HOSPITAL BK 1 LT 2A-1 - ZCP 10/28/2021Kodiak 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
.3 u4' I l." ntFbrm 711 Submit by Email
Permit No. C.#2-a�-t -o�, 7
The following information is to be supplied by the Applicant:
Property Owner / Applicant: Kodiak Island Borough
Mailing Address: 710 Mill Bay Road
Phone Number: 907.486,9211
Other Contact email, etc.: mgandel@kodiakak.us
Legal Description: Subdv: Hospital
Street Address: 1915 E. Rezanof Dr.
Use & Size of Existing Structures:
Medical Complex
Block: 1 Lot: 2A-1
Description of Proposed Action:
Refurbishment of existing concrete crib retaining wall. Work includes: Removal of trees, shrubs, organic above, on the wall and in
front of the wall; removing and replacing sidewalk and pavement; constructing a new reinforced concrete face with footing;
constructing new gutter, storm drain, manhole andcatch basin and other work indicated in Contract Documents,
Site Plan to include: Cot boundaries and existing easements, existing buildings, proposed location of new construction, access points,
and vehicular parking areas.
Staff Compliance Review: Current Zoning: PL. PROP —ID a3 �Sb
Lot Area-. Lot Width. fjl q, Bld'g Height -Q -4
Front Yard: N l Rear Yard: 014 Side Yard: !�
Prk'g Plan Rvw? N1 p}f�# of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
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)?
'Required for all demolitions, for renovations disturbing at least 160 square _
feet 26011near feet, or 35 cubk 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 1
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? List Other:
�toUtTloN COk;,o r
Gate. 041 Signature: /-Jost- �
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: S ILA
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:
❑
$30.00
❑ $60.00
1.76 to 5.00 acres:
❑
$60.00
❑ $120.00
5.01 to 40.00 acres:
$40.00
$180.00
40.01 acres or more:
❑
$120.00
$240.00
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