USS 3464 LT 2 - ZCP 4/29/2021Kodiak Island Borough Print 1 —1 FSubmit by Innall
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
httr)://ww.w.kodia-kak_us
Zoning Compliance Permit Permit No. bZgba)i. 664
The following information is to be supplied by the Applicant:
Property Owner / Applicant:
Mailing Address: 0. -44
Phone Number: 907
Other Contact email, etc.:
Legal Description SLjbdv: U 5-5 Block: 3V91 IZ.
Street Address: 733 Z—tsl�
Use � Si7e of Existing StrL]CtU[(",:
45f'%54L-
Description of Proposed Action:
at
C.>
Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access pcintc,,
and vehicular parking areas.
-Staff Compliance Review: Current Zoning: n O PROP—lD
Lot Area:4G. Lot Width: Bld'g Height: F
Front Yard: Rear Yard: .01D I Side Yard: 10
Prk'g Plan Rvw? ri 1
# of Req'd Spaces: 3
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. Required for all demolitions, for renovations disturbing at least 160square u
*Commercial buildings, installations (military bases), feet, 260 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 permitwill be issued for such projects without proof of EPA notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Applicant Certification: 1 hereby certify thatl 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? t7 List Other:
C Date: % Signature:
._ `/
/Pw I
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 o C?
building permit issued for the same construction permit.**
CDD Staff Certification
Date: Li l �3 `a CDD Staff: Ell
Pdy_ment. Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough l3uildinq
After -the -Fact 2X the published amount
Not Applicable
�1
$0.00
n
$0.00
Less than 1.75 acres:
�
$30.00
$60.00
1.76 to 5.00 acres:
(�
$60.00
n
$120.00
5.01 to 40.00 acres:
$90.00
n
$180.00
40.01 acres or more:
(�
$120.00
[—]
$240.00