KILLARNEY HILLS BK 1 LT 4 - ZCP 5/3/2022Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No. �Z
The following information is to be supplied by the Applicant:
Property Owner/ Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address.
Use & Size of Existing Structures:
Description of Proposed Action:
Subdv: A I, / gC6 e r/ i d/ Block: / Lot: --y—
I.
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: J PROP ID 8
15� �
Lot Area: Ok Lot Width: / O Building Height
5 ,I A4x, STj t
(�
Front Yard: /lr / Rear Yard: Cr Side Yard:
Parking plan? y/w # Of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
7
Subd Case No. Plat No. Building PermitNo.
r;..
t
Does the proj�pt i6qlvd
an EPPtBOnetl facility?
•comnterc iaNinildings, installations (militarybases),
instil 'u( ow (Schools, hospitals) and residences
with moire 'lhan four (4)tlivelling mats.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
'Required for all demolitions, for renovations disturbing at east UO square .....
feet, 2601inearfeel, or35 cubicfeet ofliegulaiedAsbestos Containing Material (RACd4J, andfor
renovations that remove a load-supportingstructurel memberec
No permit will be ise_ued for such oroiects without proof of EPA
notification
Annlicant Certification: I hereby certify that I will complywiththe provisions of the KodiaklslandBoroughCode andthat I
have the authoritytocerthythisasthe propertyowner, orasarepresentativeofthepropettyowner.I agreetohave identifiable
comer markers in q/ace for verification of building setback (yard) requirements.
Attachments? List Other:
Print Name: J p,97 lfiyir— %ep
Date: Position Title: t'BaC iz/7
13 Signature
Date:
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, 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 permltissued issubjeci to thesameexpiration, suspension, andrevocation provisions as a
building permit issuedfor the sameconstruction permit. **
Date: — CDDStaff:
Payment Verification Zoning Compliance
C
Not App li cable
Less than 1.75 acres:
1.76 to S.00 acres:
5.01 to 40.00 acres:
40.01 acresor more:
EJ $0.00
$90.00
Ei $120.00
Office Room It 104�,Main floor of Borough Building
After -the -Fad 2X the published amount
El $0.00
O $60.00
$120.00
$180.00
$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
05/03/2022 09:46AM
Remittance ID:
Kodiak050322134439459Cur
Transaction ID:
289283532
CLIFFON M IVANOFF
PO Box 8883
KODIAK, Alaska 99615
United States
Visa - 3670•
Approval Code: 01312D
Sale
Amount: $30.00
Clifton Ivanoff
541-740-0891
CZ2022-047
123 Murphy Way
Service Fee: $1.00
Service Fee Type: Dual Transaction
Total Amount: $31.00
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.
0