THORSHEIM LT 18 SUBLT 28A - ZCP 6/23/2022i Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
-4 Kodiak AK 99615
4' Ph. (907) 486 - 9363 Fax (907)486 - 9396
Zoning Compliance Permit Permit No
The following information is to be supplied by the Applicant:
Property Owner/ Applicant:
Mailing Address:
Phone Number:
Rft
Other Contact email, etc.:
Legal Description: Subdv 5/l1' Block: Lot: 1 O
Street Address: 3 / / ! 11 O Lam$ Yt Lv .X.7 L t G'�rf
Use & Size of Existing Structures:
/+- A ! :4 v (A ' r �i
Description of Prop f n edAc:
A_- %0)
Site Plan to include tot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and
vehicular parking areas.
Staff Compliance Review: Current zoning: bus PROP -ID cJu
Lot Area: Q I A Lot Width: IL)(* Building Height:
Front Yard: �' Rear Yard: 0 + A_ Side Yard:
Parking plan? # Of Req'd Spaces: 4�
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building Permit No.
Does the project invo ^" Proof of EPA notification provided (if required)?
an EP de peat( ili *Requiredfor all demolitions,for renovations disturbing at least UO square _____
iegs,ms dti mtlttarybases), feet,2601inearfeetor35mbicfeetafRegulatedAsbestos Containing MateriallRACMJ,andfor
t it s(sehools, ho ' sJ and residences renovations that remove a load-suppor/ingstructural memberer.
lion (- dwelling units. No nermit y •ill he issi led for such nroiects without t nroof of F PA
notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
AooiicantCertification: Iherebycertifythat Iwillcomplywiththe provisions ofthe KodiaklslandBoroughCodeandthat I
havetheauthoritytocertitythisasthepropertyowner, orasarepresentativeofthepropertyowner.I agree to haveidentiflable
comermarkers in place for verification of building setback (yard) requirements.
List Other:
Attachments?
n% J
Print Name:
Date:
L-, 12-�- / �-- 2 -
Position Title:
Signature:
�% ,fl>�fL i�.wl /JJC; Marti'
& Y /O C'J d`ngz
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 ism ecessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
**EXPIRATION. Anyzoning compliance permitissuedissubject to thesameexpiration, suspension, andrevocationprovisions as a
building permit issued for the sameconstruction permit. **
Date: ( zoC as CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payablein Cashier's Office Room lt104-Main floorof Borough Building
After -the -Fact 2X the published amount
Not App licable $0.00 ❑ $0.00
Lessthan 1.75 acres: �/$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
Transaction Receipt- Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
06/22/2022 01:21PM
Remittance ID:
Kodiak062222172002552Cur
Transaction ID:
291545042
MARK KEPLINGER
PO Box 613
KODIAK, Alaska 99615
United States
Visa - 4437
Approval Code: 03490G
Sale
Amount: $30.00
Mark Keplinger
907-942-2770
CZ2022-057
311 Thorsheim
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.