ALEUTIAN BK 13 LT 18 - ZCP 4/27/2022Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205 O d
Kodiak AK 99615 Z
OPh. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No. C2�a�5
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: Ml �g /-V/ /oai AQ6no
Mailing Address: Lau ' / 1 8
Phone Number. qO % — 9/�k. — —SW( ,
Other Contact email, etc.:
Legal Description: Subdv: �L� h W ! tS Block: !7�- Lot:
Street Address: trw'(-r Alf 1 'o
Use & Size of Existing Structures:
Description of ProposedAdion: r "/
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 GT
Lot Area: -72�57 JC Lot Width: r Building Height , 1 -6rp' V J/
Front Yard: QT,I Rear Yard: YJr Side Yard: IQ)
Parking plan? �`✓� # Of Req'd Spaces: 3
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building PermitNo.
Does the project involve
an EPA defined facility;,,
•commercialbuildingsSd�sid,!�*nstM-it ases).
institutions (sanyels hispitals) and residences
with more *.n joN),`(4)dwelling traits.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
•Required for all demolitions, for renovations disturbing at least W square .....
feet,260linearfeet or35cubiefeetofRegulatedAsbesiosContaining Material (RACAV, and for
renovations that remove a load-supporfingstructurel memberer.
No permit wh ordects without proof of EPA
notification
Applicant Certification: lherebycertifythat Iwillcomplywiththe provisions of the KodiaklslandBoroughCode andthat I
have the authoritytocertifythisasthepropertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentifiable
comermarkers in place for verification of building setback (yard) requirements.
Attachments?
Date:
Date:
-//ra7.a�L
List Other.
Print Name:
Position Title:
Signature:
Gar)Gi y- y a nR
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, priorto or during itssiting, construction, 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: Anyzoning compliance permitissued issubject to thesameexpiration, suspension, andrevocation provisions as a
building permit issued for the sameconstruction permit. **
Date: CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room lt104-Main ftoorof Borough Building
After -the -Fact 2X the published amount
Not App licable $0.00 $0.00
Less than 1.75 acres: - $30.00 $60.00
1.76 to S.00 acres: Ei $60.00 o $120.00
5.01 to 40.00 acres: El $90.00 EJ $180.00
40.01 acresor more: � $120.00 tj
r-1 $240.00
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PAYMENT DATE
04/27/2022
COLLECTION STATION
CASHIER
RECEIVED FROM
TERESAMEDINA
DESCRIPTION
CZ-2022-045 614 LOWER MILL BAY RD
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
Permit
Payments: Type Detail Amount
Cash $40.00
Cash ($10.00)
Total Amount:
BATCH NO.
2022-00000300
RECEIPT NO.
2022-00000938
CASHIER
Brandi Wagner
$30.00
Customer Copy
Printed by: Brandi Wagner Page 1 of 1 04/27/2022 01:53:03 PM
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