ERSKINE ADD BK 10A FIRE DEPT - ZCP 4/29/2021Kodiak Island Borough Print Form Submit by Email
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 Permit No. C22pat-, e)5j
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
The following information is to be supplied by the Applicant:
Matt Holmstrom
2410 Mill Bay Road Kodiak AK 99615
907-942-2234
mholmstrom@city.kodiak.ak.us
Legal Description:
Subdv: Erskine Addition
Street Address: 219 Lower Mill Bay Road; Kodiak, AK 99615
Use & Size of Existing Structures:
fire department
Block: 10A Lot:
Description of Proposed Action:
set 2 mobile temporary office trailers on the south end of the existing fire station; no public access/engagement/involvement;
connect to power.
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 PROP ID
Lot vlidth InD' Bld'g Heigi,t 50
Front Yard: 5 Rear Yard:,C Side Yard:
Prk'g Plan Rvw? # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
-+ • r
Subd Case No.' �,,'� Plat No. Bld'g 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)?
*Required for all demolitions, for renovations disturbing at least 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)
have the authority to certify this as the property owner, or as a representative of the property owner. 1 agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments? � S�r — List Other:
Date: 20 Z ( Signature:
J —V %or
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: y1ao�Rl— CDD Staff:
moment 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 F $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: $90.00 ❑ $180.00
40.01 acres or more: $120.00 $240.00
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Prefect:
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City of Kodiak
The City of Kodiak
Kodiak, AJaeke 99619
Project Mgr. DJM
Drawn AAW
Checked DJM
Date W7113
6'MMION &
NEW WORK
FLOOR PLANS
Sheet No.: