USS 2537B & USS 562 TR A-1 - ZCP 5/12/20220
Kodiak Island Borough S
Community Development Department
ry 710 Mill Bay Rd. Rm 205 Y
Kodiak AK 99615
Ph.(907)486-9363 Fax(907)486-9396
Zoning Compliance Permit Permit No. CZAZ7
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: S(,-*tse,� ot- Kvdjcx tc 11 C,
Mailing Address: 2(-oT5�(' � ���� K Ctet 0 f
Phone Number: (9 � \ I ) C14?s—
Other Contact email, etc.: R m G-FG1YLOuYLG'I q G`I Ke�
Legal Description:
Subdv: OSS 2573'7 G f,rjtp Z Block: Lot:
Street Address:
Use 8 Size of Existing Structures:
V.0f ckw'KA1'Ka Bkm I Ci+I�kV2 S i7 a -
Description of Proposed Action
Site Plan to include lot boundaries and existing ease wutts, existing huildiaps, proposed location of new construction. access points, and
vehienlar parking areas.
Staff Compliance Review: Current Zoning: �vS PROP ID I3
c,g
Lot Aa NIA- Lot Width: . JT- Building Height: X 5pt
Front Yard: 49t Rear Yard: NIA, Side Yard:
Parking plan? A u Of Req'd Spaces. J\r
Compliance Review Notes and Specific Plat / Subdivision
AG,
Subd Case No. Plat No. Building PermitNo.
Does the project involve
an ERA defined facility?
tonunercialbuildings, inszall✓ziatts(i itazrbases).
inaitntimn (schools• hospitals) a nsidences
with rnm a dwn fb... (4),twelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
'Requiredforall demntizimn.jar,enoradons disnuhing at least Wsquare.....
feeC1601inearfeet.oz3.iathicjeetofRegulaced.4sbalosContaining.btareriallRdCtf,',andfor
renowlions lhanrnioee o load-svppotSng si,weturt•/mentbern:
No permit will be Issued for such projects without proof of EPA
notification
AR,nlicantCertification: iherebycenifythat Iwillcomplywiththe provisions oftheKodiaklslandBoroughCode andthat I
have the authorityto certifythisas the propertyowner, orasa reprosentativeofthe propertyowner. I agreetohaveidentifiable
comermarkers in place for verification of building setback (yard) requirements.
List Other: /�,,^!, 1 �A A t - -
Attachments? �1- Print Name: / ,•"'\e`a Y Ac-Fy'1�tAffk- r�
Date: IZ ✓ Position Title:
Signature:
This perutif 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 deter» tine 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:eniitgcoinpliancepermitissuedissubjectto
building permit issued jar the santeconstruction permit **
COD Staff Certification
Date: IZ COD Staff:
�vmentVerification Zoning Compliance ermitFeePayablei ashlel'sOfficeR ft104- Main floor ofBorough Building
After -the -Fact 2X the published amount
Not App li cable El $0.00 c ❑ $0.00
Less than 1.75 acres: $30.00 $60.00
1.76 to S.00 acres: $60.00 O $120.00
5.01 to 40.00 acres: $90.00 ❑ $180.00
40.01 acresor more: ❑ $120.00 ❑ $240.00
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
05/12/2022 04:09PM
Remittance ID:
Kodiak051222200802877Cur
Transaction ID:
289711272
MICHAEL MARTIN
2645 Mill Bay Rd
KODIAK, Alaska 99615
United States
Visa - 0491
Approval Code: 02218G
Sale
Amount: $60.00
Sunset Development Co of Kodiak LLC
907-942-1515
CZ2022-052
309 Erskine Ave
Service Fee: $1.50
Service Fee Type: Dual Transaction
Total Amount: $61.50
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.