USS 3098 LT 28 MILL BAY RD - ZCP 4/1/2021 (2)�. Kodiak Island Borough
Community Development Department
a
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
httr)://www.kodiakak.us
Zoning Compliance Permit
Print Form Submit by Email
Permit No. CZ ZGZl_ 017
The following information is to be supplied by the Applicant:
Property Owner / Applicant: City of Kodiak/Matt Holmstrom
Mailing Address: Box 1397
Phone Number: 486-8068
Other Contact email, etc.: mholmstrom@city.kodiak.ak.us
Legal Description: Subdv: LISS 3098 Block: N/A Lot: 28
Street Address: 2410 Mill Bay Road
Use & Size of Existing Structures:
Public Works Building, fuel building and yard
Description of Proposed Action:
Remove two 2000-gallon underground fuel storage tanks (one diesel, one unleaded)
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: B r��s��� � 1-1PROP_ID (o S
Lot Area: + S Qc�cS Lot Width: 1 Ej Bld'g Height: Ej
Front Yard: / Rear Yard: 0 Side Yard:
Prk'g Plan Rvw? Q # 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 (militarybases),
Institutlans (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
i3
Proof of EPA notification provided (if required)?
*Re uired q for all demolitions, for renovations disturbing at feast 160 square —
feet, 160 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 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? Site Plan Ed
Date: 3/5/21
List Other:
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. 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: 1j ZO�� CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in shier's Office Room # 104 Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
El $0.00
El
$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
E]
$180.00
40.01 acres or more:
El $120.00
n
$240.00
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