USS 3098 LT 3A 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
http://www.kodiakak.us
Zoning Compliance Permit
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
information Is to
15 1 60 19 A
I Print Form Submit by Email i
Permit No. CZ *'Zc,, I —
4.1
the
r.
Subdv: Us-s Block: Lot: 3n-
1.(I
Use & Size of Existing Structures:
Qoc� V3, Z
De,�ription of Propose4,Action:
yt--C�;�I `-v c3t (2ccy—
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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:
1B
PROP —ID
Lot Area:
Lot Width:
Bldg Height: act
Front Yard: f
F-1
Rear Yard:
Side Yard:
Prk'g Plan Rvw? Nd
# of Req'd Spaces:
Staff Compliance Review Notes and
Specific Plat Subdivision Requirements:
g-,- ra , ;4-^
Subd Case No. Plat No. Bldg 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)? n `�
*Required for all demolitions, for renovations disturbing at least 150 square
1V•
feet 260 llnear 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) 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? F] List Other:
r
Date: 3 Signature:
101k ��4f"'Q'—
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: 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: 31 l Z' CDD Staff:
Payment Verification Zoning Com1. pliance Permit Fee Payable i Cashier's Office Room # 1 4 -Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
$0.00
R
$0.00
Less than 1.75 acres:
f7r
$30.00
$60.00
1.76 to 5.00 acres:
-1
$60.00
El
$120.00
5.01 to 40.00 acres:
$90.00
El
$180.00
40.01 acres or more:
$120.00
$240.00 r I
CAS
D ° D
BERNIE BROTHERS
Roofing -Siding *Windows- Decks
Kitchen & Bathroom Remodeling
i Fire arld Water Restoration
NAME [—► IC�cF'iG
ADDRESS
CITY, STATE AND ZIP CODE
JOB LOCATION IF DIFFE
�WMR M=
EAR OFF:
❑ TEAR OFF REQUIRED
❑ TOP _ __LAYER(S)
❑ ENTIR OOF TO DECKING AND INSTALL NEW YO T
❑ WINTERGAU\ONG
ABOVE GUTT S
❑ WINTERGAUS AND SKY GHTS❑ WINTERGAU❑ INSTALL NETECT RAL - SHAKES - STEEL
❑ MANUFACTUY O YEARS
❑ COLOR:
❑ INSTALL:
❑ PLUMBI VENT FLASHING _—
ROO ENTS_ _
❑ RE�LACE BAD DECKING AT $ _.A_PER SHEET OF
/.___.PLYWOOD EXTRA
Proposal
Bernie Stallard - Owner
P.O. Box 2400 - Kodiak, AK 99615
Office: 481-3900 - Fax: 481-3922
BernieBrothers@reagan.com
DATE 3 Iaq /a
PHONE (HOME) �- L A69
DESCRIPTION OF WORK
PWARRANTY APPLIES
RKMANSHIP WARRANTY OF__A_YEARS
�EAN UP & HAUL AWAY ALL TRASH
❑ CLEAN GUTTERS
❑ RUN NAIL MAGNET
E PRICE INCLUDES ALL LABOR, MATERIALS & TAX
We Propose hereby to furnish material and labor -complete in accordance with above specifications, for the sum of:
dollars ($ )
Payments to be mad N Ilows:
4 0-1,11 j— 61wice. Z& V
AA
All material Is guaranteed to be as specified. All work to be completed In a workman like manner
according to standard practices. Any alteration or deviation from above specifications Involving Authorized Signature
extra costs will be executed only upon written orders, and will become an extra charge over and g
above the estimate. All agreements contingent upon strikes, accidents or delays beyond our
control, Owner to carry fire, tornado and other necessary Insurance. Our workers are fully
covered by Workman's Compensation Insurance.
Acceptance of Proposal- The above prices, specifications and
conditions are satisfactory and are hereby accepted. You are authorized to Signature
do the work as specified. Payment will be made as outlined above. This
proposal becomes a legal and bindin contract a 72 ours of acceptance.
Date of Acceptance: w Signatures g, . _