NEW KODIAK BK 5 LT 4 & SW PTN 3 - ZCP 6/23/2022Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205LILI� r. A- /
Kodiak AK 99615 6 ,
70
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No. (' :Z-- 2v2Z
The following information is to be supplied b the Applicant:
Property Owner/ Applicant:
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Mailing Address:
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Phone Number: `I*,NI
Other Contact email. etc.:
Legal Description:
Subdv:�^���
y
r4'l�i.�
Block: � Lot: (�
Street Address:
„7 40.$
� / r • Q 1^; h $ JA&
-5'0 i 3
Use & Size ofExistingStructures:
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Site Plan to include lot boundaries and existing easements, existing buildings, proposed location of nex• construction, access points, and
vehieular parking areas.
Staff Compliance Review: Current zoning: U PROP_ID�
Lot Area(A Lot Width . � � � Building Height: U
Front Yard: ,„w 1 I� Rear Yard: 1 Side Yard: , 1 / A
Parking plan? 'lJ # Of Req'd Spaces: I 1v
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building PermitNo.
�; � ` ��i i
` i.J
Does the project involve
an EPA defined facility?
•conrmercialbuildings, instal rorcs(mililarybnses),
institutions (schools, ho als) and residences
with more lhanfour dwelling units
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
•Requiredfor all demolitions, for renovairons disturbing at least UO square _
feel, 2601inearfeet,or35cubicfeelofRegulaledAsheslosContaining Material(R400, andfor
renovations that remove a load -supponingsnvclue memberer.
No permit will h icci ecl for such proiects without proof of EPA
notification
AQoilea ntCertification: I hereby certify that 1 willcomply with the pro visions of the KodiaklslandBoroughCode and that I
have the authoritytocertilythisasthe propertyowner, orasarepresentativeofthepropertyowner I agreetohaveidentifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments?
Date:
List Other:
Print Name: 4n ma ' f a
Position Title: /r , . / / 4),eJ PA 0/✓
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: Anyzoningcompliancepermitissuedissubjeettotbesamee piration,suspension, andrevocationprovisionsasa
buildingpermit issuedfor the sameconstruction permit ee
Dateuc2 a91 CDDStaff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It 104- Main floor of Borough Building
After -the -Fact 2X the published amount
Not App li cable
$0.00
$0.00
Less than 1.75 acres:
�/$30.00
Ei
$60.00
1.76 to S.00 acres
F1 $60.00
Ei
$120.00
5.01 to40.00acres:
El $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
571%-C7*0071XIF.i M, Y.1 UT-1
Remittance ID:
Kodiak062322125248327Cur
Transaction ID:
291575698
ANNA MARIE KALOUMENOU
1515 Baranof St.
KODIAK, Alaska 99615
United States
MasterCard - 7804
Approval Code: H18479
Sale
Amount: $30.00
Anna Marie Kaloumenou
907-654-7414
CZ2022-058
508 W. Marine Way
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.