PEREZ EST BK 2 LT 12 - ZCP 6/15/2022Kodiak Island Borough WOD
Community Development Department
r1 710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No. ft�� Z_
The following 'nform tion is to be supplied by the Applicant:
Property Owner/ Applicant: ay
Mailing Address:ckfj �la2
Phone Number:
Other Contact email, etc.:
Legal Description. Su-b1dv: 'rPZ S Block - _ Lot: I Z
Street Address:
Use &Size of Existin Structures:
t7' ct �oYYI f
Site Plan to include lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and
vebicularparking areas. r
Staff Compliance Review: nCurrent Zoning: r`3 PROP_ID ZI5 CI
Lot Area: , 2, OOP Lot Width: l� Building Height:
Front Yard: " LI Rear Yard: t 7 �l � Side Yard: !J'
Parking plan?
0 Of Req 'd Spaces:
Compliance Review Notes and Specific Plat / Subdi�asion Requirements:
7
Subd Case No. Plat No. Building PermitNo.
Does.tha prcjectijhvol(
an EPA 4lefiaed4abllity?2, .
•counnerc{allmildings,tnst tiond(militarybases),
institutions (schools, - itats) and residences
with more than fo 4)rhrelli w unit.[
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, or35culnofeet ofRegtdatedAsbestosContainingAfaterial (RAC]}, and for
renovations that remove a load -supporting stnretrue/memberer.
No permit will be icci tad for such profects without proof of EPA
notification
AnnlicantGertification; I hereby certify that I willcomplywiththe provisions of the KodiaklslandB orough Code andthat /
have the authority tocertifythisasthepropenyowner, orasarepresentativeofthepropertyowner.I agreetohaveidentifiable
corner markers in place for verification of building setback (yard) requirements.
List Other:
Attachments? Print Name:
Date: (Q-&— 2-71 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, prior to 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. • Anyzoning compliancepermitissued issubject to thesame expiration, suspension, andrevocation provisions as a
building permit issued for lire sameconstruction permit. **
Date: LK"� CDDStaff:
Pavrnent 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 li cable
❑ $0.00
❑
$0.00
Lessthan 1.75 acres:
d $30.00
El
$60.00
1.76 to S.00 acres:
Ll $60.00
n
$120.00
5.01 to40.00acres :
El $90.00
El
$180.00
40.01 acresor more:
$120.00
Ej
$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
06/15/2022 01:34PM
Remittance ID:
Kodiak061522173242442Cur
Transaction ID:
291287284
ASHLEY KRIMMEL
3256 Sharatin Road
KODIAK, Alaska 99615
United States
Visa - 3532
Approval Code: 00269D
Sale
Amount: $30.00
David Krimmel
717-421-9868
BZ2022-048
3256 Sharatin Road
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.
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