KODIAK TWNST BK 14 LT 17A - ZCP 5/4/2022Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205 Alio
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No. ZZ- 0149
The following information is to be supplied by the Applicant:
Property Owner/ Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description: Block: , Lg Lot: l Subdv: �t0.{{�L
Street Address: // S' e5, f klle reo st
Use & Size of Existing Structures:
Description of Proposed Action: p
J'ut� rJA /Z. � GGY'cIGGGS (J ti:t`�r...lc Cr�PG� �I�/ii.7� N1�
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: 3 PROP -ID ��Z7
Lot Area: Z,Q V Lot Width: t Building Height: 3 t
1
Front Yard: 2' i Rear Yard: 10 t Side Yard: ✓ 1
Parking plan? # Of Req'd Spaces: I
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Lif
Subd Case No. Plat No. Building PermitNo.
Does the project invo
an[define,`yfjj��dcil
•qo t to/it�ila7hg�st (tafilr (mthtarybasesJ,
�{x,�{auJ s (scho ls,h ospiwls) d residences
i✓�'th m tha ur 4)dhvellin units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
*Required for all demolitions, for renovations disturbing at least UO square _ _ _ _
feet. 260linearfeet,or35 cubicfeetofRegulated Asbestos Containing Material (RACO, and for
renovations that remove a load -supporting structure/ memberec
No o rmit will be issued for such pro acts without proof of EPA
notification
Aoolicant Certification: I herebycertifythat I will complywiththe provisions of the KodiaklslandBorough Code and that I
havetheauthoritytocertifythisasthepropertyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentifiable
comer markers in place for verification of building setback (yard) requirements.
Attachments?
Date:
Date:
List Other:
t✓
Print Name:
Position Title:
Signature:
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: Anyzoningcompliancepermftissuedissubject to thesameexpiration, suspension, andrevocation provisions as a
building permit issued for the sameconstruction permit **
Date: J -,4 dr d CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It 104-Main floor of Borough Building
Aker -the -Fact 2X the published amount
Not App livable
$0.00
El
$0.00
Lessthan 1.75 acres:
d
$30.00
$60.00
1.76 to S.00 acres:
❑
$60.00
❑
$120.00
5.01 to 40.00 acres:
❑
$90.00
❑
$180,00
40.01 acresor 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
05/04/2022 03:14PM
Remittance ID:
KOdiak050422191258124Cur
Transaction ID:
289363304
JAMESJONES
PO Box 375
KODIAK, Alaska 99615
United States
Visa - 6642
Approval Code: 03906B
Sale
Amount: $30.00
Jones Family Trust
907-512-5347
CZ2022-049
115 E. Hillcrest
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.