HOSPITAL BK 1 LT 2A-1 - ZCP 5/4/2021P
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Submit by Email
Kodiak Island Borough`
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Community Development Department
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" 7A10 Mill Bay Rd. Rm 205
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Kodiak AK 99615
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Ph. (907) 486 - 9363 Fax (907) 486 - 9396
htto://www.kodiakak.us
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Zoning Compliance Permit
Permit No. (-, --
J�c-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
Block: 1
lot: 2A-1
Street Address: 1915 E. Rezanof Dr.
Use & Size of Existing Structures:
Medical Complex
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: Lot 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 3Z(Orb
Lot Area: y j, lot Width tjI Bldg Height {'Q
Front Yard: Rear Yard: 014 Side Yard: ti I.+
Prk'g Plan Rvw? VIA
# of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Bki'g Permit No.
Does the project involve
an EPA defined facility?
*Commerrial 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/or all demolitions, for renovations disturbing at least 160 square
feet, 260linearfeet or 35 cubic feet of Regulated Asbestos Containing Materlal (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: 1 hereby certify that will comply with the provisions of the Kodiak Island Borough Code and that l
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? GO�Q•t�-r List Other:
(�E{JoUr71oN
Ddte: 1!��l� 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 NOTAUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
** EXPIRATION: Any zoning compliance permit issued is subject to the some expiration, suspension, and revocation provisions as a
building permit issued for thesame construction permit.**
CDD Staff Certification
Date: 41 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:
$90.00
$180.00
40.01 acres or more:
❑
$120.00
p $240.00
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Kodiak island garpugh
Finance Dement
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