USS 3098 LT 29A MILL BAY RD - ZCP 7/29/2022Kodiak Island Borough Print Form Submit by Email
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615 D
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us 7 l LZ
Zoning Compliance Permit Permit No. oo(D
The following information is to be supplied by the Applicant:
Property Owner / Applicant: KANA / Cornerstone General Contractors
Mailing Address: 4040 B St., Anchorage AK, 99503
Phone Number: 907-306-4878
Other Contact email, etc.: Macki McDonald mmcdonald@cornerstoneak.com
Legal Description: Subdv: QS5 30 ct4 Block: Lot: 2 qA
Street Address: 2414 Mill Bay Road, Kodiak Alaska
Use & Size of Existing Structures:
Health Clinic Occupancy classification B, Clinic. approx. 9,000 A
Description of Proposed Action:
Install Backup Generator onsite, including a power bank for load testing scope of work includes excavating a trench running conduit
to an exterior mounted pull box through the buildings crawl space into the service electrical room.
Replace existing flooring, wall base and underlayment as necessary.
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: J�uS',�es5 PROP —ID 1CSOt
Lot Area: NIA Lot Width: N�ro Bld'gHeight: NlA
Front Yard: Nlpr Rear Yard: NIA Side Yard: Nl0
Prk'g Plan Rvw? Yes # of Req'd Spaces: 3
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
?arl<;r`S 2e\j ti5 foljow5: 3690s.f, + 1061f-117 1q:: 58 70 1� I Lok;CL\
e2 cA00 jj.6L fe utre 29•35 S ace l"A;ri F.
1 prce rt o0o 17ej u ', 4s 2. 135 ce .
-ilpulde. 31L bn s+e- S�eccsl io •tncta!gpee geA-ccf'
6p I lo���v,a soF}fC �e� I�.11S
Subd Case No. Plat No. Bldg Permit No.
Does the project involve
an EPA defined facility?
'Commercial buildings, installations (military bases),
institutions (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
`Required for all demolitions, for renovations disturbing at least 160 square
feet, 260 linearfeet, or 35 cubicfeet of Regulated Asbestos Containing Material (RACM), and
for renovations that remove a load -supporting structural member.
Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that 1
have the authority to certify this as the property owner, oras a representative of the property owner. I agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments?
List Other:
Date: Signature: Steven Smith- KANA Facilities Director
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, or 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 compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CDD Staff Certification
Date: 7 Z rF Z Z COD Staff:
cbb a1R .
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
Not Applicable ❑ $0.00
Less than 1.75 acres:
0j
$30.00
1.76 to 5.00 acres:
❑
$60.00
5.01 to 40.00 acres:
❑
$90.00
40.01 acres or more:
❑
$120.00
After -the -Fact 2X the published amount
❑
$0.00
❑
$60.00
❑
$120.00
❑
$180.00
❑
$240.00
Kodiak Island Borough Print Form Submit by Email
Community Development Department
- `' 710 Mill Bay Rd. Rm 205
'A Kodiak AK 99615
oc Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Ihh�://www. kod is kak.us
Zoning Compliance Permit Permit No. C'-&z0- 3 00Cv
The following information is to be supplied by the Applicant:
Property Owner / Applicant: KANA / Cornerstone General Contractors
Mailing Address: 4040 B St., Anchorage AK, 99503
Phone Number: 907-306-4878
Other Contact email, etc.: Macki McDonald mmcdonald@cornerstoneak.com
Legal Description: Subdv: 051C) 5-� Block: Lot: nL}p
Street Address: 2414 Mill Bay Road, Kodiak Alaska
Use & Size of Existing Structures: _
Health Clinic Occupancy classification B, Clinic. approx. 9,000 sf.
Description of Proposed Action:
Install Backup Generator onsite, including a power bank for load testing scope of work includes excavating a trench running conduit
to an exterior mounted pull box through the buildings crawl space into the service electrical room.
Replace existing flooring, wall base and underlayment as necessary.
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: B , ,: PROP_ID 1630 V SrnG /�! r STnic i
Lot Area: Lot Width: �I^. Bld'g Height: to /�
A Front Yard: N 1 A. Rear Yard: NI �. Side Yard: /tom
Prk'g Plan Rvw? V # of Req'd Spaces: 3
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
3640 V {- ( Ob1 + lq-4 + 114 = Gt,?4cc Ala ZOO
21- 35 S�oe�r,J�, rer+..,. I f/.o/ AIC4 A'4 2y 3 S 43
e, l S/l+cc ne4 l000 = z. l35 , /�/+1 3/• Yd-T eef P,wlCA,- 31
i+ 32- SOocea. 104tre'-S 5r04ce, l &K.3'O ; A�b 2 n /-1• 17:5-.
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve
an EPA defined facility?
-Commercial buildings, installations (military bases),
institutions (schools, hospitals) and residences with
more than four (4) dwelling units.
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
'Required Jar all demolitions, for renovations disturbing at least 160 square
feet, 260 linear feet, or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and
for renovations that remove a load -supporting structural member.
No permit will be issued for such proiects without proof of EPA notification
Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that I
have the authority to certify this as the property owner, or as a representative of the property owner. [agree to have identifiable
corner markers in place for verification of building setback (yard) requirements.
Attachments?
Date:
List Other:
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 its siting, construction, or 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 compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CDD Staff Certification
Date: -7 1 & 2 2 COD Staff:
P-pP/ate( J V 31 e -F 71b
P (avP2
Pao u.atr,-J a 4n,jc,, J
ap
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building
After -the -Fact 2X the published amount
Not Applicable
❑
$0.00
❑
$0.00
Less than 1.75 acres:
❑
$30.00
❑
$60.00
1.76 to 5.00 acres:
❑
$60.00
❑
$120.00
5.01 to 40.00 acres:
❑
$90.00
❑
$180.00
40.01 acres or more:
7
$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
07/29/2022 08:59AM
Remittance ID:
Kodiak072922125808123Cur
Transaction ID:
293095441
STEVEN SMITH
3449 Mill Bay Road
KODIAK, Alaska 99615
United States
Visa - 5889
Approval Code: 014845
Sale
Amount: $30.00
Kodiak Area Native Association
907-486-1364
CZ2023-006
2414 Mill Bay 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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100% Submiffal
Mill Bay Health Clinic - Seismic MlHgation
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[ 5 P Mill Bay Health Clinic - Standby Generator
2414 Mill Bay Road, Kodiak Alaska A• • �.1 °j^
for: Kodiak Area Native Association (KANA) AV 1 S
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i P Y Mill Bay Health Clinic - Standby Generator
2414 Mill Bay Road, Kodiak Alaska
i! for: Kodiak Area Native Association (KANA) l
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A R C H I T E C T U R E
1231 G mbell Ste. 400 A eb gC Al ska 99501 s
909349-1425
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