LEITE ADD BK 5 LT 10 - 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. Cz�2ozz - ozZ
The following information is to be supplied by the Applicant:
Property Owner / Applicant: R,-&Me yi 0 M"6tr'lAa- 1
Mailing Address: 1511 M&i%v► M , KMi4lcjA-K g1JUIS
Phone Number: (90?) 41?lo-23722 CtIl- C9o-T)9o3-Sol"7
Other Contact email, etc.: F-emffl110 • I'' W-P6161f agAlgOD. GOM
Legal Description: Subdv: Lei+k Pcdd n Block: S Lot: IV
Street Address: 1512 M ialovi Road
Use & Size of Existing Structures: 2911 "fr Si N 6j%-e r-i-MIL'f F—MVVNc.E , 7.oNCV 9-3
Description of Proposed Action: TP-A m ON P" Pep-V i'o R TvV D Ffiu I C-t 1 2f-"?-
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:
Lot Area: (D• 141
Front Yard
Current Zoning:
Lot Width:
Rear Yard:
Prk'g Plan Rvw?Ae%# of Req'd Spaces
PROP —ID 1151_0_/
Bldg Height: '> ?J
5�
Side Yard: C,j 5-
Staff Compliance Review Notes: \ ,
Plat/Subdivision Requirements: C r`� L vy� �o� 5 C v.
Subd Case No. Plat No. Bld'g 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 least 160 square
feet 260 linear feet or 35 cubic feet of Regulated Asbestos Containing Material (RA CM), 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 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: io /� ` Z Signature: I
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: �01131nQ-41 CDD Staff:
Payment Verification Zoning Compli,4 ce Permit Fee
Not Applicable
❑
$0.00
Less than 1.75 acres:
X
$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
AS - QUILT SURVEY
.y A%
T" ••
t '
tPuy A. Gcklund t
p , NO. 1639-S
l. 2
a4 �7orrsslol4m.,-q�
�em•t: ,11111-
2y
1 hereby certify that 1 have mmcyed the following described property:
LOr /O BLOCK 5 Zel7K ADD1T10N
", 5. 5:.%/C /G�81 (?�1AK. ALA5Kfl_
and that the improvements situatedtherconare within the property lines
and do not overlap or encroach on the property lying adjacent thereto.
that no improvements on property lying adjacent thereto encroach on
the premises in question and that there are no roadways, transmis-
lion lines or other visible easements on said property except as indi-
cated hereon.
Dated it 6y ay or �{J/ie 19
/�
ROY A. ECKLUNU
Registered Land Surveyor
Scale: / 11= ZO , I Drawn br.
Date: 6 - JUN6 198 1,-