MILL BAY RD - ZCP 12/3/2020Kodiak Island Borough Print Form 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: I' c-n
Mailing Address: a9l p Y4 1 „ t
Phone Number:
Other Contact email, etc.: 1
Legal Description: Subdv: L
uSS -r,,A -- - A Block: Lot:
Street Address: 6(
Use & Size of Existing Structures:
Description of Proposed Action: �,, JJ ervit�7r t� �acC ah -t'�� r
4l+ S-�6�
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: en )E PROP -ID � 6356
Lot Area: 5 aCr; e S Lot Width: D ' Fw] Bld'g Height:
Front Yard: t,' r F-1 Rear Yard: �O ' F-1 Side Yard: Q
Prk'g Plan Rvw? # 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?
*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: I hereby certify that 1 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? )'�' �� List Other:
Date: 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 WHENA 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: � 0 I,� 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
$0.00
Less than 1.75 acres:
$30.00
El
$60.00
1.76 to 5.00 acres:
7$60.00
$120.00
5.01 to 40.00 acres:
-6
$90.00
$180.00
40.01 acres or more:
El
$120.00
❑
$240.00
00
BERNIE BROTHERS
Roofing - Siding - Windows - Decks
Kitchen & Bathroom Remodeling
Fire a/n�d�rWater Re oratio
NAME c+pp,� tt 0( 1� V 1Jj A „
ADDRESS _ ___l_ll/ 1 41C�'t1!
CITY, STATE AND ZIP CODE
JOB LOCATION IF DIFFERENT
TEAR OFF:
11 NO TEAR OFF REQUIRED
I/TOP_--L—LAYER(S)
❑ ENTIRE ROOF TO DECKING AND INSTALL NEW # FELT
INS ALLATION:
INS
THREE FEET ABOVE GUTTERS � &.�
INTERGAURD ALONG WALLSALIGHTS
E'1 W NTERGAURD IN VALLIES
INSTALL NEW 3-TABS - CHITECTURAL SHAKES - STEEL
La'MANUFACTURERS WARRANTY OFYEARS
❑,/COLOR: I_
[�J INSTALL:
PLUMBING VENT FLASHING I� `-"
R/O'OF VENTS
lk/REP ACE BAD DECKING AT $ PE HEVF
PLYWOOD EXTRA
Proposal
Bernie Stallard - Owner
P.O. Box 2400 - Kodiak, AK 99615
Office: 481-3900 - Fax: 481-3922
BernieBrothers@reagan.com
DATE y Cfi �` 00
PHONE (HOME, q �AJ i � !y/
❑ NQ,WARRANTYAPPLIES
WWOORKMANSHIP WARRANTY OF_,�YEARS
ilCL^^EAN UP & HAUL AWAY ALL TRASH
P-81 LEAN GUTTERS
�RU�NAIL MAGNET
J PRICE INCLUDES ALL LABOR, MATERIALS & TAX r- P
We Propose hereby to furnish material and labor -complete in accordance with above specifications, for the sum of:
dollars ($ 1
material is guaranteed to be as specified. All work to be completed In a workman like manner
cording to standard practices. Any alteration or deviation From above specifications Involving
Authorized Signature
ra costs will be executed only upon written orders, and will become an extra charge over and g
ove the stimate. All agreements contingent upon strikes, accidents or delays beyond our
r
ntrol. Owner to carry fire, tornado and other necessary Insurance. Our workers are fully
r;
vered by Workman's Compensation Insurance.
AcceptanceItiOF Proposal- The above prices, specifications and 'In
[proposall'becomses
-Z r
nditions are satisfactory and are hereby accepted. You are authorized to Signature
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the work aspecified. Payment will be made as outlined above. This
a legal and binding contract after 72 hours of acceptance.
Si nature
te of Acceptance: /� 2— 12 g