ERSKINE ADD BK 9 LT 111A - ZCP 3/2/2021Kodiak Island Borough Print Form Sub.mif by Emaif
Community Development Department
710 Mill Bay Rd. Rm 205
a Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
httr)://www.kodiakak.us
Zoning Compliance Permit Permit No. CZ2,02\
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Kodiak Area Native Association - KANA
Mailing Address: 323 Carolyn Street, Kodiak, AK 99615
Phone Number: 907-486-9800
Other Contact email, etc.: info@kodiakhealthcare.org
Legal Description: Subdv: Block: 9 Lot: 111-A
Street Address: 323 Carolyn Street
Use & Size of Existing Structures:
Business- Medical Office -Two Story Building, 4,236 S.F.
Description of Proposed Action:
Installation of a new building -wide commercial fire alarm system to replace the existing battery -operated residential stand-alone
units, and addition of an exterior 2nd floor deck w/ supplemental egress stairs for an existing 2-story 4,236 s.f. office building used for
providing community behavioral health services.
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
Lot Area: j 0 Lot Width: U I
a
Front Yard: 2 5 / Rear Yard: 1 0 /
PROP JD Z���Z�
Bld'g Height: j j /
Side Yard: S t
Prk'g Plan Rvw? N j R # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
DES 1, �A-r"c'Qs Cn'a4 Gc-)C`c�12_�' 'c)-'c�' cmQuCcx
�T-Qs;?�L, 1, ,e c�2v
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve nn �
an EPA defined facility? I
*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? Other
Date: 02/05/2021
List Other:
Signature: I b�—�
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: Anyzoning 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: 2 / ?' 2 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
7
$0.00
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$0.00
Less than 1.75 acres:
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$30.0
$60.00
1.76 to 5.00 acres:
F
$60.00
$120.00
5.01 to 40.00 acres:
El
$90.00
$180.00
40.01 acres or more:
F
$120.00
$240.00
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