KALSIN BAY EST LT 3B-2 - ZCP 7/12/2021Kodiak Island Borough Print Form Submit by Email
a« "ANIs Community Development Department
710 Mill Bay Rd. Rm 205 III
Kodiak AK 99615 I II I II I I I I I III I III
Ph. (907) 486 - 9363 Fax (907) 486 - 9396 24221
http://www.kodiakak.us
Zoning Compliance Permit Permit No. &? Div
The following information is to be supplied by the Applicant:
Property Owner / Applicant: 1 � '� ) i r� C � Ga' i ,
Mailing Address: 20oc"
Phone Number:
Other Contact email, etc.: \-c?Ah
Legal Description: Subdv: Kalsin Bay Est. Block: Lot: 36-2
Street Address: 29673 Chiniak Highway
Use & Size of Existing Structures:
Description of Proposed Action: n
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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 24221
Lot Area: 8.19 ac Lot Width: 250' Bldg Height: 35 '
Front Yard: 25 ' Rear Yard: 25 ' Side Yard: 25 '
Prk'g Plan Rvw? Not Applicable # of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
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Subd Case ft. ; �� Plat No. Bld'g Permit No.
'ter"
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)?
*Requiredfor 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 I 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? Site Plan
Date: 5
List Other:
Signature: V JL A
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: 5 11-7 I CDD Staff: Wi Ar
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:
❑X
$90.00
❑
$180.00
40.01 acres or more:
❑
$120.00
❑
$240.00
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