USS 3098 LT 28 MILL BAY RD - ZCP 4/1/2021Kodiak Island Borough
Community Development Department
€ 710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
httr)://www.kodiakak.us
Zoning Compliance Permit ((�ooxw)
Print For Submit by Email
Permit No. CZ ZCQ- 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: USS 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: P
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: (� (6JS� ���� PROP_ID I �
Lot Area: ' Z S aG�S Lot Width: l Bld'g Height:
Front Yard: / Rear Yard: Side Yard:
Prk'g Plan Rvw? 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 Proof of EPA notification provided (if required)?
an EPA defined facility? *Requiredfor all demolitions, for renovations disturbing at least 160square min- El
*Commercial buildings, installations (military bases), feet 160 linear feet or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and
Institutions (schools, hospitals) and residences with for renovations that remove a load -supporting structural member.
more than four(4) dwelling units. No permit will be issued for such projects without proof of EPA notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
�3
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 a
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. 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: '3 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
(� $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:
El$90.00
$180.00
40.01 acres or more:
M $120.00
$240.00
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Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
03/05/2021 02:24PM
Remittance ID:
Kodiak030521182226791 Kee
Transaction ID:
263686876
MATHEW HOLMSTROM
P.O. Box 1397
KODIAK, Alaska 99615
United States
MasterCard - 1553
Approval Code: 005891
Sale
Amount: $30.00
City of Kodiak
907-486-8068
CZ2021-037
2410 Mill Bay Rd.
Service Fee: $1.00
Service Fee Type: Dual Transaction
Total Amount: $31.00
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmember's agreement with
the issuer.
Signature
click here to continue.
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