BELLS FLATS BK 7 LT 14C-1 - ZCP 7/8/2022Kodiak Island Borough -
:""- * ,I Community Development Department
n4, 710 Mill Bay Rd. Rm 205 O
Kodiak AK 99615 d
Ph.(907)486-9363 Fax(907)486-9396
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Zoning Compliance Permit Permit No. Tz Z02 Z _ oy
The following information is to be supplied by the Applicant:
Property Owner/ Applicant: -�-,.yE�lr- sir ( B . wt44-L-n Cc
Mailing Address: )91 ACC)45 , W AV K000)-!c, 41(- 9C (a 15
Phone Number: 90'.71- . -3 _ `..4SQ (p 1
Other Contact small, etc.: C3L C C W C, I S h G' M M
Legal Description: Subdv: T5 r-> Block: Lot: 6 4 \ - 1
Street Address: ILI OLOkFr�- WAq Ko 01!}jQr Au
Use & Size of Existing Structures:
l r,-SCTLc� f=n rn t LY Pe-cI rN-LN cJ✓
Description of Proposed Action:
5l-3P TLOy "0 F00�
C.cS+.xs 0)(44�e S on( 1=00`SJ�TCz5 -..--
Site Plan 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: a'e�
Lot Area: LID DOOIt Lot Width: 12 p L , � Building Height:
Front Yard: 2,5 L. r Rear Yard: 20 4 E Side Yard:
Parking plan? N Of Req'd Spaces: 3 pet N
Staff Compliance Review Notes and Specific Plat 1 Subdivision Requirements:
,r,n,.—At ee? Arc ceccn ry to Ja IiakC- e,(r-Cs
3�:loe.w• , 1.,:� +,.,� �-( Gon�E q.e.-f T�.•t Qo � - Y86 - 80 �z �
Subd Case No. Plat No. Building PermitNo.
PROP_ID 2 Z 3 ?--7
35 V.F.
tS L•F
Does the project involve \ A
an EPAdefined facility? N1,
•commercialbuildings, installaiions(militarybases),
institutions (schools, hospitals) mul0ysidences
with more than four (4)dwellio;q' A.}
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
-Required for all demolitions, Jor renovations disturbing at least UO square
feet, 2601inearfeel, nr35 cubiefeetofRegulatedAsbestos Containing Material (RACM), and (or
renovations that re hove a hod-avpl»r ingsnvctwel memberer.
No permit will he issued for such nroiects witho t proof of EPA
notification
Aoolicant Certification: I herebycertifythat I will complywiththe provisions of the KodiaklslandBorough Code andthat I
have the authority tocertifythisasthe propertyowner, orasa representativeoftheproperty owner. I agree to have identifiable
comer markers in place for verification of building setback (yard) requirements.
List Other.
Attachments? Print Name: Z;3�i;7� e , (ADAI,Ll/)Ct
Date: 7J L�lZO ZZ Position Title: t-C�-2AN 0 W q-3 EA2
Signature:
y
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 there vised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
**EXPIRATION. Anyzoning compliancepermitissuedissubject to thesameexpiration,suspension, andrevocation provisions asa
building permit issued for the sameconstruction permit **
COD Staff Certification
Date: �. %rdZ Z CDDStaff:
Payment V rifi ation Toning Compliance Permit Fee Paya le in Cashier's
Not App licable
Less than 1.75 acres:
1.76 to S.00 acres:
5.01 to40.00acres:
40.01 acresor more:
$0.00
$30.00
$60.00
❑ $90,00
$120.00
It 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
❑ $120.00
❑ $180.00
Ei $240.00
\N MENS
SPA / ,
Q �PROPOSED
i
1 i � •'
a o
SEPTIC
111 \�•
1 .
LOT ME
ADJACENT LOT ME
---"' - EWE OF OW"AY
. — - CENTER OF R.O.W.
FDlCE
® . WATER WELL
LOT 14C-1
PLAT 82-9
1.3172 Acres
SHED
LOT 14 D-1
PLAT 82-9
HOUSE
LOT 15 A
PLAT 78-9
x
ILOT 20 B
IPLAT 75-10
x
0 50 100
"R [C SCALE I' - I FOOT
SITE MAP EXHIBIT FOR PROPOSED 40'X 38' STRUCTURE ON
LOT 14 C-1 BELLS FLATS ALASKA SUBDIVISION, PLAT 1982-9,
KODIAK RECORDING DISTRICT, KODIAK, AK
PAYMENT DATE
07/08/2022
COLLECTION STATION
CASHIER
RECEIVED FROM
STEPHEN B. WALLACE
DESCRIPTION
141 ALDER WAY
Kodiak Island Borough
710 Mill Bay Rd.
Kodialr, AK 99615
BATCH NO.
2023-00000011
RECEIPT NO.
2023-00000039
CASHIER
Teresa Medina
•• RECEIPT DESCRIPTION
• •
Zoning Compl Zoning Compliance Permit $30.00
BZ 2022 051 _
Payments: Type Detail Amount
Check 5628 $30.00
Total Amount: $30.00
Customer Copy
Printed by: Teresa Medina Page 1 of 1 07/08/2022 02:14:48 PM
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