EAST ADD TR A-1 - ZCP 10/28/2021Kodiak Island Borough
.r Community Development Department
d 710 Mill Bay Rd. Rm 205
as
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: City of Kodiak/Matt Holmstrom
Mailing Address: Box 1397
Phone Number: 486-8068
Other Contact email, etc.: mholmstrom@city.kodiak.ak.us
Legal Description: Subdv: Tract A-1, USS 3098, East Addition Block: N/A Lot: N/A
Street Address: 1222 Chichenof Street; Kodiak, AK 99615
Use & Size of Existing Structures:
25,000 SF Ice Rink
Description of Proposed Action:
Enclose and expand existing facility
Site Plan to include: tot boundaries and existing easements, existing buildings, proposed location of new construction, access points,
and vehicular parking areas.
Staff Compliance Review: Current Zoning: 1 (, � � t� I�� � �5� PROP —ID % S�06
Lot Area: �}, �, Lot Width: Bld'g Height: �i✓14
Front Yard: Rear Yard: \�. Side Yard: �\j,-'
Prk'g Plan Rvw? A # of Req'd Spaces:
Staff Compliance Review Notes:
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 least160 square
feet, 260 linearfeet, 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 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 / 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 List Other:
Date: 10/13/21 Signature: —
L
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 1S REQUIRED.
"EXPIRATION: 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: /0/?4 j 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
❑
$240.00
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Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
10/19/2021 10:26AM
Remittance ID:
Kodiak 101921142508560Dix
Transaction ID:
280338584
MATTHEW HOLSTROM
PO Box 1397
KODIAK, Alaska 99615
United States
MasterCard - 1553
Approval Code: 019971
Sale
Amount: $90.00
PO Box 1397
4868068
CZ2022-023
1222 Chichenof
Service Fee: $2.25
Service Fee Type: Dual Transaction
Total Amount: $92.25
Cardmember acknowledges
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform the
obligations set forth by the
cardmember's agreement with
the issuer.
Signature
click here to continue.
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