USS 3218 TR R-2A - ZCP 12/15/2020Print Form Submit by Email
„x^^ Kodiak Island Borough -- --
�., Community Development Department
' 710 Mill Bay Rd. Rm 205 III I III IIIIIIIIII IIIII III
c Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 16342
http://www.kodiakak.us
Zoning Compliance Permit Permit No. �2&9 I - t)a5
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Kodiak Area Native Association - KANA
Mailing Address: 3449 E Rezanof Dr. Kodiak, AK 99615
Phone Number: 907-486-9800
Other Contact email, etc.: info@kodiakhealthcare.org
Legal Description: Subdv: USS 3218 TR R-2A Block: Lot:
Street Address: 3449 E Rezanof Dr.
Use & Size of Existing Structures:
Business - Medical Office- 2 Story Building, 18,910 S.F.
Description of Proposed Action:
1. Replacement of existing casework in the exam, laboratory and cast rooms. this work will include reconnection of existing plumbing
with new plumbing within the new casework.2. Replacement of the following items: -All casework counter tops and overheads
shelving in laboratory, cast room, locker rooms and exam rooms. -Replacement of floor finishes in all exam and cast rooms. -New
paint and finish in all exam, cast and laboratory rooms.
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: R2 KIBC 17.80 PROP 1D 16342
Lot Area: 'J7 •r1'A Qm5 Lot Width: to , Bld'gHeight: 35
Front Yard:i Rear Yard: , O ` Side Yard:
+ S l
Prk'g Plan Rvw? N I y� # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Bld'g Permit No.
Dues 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 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?
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 NOTA UTHORIZE 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: nCDD Staff
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Offi oom # 104- Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
$0.00
$0.00
Less than 1.75 acres:
$30.00
$60.00
1.76 to 5.00 acres:
$60.00
$120.00
5.01 to 40.00 acres:
$90.00
El
$180.00
40.01 acres or more:
El
$120.00
❑
$240.00
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