USS 3098 LT 18A MILL BAY RD - 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
Permit No. 6Z 661-4
The following information is to be supplied by the Applicant:
Property Owner / Applicant: A? -r j( LLC
Mailing Address: ZO)! g Mi 11 �sGy 1-2 C a.]
Phone Number: ``901j• 40- '•{�lo- �ZZo
Other Contact email, etc.: IY`�� Y`n,--r )C M 4c : N Q C> "`k G o lc . C C r-+
Legal Description: Subdv: 055 3099f6 Block: Lot: i8,4
Street Address: z O Z¢j (h i L3g�' IZ ban
Use & Size of Existing Structures: /0
Description of Proposed Action: N C, -'. Shp ;' C tYJ 9r — C 1*, c-J
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 6-111
Lot Area: 014 Lot Width: � l� Bld'g Height:
Front Yard: N Rear Yard: In Side Yard:
Prk'g Plan Rvw? L/ # of Req'd Spaces:
Staff Compliance Review Notes:
Plat/Subdivision Requirements:
Subd Case No. Plat No. Bld'g Permit No.
t..
A � l
r. ..1 �
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bs
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 least160 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 1 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?
Date: '?-zc - Z� l
List Other:
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: Joo 1 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: K $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
JUL 2.0 2021
Kodiak Island Borough
Finance Department