USS 3100 LT 20B-1 - ZCP 5/3/2022Kodiak Island Borough
'.^``- Community Development Department Q
R 710 Mill Bay Rd. Rm 205 _ D
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 -9396
Zoning Compliance Permit Permit No.aozs
Property Owner/ Applicant:
Mailing Address:
Phone Number.
Other Contact email, etc.:
Legal Description:
Street Address:
Use & Sae of Existing Structures:
The following information is to be supplied by the Applicant:
Subdv: uss 3/oo Block: Lot: avg-r
33'18' Tovia Lr1 / ICed Akj AV_ 99G/S
Description of Proposed Action:
fFdd,47a -*) c.vrrek,+ te5jc"C, : l(0 'X // ' .74f-"f c✓/.
c6,xrta a yr,i (id aI 474g.,e,+ : IV,r /7') &,1 addn�io,�,,,,1 Qar�t.a� C,vij
Iw "`�P� r�ld�l. ✓ariLS -(row1 a8' 706 /lti' >C GS'S` draa., (-Ia?4,Ll 4rac4,
Orl vv� - eZ8 X lv6 '$" i,rr:go�e.rl
Site Plan to include lot boundaries and ecisfing easements, eriFdng buildings, proposed location of new construction, access points, and
vehicular parking areas.
Staff Compliance Review:
Current Zoning:
Q�
PROP_ID ,g / oo e2
Loi Area: M r„
Lot Width:
Building Height:
Front Yard: A/ Rear Yard: 151 Side Yard: 10 1
Parking plan? * Of Req'd Spaces: /'
AStat^,ff Compliance Re!!vvi�iew Notes and Specific Plat / Sub/'drvisioon Requirements:
AAA V,o.. �" r/�./t clC F �K (S , 4 e,- 1 5Idt. .J IkIT .
Subd Case No. Plat No. Building Penni[No.
T �` _.iP� y �My ` _ .
�� � jM�S
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Does the project involve
an EPA defined facility?
�ommerrialbuddmgs,instdlations fmilaarybases).
institutions (schools, hospitals) and msidences
with more than four (4)dwellmg utun
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
'Itequimd for all demolinwi; for renovations disturbmga least UO sT air
feet,1601mearfeet, or35mbicfeetofgegutmedAsbe&t ContainiugMaten&tRACW andfor
mmmwtimrsthaimmmralaud-.vtppntingsmicmm: memberer.
No oerrnit will be issued for such oroiecfs without proof of EPA
notification
Applicant Certification: lherebycertffythat Iwillcomplywiththe provisions ofUwKodiaklslandBoroughCodeandthat I
have the authority tocertilythisasthepropertyowner, orasarepresentahveoftheproperiyowner. I agree tohaveidentifiable
comermarkers in placefor verificabon ofbuilding setback(yard)requirements
List Other
Attachments? rjr.& /lM Print Name: C✓/��r�rvt
Date: ��Y J { 9,0,V Position Tide:
Signature: ANCR'K
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
ojTceimmediately 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: Anymningcompliancepeimiiissuedissubjecitotkesameexpiration,suspensionandrevocadonprovisionsma
building permit issued jar Ike sameconstrucdon permit. **
COD Staff Certification
Dater 1nCDDStaft
Payment Verification f Zoning Compliance Per d Fee Payable in ashi ice Room ft JA - Main floor of Borough Building
After -the -Fact 2X the published amount
Not App licable
$0.00
❑
$0-00
Lessthan1.75acres :
/J
_ t�(/$30.00
�(/'¢❑�
Q
$60.00
1.76 to 5.00 aces:
$60.00
ri
$120.00
5.01 to40.00acres :
❑ $90.00
❑
$180.00
40.01 acresor more:
❑ $120.00
❑
$240.00
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PAYMENT DATE
05/03/2022
COLLECTION STATION
CASHIER
RECEIVED FROM
WILLIAM DEAL
DESCRIPTION
3348 TONA LANE
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
BATCH NO.
2022-00000315
RECEIPT NO.
2022-00000971
CASHIER
Teresa Medina
••RECEIPT DESCRIPTION• •
Zoning Compl Zoning Compliance Permit $30.00
BZ 2022 039
Payments: Type Detail Amount
Check 1743 $30.06
Total Amount: $30.00
Customer Copy
Printed by: Teresa Medina Page 1 of 1 05/0312022 11:20:15 AM