MILLER PT 1ST BK 3 LT 3 - ZCP 6/3/2022Kodiak Island Borough
Community Development Department O
710 Mill Bay Rd. Rm 205 d
Kodiak AK f_ D
Ph. (907) 486 - 9363 Faxx (907 (907) 486 - 9396 (X z z
Zoning Compliance Permit Permit No. ft zo 1Z_ U4
Property Owner/ Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
Description
The following information is to be supplied by the Applicant:
Subdv: M i 11e / Pr- Block: 3 Lot: 3
Site Pian 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: 60S PROP_ID Li IT$
Lot Area: &) I A' Lot Width: i Building Height: 5OIt
Front Yard: Rear Yard: `qqqq. Side Yard:
Parking plan? �` i �. # Of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building Permit No.
`n�.
5� ;'
��i � - _ �
..�-..
Does the project involve
an EPA defined facility?
•conmtercialbuildings,inst ations(mtlitaryhases),
institutions (schools, pitals) and residences
with more 1Fan f (4)dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?,
-Requiredfor all demolitions. for renovations disturbing qt least UO square .....
feet,2601inearfeet, or35cubicfeetofRegulated Asbestos CantainingMaterial (RACM), and for
renovations that remove a load-suppotrngsnvcturel memberec
No permit will be issued for such projects without proof of EPA
notification
Applicant Certification: l herebycertifythat l will complywith the provisions of the Kodiaklsland Borough Code andthat I
have theauthoritytocettifythisasthepropertyowner, orasarepresentativeoftheproperlyowner I agreetohaveidentifiable
cornermarkers in place for verification of building setback (yard) requirements.
List Other:
Attachments? ,.^^—''—
Date: ? 22
Print Name:
Position Title:
Signature:
t�dI F&CS
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: Aiiylonittg compliancepermitissued issubjeet to thesameexpiration, suspension, and revocation provisions asa
building permit issued for the sameconstruetion permit. **
COD Staff Certification
Date: I .3 ! CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It104-Main floor of Borough Building
After -the -Fact 2X the published amount
Not App licable
❑ $0.00
❑
$0.00
Less than 1.75 acres:
d $30.00
$60.00
1.76 to S.00 acres:
Ei $60.00
❑
$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
06/03/2022 01:39PM
Remittance ID:
Kodiak060322173824227Cur
Transaction ID:
290832182
RALPH A. BORS
PO Box 805
KODIAK, Alaska 99615
United States
Visa - 5479
Approval Code: 09388G
Sale
Amount: $30.00
Ralph A. Bors
907-654-7222
BZ2022-045
3751 E. Rezanof Dr.
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.