EAST ADD BK 50 LT 9 - ZCP 10/15/2021Kodiak Island Borough
;;•�, Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
htta://www.kodiakak.us
Zoning Compliance Permit
P A..
Permit No. Cz�2ozz- ozz-
The following information is to be supplied by the Applicant:
Property Owner / Applicant: R.-emecl 0 MaraslA(Lh
Mailing Address: 1512. M i I-" PJ , Kodiak, A-i< g9lrl S
Phone Number: No�c. (90-7) 4916-2372_ CIo70R03-Sat"7
Other Contact email, etc.: REMI Io . M cS1G�ItN R MW D• um
Legal Description: Subdv: 1_e4'c, Pcdd rn Block: S Lot: IV
Street Address: 1512. M jSSl�v] Road
Use & Size of Existing Structures: .2912 "f:L- SI N rrj%-E r-A-M►L1F R-3
Description of Proposed Action: TWCNSVn o N ?" PC- -W -1 o A TvV D FA-M l c.--.,' REs ►t0iC.C—, . 2f W-
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
15101
Lot Area: 1
Lot Width:
! .�� Bld'g Height:
_ 7 ?J5
Front Yard:6
Rear Yard: —
�y y Side Yard:
Prk'g Plan Rvw? A5
I
# of Req'd Spaces:
Staff Compliance Review Notes:
Plat/Subdivision Requirements: NOhCo�ntoLv�
Subd Case No. Plat No. Bld'g Permit No.
,. _ �+�r_.� �
;.�:,., ;
:►
�.,
Does the'project involve
an EPA defined facility?
*Commercial buildings, Installations (mllitary 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 off demolitionm for renovations disturbing at Ieast160 square
fee% 260 Nnear 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 projects 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 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?
List Other:
Date: �d Signature:
it
r—
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: LP �3 CDD Staff:
Payment Verification Zoning Compli ZcePermitFee
Not Applicable
❑
$0.00
Less than 1.75 acres:
$30.00
1.76 to 5.00 acres:
❑
$60•00
5.01 to 40.00 acres:
❑
$90.00
40.01 acres or more:
❑
$120.00
104 - Main floor of Borough Building
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
❑ $120.00
❑ $180.00
❑ $240.00
JPil.
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�y
As - QUILT SURVEY
1 hereby certify that 1 have surveyed the following described property:
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' b
SOT /O BLOCK 5 LE/TE AOD1710N-
L/ S $URVE /(081 1(�IJD/Ak ALAS,rfl_
AYCrP
•W
* L}�TH 1'
and that the improvements situatecithereonaTe within the property lines
and do not overlap or encroach on the property lying adjacent thereto.
00
that no improvements on property lying adjacent thereto encroach o
the premises in question and that there are no roadways, transmis-
indi-
p,.y A. kcklundi
ct
sion lines or other visible easeusents on said property except at
��,•• MO. 1638.5 �: i"%
t� �90 �•••.,.•... o
rated hereon. ..yy Q
Dated this ✓lJ/1 19
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'�� P�0lCSSIONA��p`�a•
4oQ••t.'1.ZiTt•A�
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ROY A. ECKLUNU
Registered Land Surveyor
Scak: / "= ZO '
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