T31S R20W - ZCP 10/28/2021Kodiak 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.
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Alaska Department of Natural Resources, Division of Parks and Outdoor Recreation
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
550 W. 7th Ave., Suite 1340, Anchorage, AK 99501
907-269-8506
chester.fehrmann@alaska.gov
Subdv: Section 23, Township 31 South, Range 20 West, S.M. Block: Lot:
Street Address: Pasagshak State Recreation Site (Ugak Bay)
Use & Size of Existing Structures:
There is a small pullout alonqside the road. No known uses or structures exist at this site.
Description of Proposed Action:
Construction of two 12xl6 public use cabins (PUC's) and one pit privy toilet.
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: Conservation KIBC 17.50 PROP ID
Lot Area: X1 i 110
2 Lot Width: 2501 Bld'g Height: 3 5 ,
Front Yard: 5 ' Rear Yard: aq 5 ' Side Yard: C
Prk'g Plan Rvw? tj ) P # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case Jyj` Plat No. Bldg Permit No.
iA
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 260 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 proiects 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? Site Plan
Date: Apr 27, 2021
List Other: Location Map, Site Plan, Cabin and Privy Details
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 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: y I V19 i
CDD Staff:
Payment 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
❑
$0.00
❑
$0.00
Less than 1.75 acres:
sa."A or, iiX ltm�a,ro
$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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